Temporo-Mandibular Joint Functional Arthroplasty: Does It Improve the Short-Term Quality of Life in Patients with Painful Anterior Disc Displacement Without Reduction? A Retrospective Cohort Study
Abstract
:1. Introduction
2. Materials and Methods
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- No previous diagnosis of other TMJ pathologies (trauma, rheumatologic and systemic diseases etc.);
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- A diagnosis of unilateral ADDWoR, (according to the diagnostic criteria (DC/TMD) and Wilkes classification);
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- A maximum assisted opening movement (MMO) < 40 mm;
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- A record of the TMJ VAS score for pain assessment and the QOL TMJ questionnaire results before and at least six months after surgical treatment;
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- Non-responsiveness to other non-invasive or minimally invasive techniques.
Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
ADDwoR | anterior disc displacement without reduction |
IQR | interquartile range |
MMO | maximum assisted opening movement |
QoL | quality of life |
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Category | Rating | Description |
---|---|---|
A. PAIN | 1 | I have no pain. |
2 | There is mild pain, but I do not need medication. | |
3 | I have moderate pain, which requires regular analgesics (e.g., paracetamol). | |
4 | I have severe pain controlled only by strong analgesics (e.g., Panadeine Forte). | |
5 | I have severe pain, which is not controlled by analgesics. | |
B. DIET AND CHEWING | 1 | I can chew and eat whatever I like. |
2 | I can chew most things, except tough foods like steak and apples. | |
3 | I only stick to soft foods, such as pasta and soft bread. | |
4 | I need to cut all food into small pieces. | |
5 | I can only eat food that has been put through a blender. | |
C. SPEECH | 1 | My speech is normal. |
2 | I have difficulty saying some words. | |
3 | I have difficulty in being understood over the telephone. | |
4 | Only my friends and family can understand me. | |
5 | I cannot be understood at all. | |
D. ACTIVITY | 1 | I am as active as I have ever been. |
2 | There are times when I can’t keep up my old pace, but not often. | |
3 | I am often tired and have slowed down my activities, though I still get out. | |
4 | I don’t go out very often because I don’t have the strength. | |
5 | I am usually in bed or a chair and don’t leave home. | |
E. RECREATION | 1 | There are no limitations to recreation at home or away from home. |
2 | There are a few things I can’t do, but I still get out and enjoy life. | |
3 | There are many times when I wish I could get out more, but I am not up to it. | |
4 | There are severe limitations to what I can do; mostly, I stay at home and watch TV. | |
5 | I can’t do anything enjoyable. | |
F. MOOD | 1 | My mood is excellent and unaffected by my TMJ disorder. |
2 | My mood is generally good and only occasionally affected by my TMJ disorder. | |
3 | I am neither in a good mood nor depressed about my TMJ disorder. | |
4 | I am somewhat depressed about my TMJ disorder. | |
5 | I am extremely depressed about my TMJ disorder. | |
G. ANXIETY | 1 | I am not anxious about my TMJ disorder. |
2 | I am a little anxious about my TMJ disorder, but I am coping. | |
3 | I am very anxious about my TMJ disorder and finding it difficult to cope. | |
4 | I am severely anxious about my TMJ disorder and not coping at all. | |
H. Issues Most on Your Mind (Circle up to 3 answers) | 1 | Nothing |
2 | Pain | |
3 | Diet and chewing | |
4 | Speech | |
5 | Activity levels | |
6 | Recreation | |
7 | Mood | |
8 | Anxiety | |
I. Compared to the Month Before Surgery, How Would You Rate Your Overall Health-Related Quality of Life? (Post-Surgical Patients Only) | 1 | Much better |
2 | Somewhat better | |
3 | About the same | |
4 | Somewhat worse | |
5 | Much worse | |
J. How Would You Rate Your Health-Related Quality of Life Over the Past Month? | 1 | Excellent |
2 | Very good | |
3 | Good | |
4 | Fair | |
5 | Poor | |
K. How Would You Rate Your Overall Quality of Life Over the Past Month (Considering Factors Such as Family, Friends, Spirituality, and Leisure Activities)? | 1 | Excellent |
2 | Very good | |
3 | Good | |
4 | Fair | |
5 | Poor | |
L. If a Relative or Friend Had TMJ Problems Similar to Yours, Would You | 1 | Recommend TMJ surgery as the primary treatment |
2 | Recommend TMJ surgery only if other measures (e.g., physiotherapy, splint therapy, medications) fail | |
3 | Recommend TMJ surgery only as a very last resort | |
4 | Not recommend TMJ surgery at all |
Spearman’s Rho Correlation | VAS | Pain and Quality-of-Life Score | Activity Score | Recreation Score | Mood Score |
---|---|---|---|---|---|
Pain and Quality of Life score | ρ = 0.19 η2 = 0.04 p = 0.046 | / | / | / | |
Activity score | ρ = − 0.21 η2 = 0.04 p = 0.028 | ρ = −0.23 η2 = 0.05 p = 0.018 | / | / | |
Recreation score | ρ = −0.004 p = 0.965 | ρ = −0.09 p = 0.342 | ρ = −0.05 p = 0.581 | / | |
Mood score | ρ = 0.36 η2 = 0.13 p < 0.001 | ρ = −0.16 p = 0.090 | ρ = −0.002 p = 0.984 | ρ = −0.22 η2 = 0.05 p = 0.024 | |
Anxiety score | ρ = −0.1 p = 0.324 | ρ = −0.20 p = 0.053 | ρ = 0.09 p = 0.376 | ρ = 0.05 p = 0.628 | ρ = −0.12 p = 0.205 |
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Spallaccia, F.; De Tomaso, S.; Cirignaco, G.; Angelo, D.F.; Vaira, L.A.; Vellone, V. Temporo-Mandibular Joint Functional Arthroplasty: Does It Improve the Short-Term Quality of Life in Patients with Painful Anterior Disc Displacement Without Reduction? A Retrospective Cohort Study. J. Clin. Med. 2025, 14, 2560. https://doi.org/10.3390/jcm14082560
Spallaccia F, De Tomaso S, Cirignaco G, Angelo DF, Vaira LA, Vellone V. Temporo-Mandibular Joint Functional Arthroplasty: Does It Improve the Short-Term Quality of Life in Patients with Painful Anterior Disc Displacement Without Reduction? A Retrospective Cohort Study. Journal of Clinical Medicine. 2025; 14(8):2560. https://doi.org/10.3390/jcm14082560
Chicago/Turabian StyleSpallaccia, Fabrizio, Silvia De Tomaso, Giulio Cirignaco, David Faustino Angelo, Luigi Angelo Vaira, and Valentino Vellone. 2025. "Temporo-Mandibular Joint Functional Arthroplasty: Does It Improve the Short-Term Quality of Life in Patients with Painful Anterior Disc Displacement Without Reduction? A Retrospective Cohort Study" Journal of Clinical Medicine 14, no. 8: 2560. https://doi.org/10.3390/jcm14082560
APA StyleSpallaccia, F., De Tomaso, S., Cirignaco, G., Angelo, D. F., Vaira, L. A., & Vellone, V. (2025). Temporo-Mandibular Joint Functional Arthroplasty: Does It Improve the Short-Term Quality of Life in Patients with Painful Anterior Disc Displacement Without Reduction? A Retrospective Cohort Study. Journal of Clinical Medicine, 14(8), 2560. https://doi.org/10.3390/jcm14082560