Functional rehabilitation by gap arthroplasty in temporomandibular joint ankylosis

ABSTRACT

A study was carried out from Jan 1999 till Dec 2001 at oral and maxillofacial department, AFID, Rawalpindi. The purpose of the study was twofold i.e.; retrospective to determine the cause of temporomandibular joint ankylosis and prospective to see the results of functional rehabilitation by gap arthroplasty with coronoidectomy followed by immediate postoperative mouth opening exercises with Monoblock by Reichenbach. Fifty [50] patients [63 joints] were treated and are regularly followed up. Study showed that major cause of temporomandibular joint ankylosis was trauma [88%] and the mean postoperative IED obtained through operative procedure and postoperative rehabilitation was 30.89 mm