Temporomandibular joint (TMJ) ankylosis probably caused by ankylosing spondylitis (AS)

2003 ◽  
Vol 17 (6) ◽  
pp. 468-468
Author(s):  
Hitoya Ohta ◽  
Yoshio Matsumoto
Keyword(s):  
Ankylosing Spondylitis ◽  
Temporomandibular Joint ◽  
Tmj Ankylosis

scholarly journals Oral rehabilitation of a patient with temporomandibular joint ankylosis caused by ankylosing spondylitis: A case report

2017 ◽  
Vol 74 (4) ◽  
pp. 374-377 ◽  
Author(s):  
Zlata Brkic ◽  
Nikola Pijevcevic ◽  
Verica Pavlic ◽  
Milan Petronijevic
Keyword(s):  
Case Report ◽  
Ankylosing Spondylitis ◽  
Temporomandibular Joint ◽  
Treatment Plan ◽  
Mouth Opening ◽  
Medical Attention ◽  
Diagnostic Challenge ◽  
Oral Rehabilitation ◽  
Tmj Ankylosis ◽  
Military Medical Academy

Introduction. Ankylosing spondylitis (AS)/Morbus Bechterew is a chronic inflammatory rheumatoid disease. The temporomandibular joint (TMJ) dysfunction is involved in 4?35% of AS cases, and is correlated to the severity and extension of AS. Even though AS-caused TMJ ankylosis is exceptional, one should have high index of suspicion of TMJ ankylosis in AS for an early detection, because it is an extremely serious and disabling condition that causes problems with mastication, swallowing, digestion, speech, appearance and poor oral hygiene with heavy caries. Case report. A 54-year-old male patient sought medical attention at the Department of Periodontology and Oral Medicine, Clinic for Dentistry at the Military Medical Academy, Belgrade, Serbia, with the chief complaint of pain in the area of the upper left canine in the presence of limited mouth opening. The treatment plan consisted of upper left canine management and rehabilitation of the remaining teeth in the frontal and the premolar region in both, the upper and lower jaw. Even though molar region needed to be treated, unfortunately it was not in the treatment plan because ankylosis of TMJ made the treatment impossible. Conclusions. The patients with AS-caused TMJ ankylosis are considered a diagnostic challenge to routine dentistry. Accent should be given to early diagnosis and multidisciplinary approach in the treatment of the AS patients towards the favorable disease course and outcome.

scholarly journals A Triad of Temporomandibular Joint Ankylosis, Mandibular Retrognathia and Severe Obstructive Sleep Apnoea: Case report

2018 ◽  
Vol 18 (3) ◽  
pp. 379 ◽  
Author(s):  
Issa K. Al-Nuumani ◽  
Abdulaziz Bakathir ◽  
Ahmed Al-Hashmi ◽  
Mohammed Al-Abri ◽  
Hussein Al-Kindi ◽  
...  
Keyword(s):  
Case Report ◽  
Temporomandibular Joint ◽  
Obstructive Sleep Apnoea ◽  
Mouth Opening ◽  
Sleep Apnoea ◽  
Temporomandibular Joint Disorders ◽  
University Hospital ◽  
Tmj Ankylosis ◽  
Obstructive Sleep ◽  
Mandibular Retrognathia

The surgical management of paediatric patients with temporomandibular joint (TMJ) ankylosis, mandibular retrognathia and obstructive sleep apnoea (OSA) is challenging. We report a nine-year-old boy who presented to the Department of Oral Health, Sultan Qaboos University Hospital, Muscat, Oman, in 2016 with complaints of limited mouth opening, loud snoring and excessive daytime sleepiness. He was diagnosed with TMJ ankylosis, mandibular retrognathia and severe OSA. The patient initially underwent mandibular distraction and, subsequently, release of the TMJ ankylosis and rib graft reconstruction. The overall patient outcome was successful, with improvement in OSA-related symptoms, good facial symmetry and adequate mouth opening.Keywords: Temporomandibular Joint Disorders; Temporomandibular Ankylosis; Retrognathia; Obstructive Sleep Apnea; Case Report; Oman.

scholarly journals Use of vascularised cartilage as an additional interposition in temporomandibular ankylosis surgery: Rationale, advantages and potential benefits

2008 ◽  
Vol 41 (02) ◽  
pp. 110-115
Author(s):  
Mukund Jagannathan ◽  
Maksud Devale ◽  
Prashantha Kesari ◽  
Siddharth Karanth
Keyword(s):  
Temporomandibular Joint ◽  
Articular Surface ◽  
Superficial Temporal Artery ◽  
Mouth Opening ◽  
Temporal Artery ◽  
Long Term Results ◽  
Success Rates ◽  
Tmj Ankylosis ◽  
Potential Applicability ◽  
Bony Segment

