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Ankylosis of the Temporomandibular Joint (TMJ)

By

Gary D. Klasser

, DMD, Louisiana State University School of Dentistry

Last full review/revision Dec 2021| Content last modified Dec 2021
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Ankylosis of the temporomandibular joint is immobility or fusion of the joint.

Intra-articular (true) ankylosis must be distinguished from extra-articular (false) ankylosis, which may be caused by enlargement of the coronoid process, depressed fracture of the zygomatic arch, or scarring resulting from surgery, irradiation, or infection. In most cases of true ankylosis, x-rays of the joint show loss of normal bony architecture.

Treatment may include a condylectomy if the ankylosis is intra-articular or an ostectomy of part of the ramus if the coronoid process and zygomatic arch are also affected. Jaw-opening exercises must be done for months to years to maintain the surgical correction, but forced opening of the jaws without surgery is generally not indicated and is usually ineffective because of bony fusion. 

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