Condylar disk plication for temporomandibular joint internal derangement treatment: surgical technique and results.
OBJECTIVE
To report six cases submitted to the TMJ condylar disk plication technique.


METHODS
All patients presented a limitation of mandibular movements, severe pain and failure of previous clinical treatment. A definitive diagnosis of irreducible anterior disk displacement was made by MRI (Magnetic Resonance Imaging). Clinical evaluation consisted of the following: measurement of maximal mouth opening, movement to the left and right and protusion; presence of deviation during mouth opening; clicking during mouth opening or closing; presence of pain and personal satisfaction following surgery.


RESULTS
While all patients had preoperative pain, only one had severe pain; in the others, the pain was less intense at the end of the period of follow-up. Stomatognatic function was improved and has been maintained since the conclusion of this study.


CONCLUSIONS
On the basis of the follow-up of these patients, the proposed technique proved to be effective for disk stabilization, leading to a decrease in pain and an improvement in mandibular movements.
Vasconcelos
Belmiro Cavalcanti do Egito
BC
Facultad de Odontología de Pernambuco, Universidade de Pernambuco, Brazil. belmiroc@terra.com.br
Porto
Gabriela Granja
GG
Bessa-Nogueira
Ricardo Viana
RV
D000328:Adult; D001178:Arthroplasty / Q000379:methods*; D005157:Facial Pain / Q000209:etiology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery; D016059:Range of Motion, Articular; D019224:Temporomandibular Joint Disc / Q000601:surgery*; D013705:Temporomandibular Joint Disorders / Q000150:complications / Q000601:surgery*