ABSTRACT Context: Surgery for the release of temporomandibular joint (TMJ) ankylosis is a commonly performed procedure. Various interposition materials have been tried with varying success rates. However, none of these procedures attempt to recreate the architecture of the joint as the glenoid surface is usually left raw. Aims: We aimed to use a vascularised cartilage flap and to line the raw surface of the bone to recreate the articular surface of the joint. Settings and Design: There is a rich blood supply in the region of the helical root, based on branches from the Superficial Temporal Artery (STA), which enables the harvest of vascularised cartilage from the helical root for use in the temporomandibular joint. Materials and Methods: Two cases, one adult and the other a child, of unilateral ankylosis were operated upon using this additional technique. The adult patient had a bony segment excised along with a vascularised cartilage flap for lining the glenoid. The child was managed with an interposition graft of costochondral cartilage following the release of the ankylosis, in addition to the vascularised cartilage flap for lining the glenoid. Results: The postoperative mouth opening was good in both the cases with significant reduction in pain. However, the long-term results of this procedure are yet to be ascertained. Conclusions: The vascularised cartilage flap as an additional interposition material in temporomandibular joint surgery enables early and painless mouth-opening with good short-term results. The potential applicability of this flap in various pathologies of the temporomandibular joint is enormous.

scholarly journals Surgical Management of Temporomandibular Joint Ankylosis in Ankylosing Spondylitis

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Andrew M. Felstead ◽  
Peter J. Revington
Keyword(s):  
Ankylosing Spondylitis ◽  
Bone Loss ◽  
Temporomandibular Joint ◽  
Surgical Procedures ◽  
Total Joint Replacement ◽  
Joint Disease ◽  
Inflammatory Joint Disease ◽  
Degenerative Osteoarthritis ◽  
Temporomandibular Joint Ankylosis ◽  
Joint Ankylosis

Relatively few patients develop such severe degenerative temporomandibular joint (TMJ) disease that they require total joint replacement. Current indications include those conditions involving condylar bone loss such as degenerative (osteoarthritis) or inflammatory joint disease (ankylosing spondylitis, rheumatoid, and psoriatic). Ankylosis of the temporomandibular joint (TMJ) secondary to ankylosing spondylitis remains an under investigated entity. We aim to provide an overview of treatment objectives, surgical procedures, and our experience with total TMJ replacement for this condition.

scholarly journals Temporomandibular Joint Ankylosis with Maxillary Extension: Proposal for Modification of Sawhney's Classification

2018 ◽  
Vol 2 (1) ◽  
pp. s-0038-1666852
Author(s):  
Ramat Oyebunmi Braimah ◽  
Abdurrazaq Olanrewaju Taiwo ◽  
Adebayo Aremu Ibikunle ◽  
Taoheed Oladejo ◽  
Mike Adeyemi ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Poor Quality ◽  
Age Group ◽  
Loss Of Function ◽  
Female Ratio ◽  
Tmj Ankylosis ◽  
Cancrum Oris ◽  
Temporomandibular Joint Ankylosis ◽  
Joint Pathology ◽  
Joint Ankylosis

Temporomandibular joint (TMJ) is a unique joint in which both jaws must open synchronously for function. Any pathology in one or both joints results in functional problems with associated poor quality of life. TMJ ankylosis (TMJA) is a joint pathology as a result of bony and/or fibrous adhesion of the joint apparatus, resulting in partial or total loss of function. This is a retrospective study from two tertiary referral centers in northwest region of Nigeria from 2012 to 2016. Data retrieved include gender, age, etiology of ankylosis, duration of ankylosis, laterality of ankylosis, type of imaging technique, type of airway management, types of incision, surgical procedure, interpositional materials used, and complications. Data were analyzed using SPSS for Window version 20.0 (IBM Corp.). Results were presented as simple frequencies and descriptive statistics. A total of 36 patients with TMJA were seen during the study period; out of which 7 (19.4%) patients had maxillary extension of the ankylotic mass. There was a male: female ratio of 1.3:1. Four (57.1%) patients were within the age group between 5 and 10 years, two (28.6%) within the age group between 11 and 15 years, while only one (14.3%) was within the age group between 31 and 35 years. All the cases (7 [100%]) of maxillary extension were secondary to cancrum oris (noma). Cheek scarring as a result of management of cancrum oris was observed. In addition, intraoral fibrosis eliminating the upper and lower buccal sulci extending to the molar regions was also noted. With the involvement of the maxilla in the ankylotic mass, the authors have proposed modification of Sawhney's classification by the addition of Class V. The authors have suggested a name for the new classification to be “Modified Sawhney's Classification of Temporomandibular Joint Ankylosis”. Aggressive postoperative physiotherapy for a sufficient period of time (minimum of 6 months) is paramount.

