Surgical Versus Nonsurgical Management of Degenerative Joint Disease. 2018

Shravan Kumar Renapurkar
Department of Oral and Maxillofacial Surgery, Virginia Commonwealth University School of Dentistry, Wood Building Room 311C, 520 North 12th Street, Richmond, VA 23298, USA. Electronic address: srenapurkar@vcu.edu.

As knowledge of the complexity of myofascial pain and its interaction with temporomandibular joint disorders has increased, the use of surgical procedures to treat degenerative joint disease has decreased. The focus has moved from a "surgery-first" approach toward a more cautious one that involves nonsurgical treatment as the primary modality, then minimally invasive treatments, followed by open surgical modalities, when indicated. This article examines the current literature regarding the effectiveness of nonsurgical and surgical treatments for the management of degenerative joint disease.

UI MeSH Term Description Entries
D008310 Malocclusion Such malposition and contact of the maxillary and mandibular teeth as to interfere with the highest efficiency during the excursive movements of the jaw that are essential for mastication. (Jablonski, Illustrated Dictionary of Dentistry, 1982) Angle's Classification,Crossbite,Tooth Crowding,Cross Bite,Angle Classification,Angles Classification,Bite, Cross,Bites, Cross,Classification, Angle's,Cross Bites,Crossbites,Crowding, Tooth,Crowdings, Tooth,Malocclusions
D010003 Osteoarthritis A progressive, degenerative joint disease, the most common form of arthritis, especially in older persons. The disease is thought to result not from the aging process but from biochemical changes and biomechanical stresses affecting articular cartilage. In the foreign literature it is often called osteoarthrosis deformans. Arthritis, Degenerative,Osteoarthrosis,Osteoarthrosis Deformans,Arthroses,Arthrosis,Arthritides, Degenerative,Degenerative Arthritides,Degenerative Arthritis,Osteoarthritides,Osteoarthroses
D005157 Facial Pain Pain in the facial region including orofacial pain and craniofacial pain. Associated conditions include local inflammatory and neoplastic disorders and neuralgic syndromes involving the trigeminal, facial, and glossopharyngeal nerves. Conditions which feature recurrent or persistent facial pain as the primary manifestation of disease are referred to as FACIAL PAIN SYNDROMES. Craniofacial Pain,Myofacial Pain,Orofacial Pain,Pain, Facial,Face Pain,Neuralgic Facial Pain,Facial Pain, Neuralgic,Pain, Craniofacial,Pain, Face,Pain, Myofacial,Pain, Neuralgic Facial,Pain, Orofacial
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000069237 Arthrocentesis Puncture and aspiration of fluid (e.g., SYNOVIAL FLUID) from a joint cavity. It is used sometimes to irrigate or administer drugs into a joint cavity. Arthrocentesis, TMJ,Arthrocentesis,Temporomandibular Joint,Aspiration,Temporomandibular Joint,Temporomandibular Joint Arthrocentesis,Temporomandibular Joint Aspiration,Arthrocenteses,Arthrocenteses, TMJ,Arthrocenteses, Temporomandibular Joint,Arthrocentesis, Temporomandibular Joint,Arthrocentesis,Temporomandibular Joints,Aspiration, Temporomandibular Joint,Aspiration,Temporomandibular Joints,Aspirations, Temporomandibular Joint,Joint Arthrocenteses, Temporomandibular,Joint Arthrocentesis, Temporomandibular,Joint Aspiration, Temporomandibular,Joint Aspirations, Temporomandibular,Joint, Arthrocentesis,Temporomandibular,Joint, Aspiration,Temporomandibular,Joints, Arthrocentesis,Temporomandibular,Joints, Aspiration,Temporomandibular,TMJ Arthrocenteses,TMJ Arthrocentesis,Temporomandibular Joint Arthrocenteses,Temporomandibular Joint Aspirations
D001182 Arthroscopy Endoscopic examination, therapy and surgery of the joint. Arthroscopic Surgical Procedures,Surgical Procedures, Arthroscopic,Arthroscopic Surgery,Surgery, Arthroscopic,Arthroscopic Surgeries,Arthroscopic Surgical Procedure,Arthroscopies,Procedure, Arthroscopic Surgical,Procedures, Arthroscopic Surgical,Surgeries, Arthroscopic,Surgical Procedure, Arthroscopic
D013705 Temporomandibular Joint Disorders A variety of conditions affecting the anatomic and functional characteristics of the temporomandibular joint. Factors contributing to the complexity of temporomandibular diseases are its relation to dentition and mastication and the symptomatic effects in other areas which account for referred pain to the joint and the difficulties in applying traditional diagnostic procedures to temporomandibular joint pathology where tissue is rarely obtained and x-rays are often inadequate or nonspecific. Common diseases are developmental abnormalities, trauma, subluxation, luxation, arthritis, and neoplasia. (From Thoma's Oral Pathology, 6th ed, pp577-600) TMJ Disorders,TMJ Diseases,Temporomandibular Disorders,Temporomandibular Joint Diseases,Disease, TMJ,Disease, Temporomandibular Joint,Diseases, TMJ,Diseases, Temporomandibular Joint,Disorder, TMJ,Disorder, Temporomandibular,Disorder, Temporomandibular Joint,Disorders, TMJ,Disorders, Temporomandibular,Disorders, Temporomandibular Joint,Joint Disease, Temporomandibular,Joint Diseases, Temporomandibular,Joint Disorder, Temporomandibular,Joint Disorders, Temporomandibular,TMJ Disease,TMJ Disorder,Temporomandibular Disorder,Temporomandibular Joint Disease,Temporomandibular Joint Disorder
D056948 Orthognathic Surgical Procedures Surgery performed to repair or correct the skeletal anomalies of the jaw and its associated dental and facial structures (e.g. CLEFT PALATE). Jaw Surgery,Maxillo-Mandibular Surgery,Maxillofacial Orthognathic Surgery,Jaw Surgeries,Maxillo Mandibular Surgery,Maxillo-Mandibular Surgeries,Maxillofacial Orthognathic Surgeries,Orthognathic Surgeries, Maxillofacial,Orthognathic Surgery, Maxillofacial,Orthognathic Surgical Procedure,Procedure, Orthognathic Surgical,Procedures, Orthognathic Surgical,Surgeries, Jaw,Surgeries, Maxillo-Mandibular,Surgeries, Maxillofacial Orthognathic,Surgery, Jaw,Surgery, Maxillo-Mandibular,Surgery, Maxillofacial Orthognathic,Surgical Procedure, Orthognathic,Surgical Procedures, Orthognathic
D018771 Arthralgia Pain in the joint. Joint Pain,Polyarthralgia,Arthralgias,Joint Pains,Pain, Joint,Pains, Joint,Polyarthralgias
D019465 Craniofacial Abnormalities Congenital structural deformities, malformations, or other abnormalities of the cranium and facial bones. Abnormalities, Craniofacial,Abnormality, Craniofacial,Craniofacial Abnormality

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