Classification and treatment of temporomandibular joint problems

Classification and treatment of temporomandibular joint problems

Abstracts of Current ORAL Solitary Eosinophilic Granuloma of Bone. Literature PATHOLOGY T. Hunter. J. Hone 6; Joint Surg. 38: 545, 1956. The et...

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Abstracts of Current ORAL Solitary Eosinophilic

Granuloma

of Bone.

Literature

PATHOLOGY T. Hunter.

J. Hone 6; Joint

Surg. 38: 545, 1956.

The etiology of eosinophilic granuloma of bone is unknown; however, it is supposed to be a peculiar inilammatory reaction to some agent of infection, as yet unidentified. Cultures made of biopsy material are nearly always sterile. This condition is most frequently seen in children and young adults. Along with the mandible, the skull, ribs, femur, vertebrae, pelvis, humerus, and clavicles are most commonly affected. Complete and spontaneous recovery of the lesion can and does occur; however, the usual procedure, once the lesion has been demonstrated radiographically, is curettage, The prognosis of the solitary lesion is excellent. T. 41. (1.

ORAL

MFaDIClNE

Dental Bone Changes Occurring in Sickle-Cell Diseases and Abnormal Hemoglobin J. R. Prowler and E. W. Smith. Radiology 65: 762, November, 1955.

Traits.

Dental roentgenograms may be of considerable value in detecting hemoglobin n bnormalities in patients. The absence of discernible trabeculae in the mandibular molar region of a patient with bone change associated with sickle-cell anemia is reported. In ten patients not previously suspected of having any hematologies, roentgenograms, taken solely for detection of dental-surgical conditions, showed sickle-cell changes. The circumscribed osteosclerotic regions which are commonly seen in the long bones of persons considered to have a sickle-cell disease are thought to result from bone infarction; similar areas were encountered in the mandible and maxilla.

‘1‘. ,r. c. ORAL ClassUicakion and Treatment Otol., Rhin. & Laryng.

SURGERY

of Temporomandibular 65: 35, March,

Joint Problems.

J. B. Costen,

Ann.

1956.

The treatment of diseases of the temporomandibular joint embraces everything from removal of a single source of trismus to surgery upon the joint itself. If an accidental movement of the lower jaw, such as a blow to the jaw or a yawn, produc,es enough irritaconsists of external elastic tion within the joint, trismus and otalgia ensue. The treatment splinting, local heat, and sedative drugs. If the origin is an abscessed tooth or infection of the ear canal, removal of these sources is the solution. If the joint changes are secondary to long-standing malocclusion and improper action of the condyle, irreversible changes in the meniscus, cartilage, and bone structure of the joint occur. Those tissues cannot be improved, but restoration of the balanced occlusion usually removes the source of stress and damage, so that pain and trismus are relieved. Fortunately, this type constitutes the largest fraction of cases. T. J. c. 1253