Mouth Opening Research Articles

A study of sleep disorders in Indian children: Tip of the iceberg

BackgroundInsufficient quality and quantity of sleep has dangerous neurodevelopmental outcomes in the form of poor concentration, poor scholastic performance, hyperactivity and obstructive sleep apnea. There is no structured data on prevalence of various sleep behaviours and sleep related disorders in children in India. We aim to study sleep behaviour of children to know the common paediatric sleep related disorders. MethodsWe enrolled 270 children between the age of 1 to 18 years visiting pediatric OPDs for minor ailments between June 2022 to June 2023 using Children Sleep habit questionnaire – (NICHD SECCYD, Wisconsin). Children having clinical features suggestive of obstructive sleep apnoea were further subjected to overnight level 1 Polysomnography study. ResultsMost children had bed time consistency with average sleep duration of Mean ± 2SD (8.58 ± 1.35 h, N=270), which was shorter than global average. Allergic disorders were significantly high with prevalence of allergic rhinitis up to 30 % and asthma between 8-10 % in our study. Prevalence of obstructive sleep apnea on Polysomnography study was 5.6%, parent reported snoring 10 %, restless leg movements 30% and open mouth breathing in 35% Indian children. In our study, Asthma had statistically significant association with sleep disordered breathing and obstructive sleep apnea with p value < 0.01. ConclusionsAsthma has statistically significant association with obstructive sleep apnoea in our study. Proper asthma treatment may reduce the burden of obstructive sleep apnoea in children. There is a growing need to screen children regularly for sleep related issues on routine visits.

Ecological networks reveal important taxa for ecosystem function in two subtropical South African estuaries

Biodiversity is essential for estuarine ecosystems' functioning, resilience, and persistence. While biodiversity assessments provide some insight into the ecosystem state, they cannot quantify every aspect of ecosystem-level function. We assessed aspects of estuarine ecosystem function and pinpointed taxa of interest that fulfil specific roles in estuarine ecosystems, using a series of novel food web model ensembles and Ecological Network Analysis. We investigated emergent network properties of two subtropical South African estuaries, the anthropogenically impacted large temporarily closed uMdloti Estuary and the ‘near natural’ predominantly open uMlalazi Estuary, during a drought period induced by the El Niño Southern Oscillation. In addition, important network components were identified to elucidate the importance of estuarine/marine taxa in maintaining ecosystem function. The key findings included (1) estuaries exhibit system-specific functional responses under drought conditions, and (2) estuarine/marine taxa are critical for overall ecosystem function. Both estuaries showed seasonal differences in ecosystem activity and reliance on trophic level I (microalgae and detritus) to fuel the food web, and persistently low cycling (<9.3 %). However, compared to uMdloti Estuary, uMlalazi Estuary showed less variation in mean seasonal activity (1597–2095 mgC m−2 d−1), and higher reliance on detritus to fuel the food web (D:H > 2.02), indicating greater ecosystem functional resilience to external perturbations. uMlalazi Estuary ecosystem function could be attributed to predominantly open mouth conditions maintaining a salinity gradient, and subsequent large contributions to overall ecosystem function from typically estuarine/marine invertebrate taxa. In contrast, the uMdloti Estuary, dominated by freshwater/brackish taxa under prolonged closed mouth conditions, showed greater seasonal variations in mean system activity (1084–2289 mgC m−2 d−1) and generally high reliance on microalgae (D:H < 1.26), indicative of decreased resilience to external perturbations. During this study, a single mouth breach acted as a ’biological reset’ of uMdloti Estuary, enabling recruitment of estuarine/marine taxa, and a temporary recovery in ecosystem function reflected in increased system cycling (FCI >14.05 %) and decreased reliance on microalgae (D:H > 1. 41). These findings suggest that future predicted drought impacts on estuarine ecosystem function may be partially system-specific due to differing estuarine types, anthropogenic impact, and invertebrate community composition. This study provides a scientific link between ecosystem-level indicators and the role of individual taxa within the system, which is a valuable complement to biodiversity assessments and ecosystem state evaluation.

Elastic Bands Improve Oral Appliance Treatment Effect on Obstructive Sleep Apnoea: A Randomised Crossover Trial.

