Surgical approach in Temporomandibular Joint disorders (TMJ): a literature review




Tempomandibular Joint; Surgery, Oral; Temporomandibular Joint Disorders.


The temporomandibular joint (TMJ) is a highly specialized mobile joint, considered one of the most complex and used in the human body. Surgery for temporomandibular joint disorders may include mandibular manipulation assisted with increased hydrostatic pressure, astrocentesis, arthroscopy, arthrotomy, eminoplasty, and eminectomy. The aim of this study is to carry out a literature review on the different surgical techniques in temporomandibular joint disorders and their indications, in order to guide the dentist to further clarification and, consequently, to a better approach. Data were collected through databases such as: PubMed, Scientific Electronic Library Online (SciELO) and academic google, from February to April 2021. The keywords were used: temporomandibular joint, temporomandibular joint anatomy, disorders of the temporomandibular joint, temporomandibular joint pathology, temporomandibular joint disorders, TMD treatment, TMD surgery. Thus, the study is very relevant because without an intervention, TMJ disorders can worsen and a correct diagnosis is essential for the correct surgical approach to be applied.


Abbehusen, C. (2019). Ressonância magnética na avaliação do desarranjo articular interno da articulação temporomandibular. Revista Científica Hospital Santa Izabel, 3(3), 158-163.

Caruso, S., Storti, E., Nota, A., Ehsani, S., & Gatto, R. (2017). Temporomandibular joint anatomy assessed by CBCT images. BioMed research international, 2017.

de Oliveira Bastos, P., Junior, J. J. M., Norjosa, M. E. S., Vasconcelos, M. J. C., & de Queiroz, M. L. (2021). Atuação do enfermeiro brasileiro no ambiente escolar: Revisão narrativa. Research, Society and Development, 10(9), e31410918089-e31410918089.

Fehrenbach, J., da Silva, B. S. G., & Brondani, L. P. (2018). A associação da disfunção temporomandibular à dor orofacial e cefaleia. Journal of Oral Investigations, 7(2), 69-78.

Ferreira, C. L. P., Silva, M. A. M. R. D., & Felício, C. M. D. (2016, January). Sinais e sintomas de desordem temporomandibular em mulheres e homens. In CoDAS (Vol. 28, pp. 17-21). Sociedade Brasileira de Fonoaudiologia.

Ferreira, L. A., Grossmann, E., Januzzi, E., Paula, M. V. Q. D., & Carvalho, A. C. P. (2016). Diagnosis of temporomandibular joint disorders: indication of imaging exams☆. Brazilian journal of otorhinolaryngology, 82, 341-352.

Gauer, R., & Semidey, M. J. (2015). Diagnosis and treatment of temporomandibular disorders. American family physician, 91(6), 378-386.

Grossmann, E., & Grossmann, T. K. (2011). Cirurgia da articulação temporomandibular= Temporomandibular joint surgery. Revista dor. São Paulo. Vol. 12, n. 2 (abr./jun. 2011), p. 152-159.

Güven, O. (2019). Nearthrosis in true long-standing temporomandibular joint dislocation; a report on pathogenesis and clinical features with review of literature. Journal of Cranio-Maxillofacial Surgery, 47(6), 945-950.

Kalpakci, K. N., Willard, V. P., Wong, M. E., & Athanasiou, K. A. (2011). An interspecies comparison of the temporomandibular joint disc. Journal of dental research, 90(2), 193-198.

Katzberg, R. W., Hatcher, D., & Ethier, J. (2016). Specialty imaging: temporomandibular joint. Specialty imaging: temporomandibular joint. 1st ed. Philadelphia: Elsevier, 490-6.

Madeira, M. C. (2004). Anatomia facial com fundamentos de anatomia sistêmica geral. Roelf Justino Cruz Rizzolo.

Monje-Gil, F., Nitzan, D., & González-Garcia, R. (2012). Temporomandibular joint arthrocentesis. Review of the literature. Medicina oral, patologia oral y cirugia bucal, 17(4), e575.

Okeson, J. P. (2019). Management of temporomandibular disorders and occlusion-E-book. Elsevier Health Sciences.

Segami, N. (2018). A modified approach for eminectomy for temporomandibular joint dislocation under local anaesthesia: report on a series of 50 patients. International journal of oral and maxillofacial surgery, 47(11), 1439-1444.

Soni, A. (2019). Arthrocentesis of temporomandibular joint-bridging the gap between non-surgical and surgical treatment. Annals of maxillofacial surgery, 9(1), 158.

Speciali, J. G., & Dach, F. (2015). Temporomandibular dysfunction and headache disorder. Headache: The Journal of Head and Face Pain, 55, 72-83.

Tenório, J. D. R., Santos, R. L. O. D., Santos, E. B. D., Coto, N. P., & Vasconcelos, B. C. D. E. (2017). Abordagem cirúrgica de Luxação Condilar Prolongada. Rev. Assoc. Paul. Cir. Dent, 50-52.

Trize, D. D. M., Calabria, M. P., Franzolin, S. D. O. B., Cunha, C. O., & Marta, S. N. (2018). A disfunção temporomandibular afeta a qualidade de vida?. Einstein (São Paulo), 16.

Vyloppilli, S., Joseph, B., Manojkumar, K. P., Sayd, S., & Krishnakumar, K. S. (2018). Surgical Correction of TMJ Bilateral Dislocation with Eminectomy and Capsulorrhaphy as an Adjuvant. Journal of maxillofacial and oral surgery, 17(3), 345-349.



How to Cite

PEREIRA, J. V. C. .; CAMPOS, G. S. .; PAULA, D. M. de . Surgical approach in Temporomandibular Joint disorders (TMJ): a literature review. Research, Society and Development, [S. l.], v. 10, n. 13, p. e568101321711, 2021. DOI: 10.33448/rsd-v10i13.21711. Disponível em: Acesso em: 3 dec. 2021.



Review Article