Eminectomy versus eminoplasty for treatment of recurrent temporomandibular dislocation: Randomized controlled clinical trial | ||||
| Egyptian Dental Journal | ||||
| Article 5, Volume 65, Issue 3 - July (Oral Surgery), July 2019, Page 2095-2102 PDF (1.66 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/edj.2019.72223 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Mostafa Talaat El Gengehy; Sherif Ali; Mohamed Ashraf | ||||
| Lecturer, Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Cairo University, Cairo, Egypt. | ||||
| Abstract | ||||
| Purpose: The aim of this study was to compare recurrence, operation time, and temporomandibular joint (TMJ) pain following eminectomy versus eminoplasty in patients with recurrent TMJ dislocation. Materials and methods: 12 patients with bilateral TMJ recurrent dislocation were included in this study. Bilateral eminectomy was performed for 6 patients, and bilateral reduction eminoplasty was performed for the other 6 patients. Recurrence rate, operation time, TMJ pain, TMJ noise, postoperative complications were assessed and compared between the 2 groups. Results: No recurrence was observed in the eminectomy group. While in the eminoplasty group, recurrent dislocation occurred in 33.3% of the patients. Operation time was shorter in the eminoplasty group compared to the eminectomy group (40.75 ± 5.17, 47.3 ±7.27 minutes. TMJ pain at different time points, and TMJ noise were was comparable in the 2 groups. Conclusions: Eminectomy is superior to eminoplasty for treatment of recurrent TMJ dislocation. Eminoplasty can represent an alternative for eminectomy in cases with risk of intracranial perforation, subjected for further investigations. | ||||
| Keywords | ||||
| Temporomandibular joint; Temporomandibular joint dislocation; Eminectomy; Eminoplasty | ||||
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