The comparison of outcomes of surgically treated bilateral temporomandibular joint disorder in different groups: A retrospective study

Abstract

Objectives: The main purpose of this study was to determine the prognosis and outcomes of the patients with bilateral temporomandibular disorder which underwent bilateral temporomandibular joint surgery in a consecutive number of patients in a retrospective study. Study Design: Sixty five patients with 130 bilateral TMJ were included the study with selection from consecutive 256 TMJ who were treated with open surgery who do not respond to conservative treatment. 65 were divided in 3 main groups according clinical diagnosis bilateral TMJ site. In first group comprised 29 with 48 TMJ, was bilaterally presence anterior disc displacement with reduction (ADDR). second 19 with 26 TMJ, bilateral TMD consisted of anterior disc displacement without reduction (ADDNR) on both site. In the third group comprised 27 with 46 TMJ, bilaterally TMD consist ADDR on one site ADDNR another The patients in three different groups were operated either high condylectomy alone or high condylectomy with additional surgical procedures. Results: In the evaluation of pain relief, clicking, crepitation, headache, marked improvement was determined in all groups, but it was statistically insignificant comparison 3 groups. Slight increase maximal mouth opening was determined in the mean values of the 3 groups and also in the comparison of 3 groups it was not significant. Conclusions: These similar succesfull outcomes bilateral TMD with respect TMJ surgical procedures were obtained in 3 main groups although different diagnosis on the patients' groups was present. © Medicina Oral S. L.