Temporomandibular Joint Meniscopexy With Mitek Mini Anchors

• Published in: Journal of oral and maxillofacial surgery Vol. 69; no. 11; pp. 2739 - 2745
• Main Authors: Valero, Carlos Alberto Ruiz, DDS, Morales, Carlos Andres Marroquin, DDS, Alvarez, Jaime Andres Jimenez, DDS, Sarmiento, Javier Eduardo Gomez, DDS, Vallejo, Arthur, DDS
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-11-2011; Elsevier
• Subjects: Adult; Biological and medical sciences; Cartilage, Articular - surgery; Dentistry; Dissection - methods; Fasciotomy; Female; Follow-Up Studies; Humans; Joint Capsule - surgery; Joint Dislocations - surgery; Longitudinal Studies; Male; Mandibular Condyle - surgery; Medical sciences; Middle Aged; Osteoarthritis - surgery; Otorhinolaryngology. Stomatology; Pain Measurement; Range of Motion, Articular - physiology; Retrospective Studies; Sound; Surgery; Suture Anchors - classification; Suture Techniques; Temporal Muscle - surgery; Temporomandibular Joint Disc - surgery; Temporomandibular Joint Disorders - surgery; Treatment Outcome; Young Adult; Temporomandibular joint; Treatment; Stomatology; Surgery
• ISSN: 0278-2391; 1531-5053
• DOI: 10.1016/j.joms.2011.02.090

Purpose The purpose of this study is to show long-term results with the use of Mitek mini anchors (DePuy Mitek, Raynham, MA) in the surgical treatment (meniscopexy or discoplasty) of internal derangements that lead to a dysfunctional temporomandibular joint (TMJ). Patients and Methods We evaluated 50 patients, 32 women and 18 men, ranging in age from 19 to 53 years, with a mean age of 33.5 years. All patients included in the study were diagnosed with anterior disc displacement without reduction. Each patient underwent surgical meniscopexy and placement of Mitek mini anchors with No. 2-0 nylon monofilament sutures. The variables taken into account in this study include range of mouth opening, painful symptoms (evaluated with the visual analog verbal scale), and the presence of any clicks in the TMJ. Results Preoperative analysis showed painful symptoms in 100% of evaluated patients, the presence of clicks of the TMJ in 76%, and a mean mouth opening range of 23.5 mm. Postoperative analysis showed that 92% of the patients had no painful symptoms, 90% did not have any associated clicks in the TMJ, and the mean mouth opening range on postoperative evaluation was 38.3 mm, with a mean increase of 14.8 mm. Conclusions We conclude that surgical placement of Mitek mini anchors represents an alternative that can be considered a tool of great utility for discoplasty procedures, showing evident clinical improvement.