Jesús Sastre Pérez⁽¹⁾, Francisco Jose Rodriguez Campo⁽²⁾, Jose Luis Gil-Diez⁽³⁾, Mario Muñoz⁽⁴⁾, Fernando Ortiz de Artiñano⁽⁵⁾, Luis Naval⁽⁶⁾, Alicia Padron⁽⁷⁾, Pilar Rubio⁽⁸⁾, Francisco Diaz Gonzalez^{(9)
(1)(2)(3)(4)(5)(6)(7)(8)(9)}H. de "La Princesa" - MADRID. Spain

Contact address:

Jesús Sastre Pérez H. de "La Princesa" MADRID MADRID 28007 Spain jdeastrep@infomed-dental.com

	[Oral & Maxilofacial Surgery]

ABSTRACT

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Closed locking of the temporomandibular joint (TMJ) has been ascribed to internal derangement secondary to anteromedial disc displacement without reduction. Although the true etiologic factor factor of disc displacement and the process of the develop of internal derangement have not been clarified.

Closed locking of the TMJ is treated generally by mandibular manipulation or some type of intraoral appliance. However the treatment is usually successful only in acute cases of closed lock. When noninvasive treatment fails, surgery is performed to correct internal derangement. One of this surgical techniques is the TMJ arthroscopy.

We present the experience of our department in the management of TMJ derangement with arthroscopic suture in patient with closed locking. Pre and postoperative oral opening, pain, joint function and others characteristics are analysed.

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Keywords: Closed locking - anteromedial disc displacement - arthroscopic suturing -

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	[Oral & Maxilofacial Surgery]

Jesús Sastre Pérez, Francisco Jose Rodriguez Campo, Jose Luis Gil-Diez, Mario Muñoz, Fernando Ortiz de Artiñano, Luis Naval, Alicia Padron, Pilar Rubio, Francisco Diaz Gonzalez
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Last update: 23/01/00