Dysfonctions de I'appareil manducateur : incertitudes scientifiques et constantions cliniques

Although surgery is called upon less frequently nowadays to repair TMJ dysfunctions, it is useful to be aware of current techniques. Essentially, indications are based on the clinical situation after failure of non-invasive techniques. If these first-line treatments, though well conducted, fail to rapidly provide satisfactory or encouraging results, the question of whether to bring in the surgeon must be asked. Failing this, a deteriorating situation may occur which could well jeopardize the surgical prognosis. Used in appropriate circumstances, surgery should be accompanied by measures aimed at facilitating the post-operative follow-up and functional recovery.