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Dental Practice 2019
Dentistry and Craniofacial Research
ISSN: 2576-392X
Page 30
January 28-29, 2019
Barcelona, Spain
27
th
International Conference on
Dentistry and Dental Practice
T
he conventional management of fibrous extra-capsular
temporomandibular joint (TMJ) ankylosis is associated
with surgical complication and financial burden on the patient.
The study is to assess the outcomes of conservative approach
in the management of fibrous extra-capsular TMJ ankylosis.
This is a prospective study of patients who were presented at
the Dental and Maxillofacial Surgery Clinic of the University of
Calabar Teaching Hospital, Nigeria during the period January
1999 to December 2012 with the history of inability to open
the mouth diagnosed as fibrous extra-capsular TMJ ankylosis.
Fergusson’s mouth gag and stacks of wooden spatula were
used for the treatment. For patient the mouth opening is not big
enough to accept the Fergusson’s mouth gag initially, padded
Coupland elevator and handle of dental extraction forceps
were placed in between the incisor teeth and distracted until
appreciable mouth opening was achieved. 21 subjects were
treated and their ages ranged from 11 to 22 years with mean at
15.0 years. There were 13 (61.9%) males and 8 (38.1%) females
with male: female ratio of 1.6:1. In all cases, the etiological
factor that predisposed to formation of extra-capsular TMJ
ankylosis was trauma. There was no facial asymmetry and
the side distribution of the affliction showed 1 (4.8%) was
bilateral while 20 (95.2%) were unilateral. Eight cases (38.1%)
were incomplete ankylosis while the rest (n=13, 69.9%) were
complete. The duration of the lesions before treatment was
between 2 to 11 months. The shorter the duration of fibrous
ankylosis, and the greater the initial inter-incisal distances
before treatment, the better is the treatment outcome. The
outcome of treatment suggests that the conservative approach
to management was beneficial to the patients because they
presented early. However, randomized controlled clinical trials
are needed to validate this treatment option.
Biography
Charles E Anyanechi has completed his Fellowship in Oral and Maxillofa-
cial Surgery at West Africa Postgraduate Medical College, Lagos, Nigeria.
He is an Associate Professor of Oral and Maxillofacial Surgery, in the Oral
and Maxillofacial Unit, Department of Dental & Maxillofacial Surgery. He has
published more than 60 papers in reputed journals and has been serving as
Head of Department and Editorial Board Member of several journals within
and outside Nigeria.
ceanyanechi@gmail.comManagement of extra-capsular temporo-
mandibular joint ankylosis: Does conservative
approach to treatment have a role?
Charles E Anyanechi, Otasowie Osunde
and
Godwin O Bassey
University of Calabar, Nigeria
Charles E Anyanechi et al., J Den Craniofac Res 2019, Volume 4
DOI: 10.21767/2576-392X-C1-015