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Biomedical subjects

W L McCarty

Publications and source records attributed to W L McCarty.

5 recordsLinked to original sources

Rehabilitation of the temporomandibular joint through the application of motion.

This paper presents a method of joint rehabilitation utilizing the principals of active motion and CPM (continuous passive motion) and joint unloading. Most true intra-articular disorders appear to be a progression of both chemical and mechanical alterations. The physiological sound principals of joint mobilization are used both as post surgical rehabilitation and as definitive therapy. When used as nonsurgical therapy, the benefits appear to be as a result of a reversal, lessening, or a favorable adaptive response of the chemical and mechanical alterations.

Adult↗

Inferior joint space arthrography and characteristics of condylar paths in internal derangements of the TMJ.

Inferior joint space arthrography and measurements of the condylar path provide scientific documentation of derangement of the TMJ disc and condyle. These derangements are described as an anterior displacement of the disk associated with posterior-superior displacement of the condyle when the teeth are closed into the intercuspal position. Clinical studies demonstrate that approximately 70% of a TMJ patient population present with some type or stage of these derangements. These observations have far-reaching implications regarding contemporary dental curriculum, particularly concerning exegesis of the MPD syndrome theory and concepts of dysfunctional dental occlusion.

Cartilage, Articular↗

Surgery for internal derangements of the temporomandibular joint.

Three hundred and twenty-seven reconstructive arthroplasties and disk repositionings have been performed during the past 6 years at Montgomery Baptist Medical Center for patients with internal derangements of the TMJ. By our evaluation, 94% are remarkably successful, 4% are marginally successful, 1% are not improved, and less than 1% are failures. On the basis of these experiences, we believe that the surgical technique of reconstructive arthroplasty and disk repositioning has a definite place in the treatment of patients with internal derangements of the TMJ.

Arthroplasty↗

The TMJ dilemma.

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Cartilage, Articular↗