J Korean Assoc Oral Maxillofac Surg 2023; 49(1): 53~54
Desideratum of corroboration-based management for temporomandibular joint disorders: pressing priority in oral surgery
Bhushan Bhagat1, Shubhangi Bhagat2, Muskaan Sachdev1, Narayan Dutt Pandey3
1Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Dental College & Hospital, Dr. D. Y. Patil Vidyapeeth, 2Department of Pharmacutics, Dr. D. Y. Patil College of Pharmacy, Akurdi, 3Department of Oral and Maxillofacial Surgery, Sinhgad Dental College & Hospital, Pune, India
Bhushan Bhagat
Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Dental College & Hospital, Dr. D. Y. Patil Vidyapeeth, Sant Tukaram Nagar, Pimpri, Pune 411018, India
TEL: +91-9975630997
E-mail: bhushan.bhagat@dpu.edu.in
ORCID: https://orcid.org/0000-0003-4413-3879
; Published online February 28, 2023.
© Korean Association of Oral and Maxillofacial Surgeons. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Internal derangement (ID) of the temporomandibular joint (TMJ) managed by arthrocentesis is considered a minimally invasive technique with limited indications and unpredictable outcomes in advanced cases. On the other hand, for predictable, long-standing, and trustworthy results, arthroscopy is important in the management of TMJ disorders due to it minimum invasiveness and morbidity. The learning curve in TMJ arthroscopy is steep for new surgeons, requiring extensive teaching and training1. The role of the surgical assistant is equally important in TMJ surgery for successful TMJ mobilization and adherence to safety procedures to avoid postoperative complications1. McCain improved hard and soft devices for TMJ arthroscopy using a ‘coblation’ high-frequency wave system for tissue cutting and debridement2. Additional studies must produce innovations in various concepts of TMJ surgeries. Compared with arthrocentesis, arthroscopy leads to greater melioration in the maximum interincisal opening after 12 months, with no difference in pain reduction3. An evidence-based study showed reduction in TMJ pain after 12 months with no difference in outcomes such as mandibular functionality3. Arthroscopy can be a useful technique for treatment of patients with advanced stages of ID of the TMJ in all age groups. However, longer follow up was suggested4.

Corroboration-based management for patients with TMJ disorders must be verified by evidence-based scientific research.

Authors’ Contributions

B.B. conceived the idea and S.B. designed the study. M.S. and N.D.P. reviewed the medical records and contributed to data acquisition. N.D.P. analyzed the data and prepared the manuscript. M.S. provided guidance for all aspects of the study and critical revision of the article. All authors reviewed and approved the final version of the manuscript.


No funding to declare.

Conflict of Interest

No potential conflict of interest relevant to this article was reported.

  1. Murakami K. Rationale of arthroscopic surgery of the temporomandibular joint. J Oral Biol Craniofac Res 2013;3:126-34. https://doi.org/10.1016/j.jobcr.2013.07.002.
    Pubmed KoreaMed CrossRef
  2. Chen MJ, Yang C, Zhang SY, Cai XY. Use of coblation in arthroscopic surgery of the temporomandibular joint. J Oral Maxillofac Surg 2010;68:2085-91. https://doi.org/10.1016/j.joms.2009.04.130.
    Pubmed CrossRef
  3. Currie R. Arthroscopy for treating temporomandibular joint disorders. Evid Based Dent 2011;12:90-1. https://doi.org/10.1038/sj.ebd.6400817.
    Pubmed CrossRef
  4. Muñoz-Guerra MF, Rodríguez-Campo FJ, Escorial-Hernández V, Sanz-García A, Brabyn PJ, Fernández-Domínguez M. Temporomandibular joint arthroscopy in advanced stages of internal derangement: a retrospective cohort study on the influence of age. Int J Oral Maxillofac Surg 2022;51:1579-86. https://doi.org/10.1016/j.ijom.2021.12.009.
    Pubmed CrossRef

Current Issue

28 February 2023
Vol. 49
No. 1 pp. 1~58

Indexed in