Temporomandibular joint ankylosis in child: A case report

• Main Authors: Rahul J Hegde, Vishakha N Devrukhkar, Sumedh S Khare, Tanvi A Saraf
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2015-01-01
• Series: Journal of Indian Society of Pedodontics and Preventive Dentistry
• Subjects: Ankylosis; case report; gap arthroplasty; temporomandibular joint
• Online Access: http://www.jisppd.com/article.asp?issn=0970-4388;year=2015;volume=33;issue=2;spage=166;epage=169;aulast=Hegde

Background: Ankylosis of the temporomandibular joint (TMJ) is an intracapsular union of the disc-condyle complex to the temporal articular surface that restricts mandibular movements, including the fibrous adhesions or bony fusion between condyle, disc, glenoid fossa, and eminence. It is a serious and disabling condition that may cause problems in mastication, digestion, speech, appearance, and hygiene. Case Report: This report describes a case of a 12-year-old girl with inability to open her mouth, diagnosed with unilateral right bony TMJ ankylosis. The surgical approach consisted of gap arthroplasty with interpositional temporalis muscle flap followed by vigorous physiotherapy. Conclusion: The treatment of TMJ ankylosis poses a significant challenge because of technical difficulties and a high incidence of recurrence. Its treatment includes the orthodontist, oral and maxillofacial surgeon, pediatric dentist, and psychologist and physical therapist as part of the healthcare team.