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41. T.M.Joint Ankylosis
Total Rehabilitation
Prof. C. Bhasker Rao
Craniofacial Surgery & Research Centre
S.D.M. College of Dental Sciences & Hospital
Dharwad, Karnataka, India.
SDM
DHARWAD
www.indiandentalacademy.com
42. T.M.Joint Ankylosis
Dissertations
1993 - 2002
“Gap arthroplasty in the treatment of T.M. Joint Ankylosis”
- Dr. G. Rajasekhar
“Ankylosis of Craniomandibular Articulation”
“Effects on Skull base and midfacial growth”.
- Dr. Reza Soltanian
“An investigation into probable causes of recurrence after gap
arthroplasty”
- Dr. Sony Jacob
“Non osseous components of T.M. Joint Ankylosis related deformity”
- A Multifactorial analysis.
- Dr. Sunil Dixit
SDM
DHARWAD
www.indiandentalacademy.com
43. T.M.Joint Ankylosis
Dissertations
1993 - 2002
“Developmental mechanisms in T.M. Joint Ankylosis”
- Study using C.T. Scan Data and Rabbit Model.
- Dr. Mahindra
“Morphometric basis for correction of secondary mandibular deformities
in unilateral T.M. Joint Ankylosis”.
- Dr. Bhushan Jayade
“Ankylosis of T.M. Joint – “Long term evaluation in post surgical patients”
- Dr. Taranjit
SDM
DHARWAD
www.indiandentalacademy.com
44. T.M.Joint Ankylosis
Publications
Salins P.C. et al. Soft and Hard tissue correction
of facial deformity associated with bilateral T.M. Joint
Ankylosis.
Int. J. Oral Maxillofac Surg. 1998, 27: 422 – 424.
SDM
DHARWAD
www.indiandentalacademy.com
51. T.M.Joint Ankylosis
Sequelae ?
Direct
Unable to open the mouth
Indirect
Poor oral hygiene
Abnormal feeding habits
Prone for snoring
Effect on growth
SDM
DHARWAD
www.indiandentalacademy.com
52. T.M.Joint Ankylosis
Unilateral Ankylosis Effects on Growth
• Fullness of affected side
• Flat normal side
• Deviation of mandible to affected side
SDM
DHARWAD
www.indiandentalacademy.com
56. T.M.Joint Ankylosis
Patients Experience?
Ridiculed by schoolmates
Sympathetic attitude at college
Eating in restaurants an embarrassment
No friends
Loneliness helped in studies
Parents were helpful
Embarrassment at public gatherings
www.indiandentalacademy.com
SDM
DHARWAD
63. T.M.Joint Ankylosis
Condylectomy
Condyle is removed by sectioning at the neck
• Fibrous ankylosis
• Bony ankylosis where configuration of
condyle is seen
SDM
DHARWAD
www.indiandentalacademy.com