Temporomandibular joint ankylosis in child: A case report

Background: Ankylosis of the temporomandibular joint (TMJ) is an intracapsular union of the disc-condyle complex to the temporal articular surface that restricts mandibular movements, including the fibrous adhesions or bony fusion between condyle, disc, glenoid fossa, and eminence. It is a serious a...

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Bibliographic Details
Published inJournal of the Indian Society of Pedodontics and Preventive Dentistry Vol. 33; no. 2; pp. 166 - 169
Main Authors Hegde, Rahul, Devrukhkar, Vishakha, Khare, Sumedh, Saraf, Tanvi
Format Journal Article
LanguageEnglish
Published Chandigarh Medknow Publications and Media Pvt. Ltd 01.04.2015
Medknow Publications & Media Pvt. Ltd
Wolters Kluwer Medknow Publications
Subjects
Ankylosis
case report
gap arthroplasty
Joint surgery
Mastication
Mouth
temporomandibular joint
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Summary:Background: Ankylosis of the temporomandibular joint (TMJ) is an intracapsular union of the disc-condyle complex to the temporal articular surface that restricts mandibular movements, including the fibrous adhesions or bony fusion between condyle, disc, glenoid fossa, and eminence. It is a serious and disabling condition that may cause problems in mastication, digestion, speech, appearance, and hygiene. Case Report: This report describes a case of a 12-year-old girl with inability to open her mouth, diagnosed with unilateral right bony TMJ ankylosis. The surgical approach consisted of gap arthroplasty with interpositional temporalis muscle flap followed by vigorous physiotherapy. Conclusion: The treatment of TMJ ankylosis poses a significant challenge because of technical difficulties and a high incidence of recurrence. Its treatment includes the orthodontist, oral and maxillofacial surgeon, pediatric dentist, and psychologist and physical therapist as part of the healthcare team.
ISSN:0970-4388
1998-3905
DOI:10.4103/0970-4388.155136