Temporomandibular joint involvement in ankylosing spondylitis

2018 ◽  
Vol 85 (4) ◽  
pp. 487
Author(s):  
Faten Frikha ◽  
Mouna Snoussi ◽  
Sondes Briki ◽  
Fathi Karray ◽  
Zouhir Bahloul
Keyword(s):  
Ankylosing Spondylitis ◽  
Temporomandibular Joint ◽  
Joint Involvement

scholarly journals Bilateral asymptomatic fibrous-ankylosis of the temporomandibular joint associated with rheumatoid arthritis: a case report

2012 ◽  
Vol 23 (6) ◽  
pp. 779-782 ◽  
Author(s):  
Carolina Ortigosa Cunha ◽  
Lívia Maria Sales Pinto ◽  
Luana Menezes de Mendonça ◽  
Aline Dantas Diógenes Saldanha ◽  
Ana Cláudia de Castro Ferreira Conti ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Temporomandibular Joint ◽  
Correct Diagnosis ◽  
Mouth Opening ◽  
Limited Range ◽  
Contralateral Side ◽  
Limited Mouth Opening ◽  
Tmj Ankylosis ◽  
Inflammatory Conditions ◽  
Limited Range Of Motion

The American Academy of Orofacial Pain (AAOP) defines ankylosis of the temporomandibular joint (TMJ) as a restriction of movements due to intracapsular fibrous adhesions, fibrous changes in capsular ligaments (fibrous-ankylosis) and osseous mass formation resulting in the fusion of the articular components (osseous-ankylosis). The clinical features of the fibrous-ankylosis are severely limited mouth-opening capacity (limited range of motion during the opening), usually no pain and no joint sounds, marked deflection to the affected side and marked limitation of movement to the contralateral side. A variety of factors may cause TMJ ankylosis, such as trauma, local and systemic inflammatory conditions, neoplasms and TMJ infection. Rheumatoid arthritis (RA) is one of the systemic inflammatory conditions that affect the TMJ and can cause ankylosis. The aim of this study is to present a case of a female patient diagnosed with bilateral asymptomatic fibrous-ankylosis of the TMJ associated with asymptomatic rheumatoid arthritis. This case illustrates the importance of a comprehensive clinical examination and correct diagnosis of an unusual condition causing severe mouth opening limitation.

Unilateral bony ankylosis of the temporomandibular joint in a case of ankylosing spondylitis

2012 ◽  
Vol 17 (3) ◽  
pp. 213-217 ◽  
Author(s):  
Luciana Soares de Andrade Freitas Oliveira ◽  
Christiano de Oliveira-Santos ◽  
Daniela Pita de Melo ◽  
Marianna Guanaes Gomes Torres ◽  
Paulo Sérgio Flores Campos
Keyword(s):  
Ankylosing Spondylitis ◽  
Temporomandibular Joint ◽  
Bony Ankylosis

scholarly journals FIBROUS ANKYLOSIS OF TEMPOROMANDIBULAR JOINT: PRESENTING WITH SUDDEN ONSET COMPLETE INABILITY TO OPEN MOUTH.

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Rupesh Kumar Namdev
Keyword(s):  
Ct Scan ◽  
Temporomandibular Joint ◽  
Facial Asymmetry ◽  
Sudden Onset ◽  
Complete Fusion ◽  
Tmj Ankylosis ◽  
Mandibular Movements ◽  
Joint Ankylosis ◽  
Underlying Pathology

The temporomandibular joint makes it possible to open and close your mouth, as involving chewing, swallowing, speaking, and yawning activity.  Ankylosis of the Temporomandibular joint which includes partial or complete fusion of the joint with resulting restricted opening of mouth, restricted mandibular movements (hypomobility) with deviation to the affected side on opening of the mouth.  The pathology is multifactorial and restoration of function usually involves surgical intervention and dependence on the exact pathology situated at the root of pons.  It is essential to evaluate the underlying pathology, its degree for proper planning of surgery and follow-up.  3-D CT scan of facial bones provide a reliable and consistent diagnosis and evaluation for temporomandibular joint ankylosis.  Keywords: TMJ, ankylosis, 3-D CT scan, facial asymmetry.

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