Management of the temporomandibular joint surgical patient
Hoffman, D.; Mannheimer, J.; Attanasio, R.; Cohen, H.
Clinical Preventive Dentistry 11(3): 28-32
1989
ISSN/ISBN: 0163-9633 PMID: 2605859 Document Number: 326647
Comprehensive management of the temporomandibular joint surgical patient necessitates a thorough presurgical evaluation and definitive postsurgical management. The article provides an overview of TMJ surgical techniques, including arthroscopy, which has significantly decreased the need for open joint procedures. Early postsurgical intervention is recommended and specific therapeutic paradigms are outlined. Adjunctive technique to reduce inflammation, muscle guarding, edema, and collagen bonding are provided to facilitate manual joint mobilization and therapeutic exercise. Optimal success depends upon a strong professional relationship between the treating dentist, oral surgeon, and physical therapist.