Temporomandibular Joint Discectomy in Patients With Disc Displacement: Assessment of Osteoarthritis at 10‐ and 30‐Year Follow‐Up

ABSTRACT Background Few ≥ 10‐year follow‐up studies of temporomandibular joint (TMJ) discectomy without replacement in patients with disc displacement (DD) analyse the relationship between the surgery and osteoarthritis (OA) exist. Objectives To radiologically evaluate bony joint changes and OA deve...

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Bibliographic Details
Published in:Journal of oral rehabilitation 2024-12, Vol.51 (12), p.2643-2654
Main Authors: Hol, Caroline, Mork‐Knutsen, Peer, Larheim, Tore A., Bjørnland, Tore, Arvidsson, Linda Z.
Format: Article
Language:English
Subjects:
Adult
Arthralgia
Correlation analysis
DC‐TMD
discectomy
Diskectomy
Female
Follow-Up Studies
follow‐up
Humans
Joint Dislocations - physiopathology
Joint Dislocations - surgery
Male
Middle Aged
Osteoarthritis
Osteoarthritis - diagnostic imaging
Osteoarthritis - physiopathology
Osteoarthritis - surgery
Patients
radiography
Range of Motion, Articular - physiology
Statistical analysis
Surgery
Temporomandibular joint
Temporomandibular Joint Disc - surgery
Temporomandibular Joint Disorders - physiopathology
Temporomandibular Joint Disorders - surgery
Tomography, X-Ray Computed
Treatment Outcome
Young Adult
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Summary:ABSTRACT Background Few ≥ 10‐year follow‐up studies of temporomandibular joint (TMJ) discectomy without replacement in patients with disc displacement (DD) analyse the relationship between the surgery and osteoarthritis (OA) exist. Objectives To radiologically evaluate bony joint changes and OA development 10 and 30 years after TMJ discectomy as well as 30‐year clinical outcome. Methods Twenty‐two discectomy patients at the University of Oslo, Norway, with records confirming initial TMJ diagnosis and attendance of 10‐year radiological follow‐up were evaluated and eligible for 30‐year follow‐up. Primary variables: discectomy and CT‐/CBCT‐diagnosed OA at follow‐ups. Secondary variables: perioperative TMJ diagnoses and remodelling at follow‐up. Unoperated TMJs (Unop‐TMJs) in unilaterally operated patients were controls. Statistical association and correlation analyses were performed for the 10‐year follow‐up (significance level p 
ISSN:0305-182X
1365-2842
1365-2842
DOI:10.1111/joor.13854