The Mitek mini anchor for TMJ disc repositioning: surgical technique and results.
This study evaluated our treatment outcomes in 105 patients (188 discs) using the Mitek mini anchor for temporomandibular joint (TMJ) articular disc repositioning surgery, with 88 patients having simultaneous orthognathic surgery. Criteria for inclusion into the study were: (1) Presurgical TMJ disc displacement with salvageable disc; (2) No prior TMJ surgery; (3) TMJ disc repositioning with the Mitek mini anchor; (4) Absence of connective tissue/autoimmune disease; (5) Absence of postsurgical trauma; and (6) Minimum of 12 months postsurgery follow up. Presurgery (T1), immediately postsurgery (T2), and longest follow up (LFU) clinical and radiographic evaluations were performed. The mean age of the patients was 32.6 years (range 14-57 years), and mean follow-up time was 46.2 months (range 14-84 months). Radiographic evaluation at LFU demonstrated no significant condylar resorption or positional changes of the anchors. At LFU, there was a statistically significant reduction in: TMJ pain, facial pain, headaches, TMJ noises and disability, and improvement in jaw function and diet. Maximum incisal opening improved slightly and lateral excursive movements decreased slightly. The Mitek mini anchor provides a predictable method for stabilizing the TMJ articular disc to the condyle and a high success rate in decreasing TMJ dysfunction and pain in patients with no previous TMJ surgery.
Mehra
P
P
Department of Oral and Maxillofacial Surgery, Boston University Medical Center and Boston University School of Dental Medicine, MA, USA.
Wolford
L M
LM
D000293:Adolescent; D000328:Adult; D000497:Alloys; D001862:Bone Resorption / Q000517:prevention & control; D004032:Diet; D005157:Facial Pain / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D006261:Headache / Q000517:prevention & control; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery; D008297:Male; D008334:Mandible / Q000601:surgery; D008335:Mandibular Condyle / Q000000981:diagnostic imaging / Q000601:surgery; D008875:Middle Aged; D009532:Nickel; D009984:Orthopedic Fixation Devices; D010027:Osteotomy / Q000379:methods; D011183:Postoperative Complications; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D012189:Retrospective Studies; D013536:Suture Techniques / Q000295:instrumentation*; D019224:Temporomandibular Joint Disc / Q000000981:diagnostic imaging / Q000601:surgery*; D013705:Temporomandibular Joint Disorders / Q000517:prevention & control; D014025:Titanium; D016896:Treatment Outcome
D000497:Alloys; C040654:titanium nickelide; C031462:titanium alloy (TiAl6V4); D009532:Nickel; D014025:Titanium