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Clinical-surgical treatment of temporomandibular joint disorder in a psoriatic arthritis patient
INTRODUCTION: Condylotomy is a surgical procedure that has been used as an option to treat temporomandibular disorder (TMD) patients. This technique has the advantage of avoiding intra-capsular alterations that might be found involving other surgical procedures. Its use, even when unilateral, has po...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3621370/ https://www.ncbi.nlm.nih.gov/pubmed/23556553 http://dx.doi.org/10.1186/1746-160X-9-11 |
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author | Puricelli, Edela Corsetti, Adriana Tavares, Julieta Gomes Luchi, Giuliano Henrique Mião |
author_facet | Puricelli, Edela Corsetti, Adriana Tavares, Julieta Gomes Luchi, Giuliano Henrique Mião |
author_sort | Puricelli, Edela |
collection | PubMed |
description | INTRODUCTION: Condylotomy is a surgical procedure that has been used as an option to treat temporomandibular disorder (TMD) patients. This technique has the advantage of avoiding intra-capsular alterations that might be found involving other surgical procedures. Its use, even when unilateral, has positive effect on treatment of both joints. METHODS: In order to better evaluate the benefits of a clinical-surgical treatment for TMD, the present report describes the case of a psoriatic arthritis patient. The case was clinically characterized by dental malloclusion, and imaging exams showed joint degeneration of the right mandibular condyle. The patient was treated by condylotomy technique after a prosthetic oral rehabilitation. RESULTS: No clinical-radiological signs or symptoms of progression of articular disease were observed within a period of 16 months after surgery. Furthermore, there was functional stability of the temporomandibular joint, total absence of local pain and improvement of mouth opening. CONCLUSION: The present study suggests that condylotomy can be considered as a valid option for the management of TMD, since it has low surgical morbidity and favorable clinical outcomes. In this case, the patient had a medical diagnosis of systemic disease presenting general pain and pain at the temporomandibular joint (TMJ), in addition of causal agent of TMD (dental malloclusion). The difficulty of finding a single etiology (malocclusion vs. systemic disease) did not exclude the indication of a clinical-surgical treatment to re-establish the balance of TMJ. |
format | Online Article Text |
id | pubmed-3621370 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-36213702013-04-10 Clinical-surgical treatment of temporomandibular joint disorder in a psoriatic arthritis patient Puricelli, Edela Corsetti, Adriana Tavares, Julieta Gomes Luchi, Giuliano Henrique Mião Head Face Med Case Report INTRODUCTION: Condylotomy is a surgical procedure that has been used as an option to treat temporomandibular disorder (TMD) patients. This technique has the advantage of avoiding intra-capsular alterations that might be found involving other surgical procedures. Its use, even when unilateral, has positive effect on treatment of both joints. METHODS: In order to better evaluate the benefits of a clinical-surgical treatment for TMD, the present report describes the case of a psoriatic arthritis patient. The case was clinically characterized by dental malloclusion, and imaging exams showed joint degeneration of the right mandibular condyle. The patient was treated by condylotomy technique after a prosthetic oral rehabilitation. RESULTS: No clinical-radiological signs or symptoms of progression of articular disease were observed within a period of 16 months after surgery. Furthermore, there was functional stability of the temporomandibular joint, total absence of local pain and improvement of mouth opening. CONCLUSION: The present study suggests that condylotomy can be considered as a valid option for the management of TMD, since it has low surgical morbidity and favorable clinical outcomes. In this case, the patient had a medical diagnosis of systemic disease presenting general pain and pain at the temporomandibular joint (TMJ), in addition of causal agent of TMD (dental malloclusion). The difficulty of finding a single etiology (malocclusion vs. systemic disease) did not exclude the indication of a clinical-surgical treatment to re-establish the balance of TMJ. BioMed Central 2013-04-04 /pmc/articles/PMC3621370/ /pubmed/23556553 http://dx.doi.org/10.1186/1746-160X-9-11 Text en Copyright © 2013 Puricelli et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Puricelli, Edela Corsetti, Adriana Tavares, Julieta Gomes Luchi, Giuliano Henrique Mião Clinical-surgical treatment of temporomandibular joint disorder in a psoriatic arthritis patient |
title | Clinical-surgical treatment of temporomandibular joint disorder in a psoriatic arthritis patient |
title_full | Clinical-surgical treatment of temporomandibular joint disorder in a psoriatic arthritis patient |
title_fullStr | Clinical-surgical treatment of temporomandibular joint disorder in a psoriatic arthritis patient |
title_full_unstemmed | Clinical-surgical treatment of temporomandibular joint disorder in a psoriatic arthritis patient |
title_short | Clinical-surgical treatment of temporomandibular joint disorder in a psoriatic arthritis patient |
title_sort | clinical-surgical treatment of temporomandibular joint disorder in a psoriatic arthritis patient |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3621370/ https://www.ncbi.nlm.nih.gov/pubmed/23556553 http://dx.doi.org/10.1186/1746-160X-9-11 |
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