Oral appliances (OAs) that limit mouth opening during sleep, such as monobloc appliances, have shown superior treatment effects in subgroups of patients with obstructive sleep apnoea. The application of elastic bands on bibloc appliances may resemble these benefits. The primary objective was to investigate if application of elastic bands to bibloc appliances improves treatment success (> 50% reduction of respiratory event index (REI)), in addition to other subjective variables. Furthermore, we aimed to identify variables predicting the need for elastic bands in OA treatment. Included patients (n = 69) were randomly assigned to OA treatment with or without elastic bands. After 3 weeks, treatment effect was investigated with home respiratory polygraphy and questionnaires. Thereafter, patients changed treatment modality, with identical follow-up regime. Statistical analyses were performed using Student's t-test and Pearson's chi-squared test to investigate differences between the two treatment modalities, and logistic regression analysis was conducted to investigate variables tentatively associated with treatment success. Based on REI, the success rate with OA treatment was in favour of elastic bands (53.9% vs. 34.6%, p = 0.002). Male sex and larger maximum mouth opening were identified as predictors for increased treatment success with elastic bands. The main benefit with elastic bands seemed to be greater reduction of REI when supine. However, patients seem to prefer OA without elastic bands. Elastic bands improved OA treatment effect by reducing the REI in supine position. Patient groups that seemed to benefit from elastic bands in OA treatment were men with large maximum mouth openings.

Perkembangan Morfologi dan Tingkah Laku Larva Ikan Tuna Sirip Kuning Yellowfin Tuna (Thunnus albacares)

The yellowfin tuna (Thunnus albacares) is a pelagic fish with distinct morphological development and behavioral traits. Understanding the early stages of morphology and behavior in yellowfin tuna larvae is crucial for successful cultivation efforts, particularly during the hatchery phase. This study aimed to observe and document the developmental progression and behaviors of yellowfin tuna larvae at the Tuna Laboratory of Balai Besar Riset Budidaya Laut and Penyuluhan Perikanan Gondol, Bali. Yellowfin tuna larvae were reared in 700 L round tanks at a density of 10,000 larvae per tank. Larval rearing was monitored over a period of 13 days, specifically on days 1 (D1), 3 (D3), 5 (D5), 7 (D7), 10 (D10) and 13 (D13) post-hatching. Morphological changes in the larvae were observed over time. On day 1, the larvae were transparent and planktonic, with closed mouths and eyes and the presence of melanophore pigments in their bodies. By day 3, the larvae had opened their mouths and eyes, becoming capable of feeding. The mouth opening measured between 0.34-0.68 mm (90°) and 0.18-0.37 mm (45°) on day 5 post-hatching. As the larvae grew, improvements in swimming ability were noted, correlating with the development of the swim bladder, tail fin, and dorsal fin.

Efficacy of Proprioceptive Neuromuscular Facilitation on Jaw Function in Bruxism Among Post Stroke Survivor: A Case Study

A 49-year-old male who was a known case of Type 2 diabetes mellitus and hypertensive had a history of an acute infarct in the left ganglia capsular region and a chronic infarct in the left parieto-occipital lobe, which was conservatively managed and was referred for physiotherapy rehabilitation for strengthening the right upper and lower limb. During the physiotherapy intervention, abnormal teeth grinding was observed, and the patient was asked about parafunctional behaviour. Upon examination, there was a restriction in the jaw range of motion assessed by measuring the jaw range using the vernier caliper and tightness in the masticatory muscle, as evidenced by palpating the masseter muscle. Proprioceptive neuromuscular facilitation and ultrasound therapy were given for 1 session per week for 2 weeks to treat bruxism along with standardized stroke protocol. At the end of 2 weeks after the intervention, there was an increase in jaw opening and reduced masticatory muscle activity. Jaw opening was measured using a vernier caliper, and masticatory activity was measured using electromyography of the masseter and temporalis muscles. This study suggests the importance of treating bruxism to prevent complications related to it. It concludes that proprioceptive neuromuscular facilitation and ultrasound therapy were effective in improving mouth opening and reducing the masticatory activity in bruxism among stroke patients with ganglia capsular involvement.

Efficacy of different low-level laser therapy sessions in the management of masseter muscle trigger points

BackgroundLow-level laser therapy (LLLT) is one of the recent treatment modalities for myofascial pain dysfunction syndrome with trigger points. The objective of the present study was to examine the impact of varying LLLT sessions on the treatment of masseter muscle trigger points.Methods90 patients diagnosed with orofacial pain and trigger points in the masseter muscle for at least 6 months were selected and divided into 3 groups (n = 30) based on the number of LLLT sessions provided to patients. Patients in Group I received one session/per week, group II received two sessions/per week, and Group III received three sessions/per week. The sessions continued for 4 weeks, evaluations of pain levels, maximum mouth opening (MMO), and quality of life were conducted before and after the procedure at 1, 2, 3, 4, and 8 weeks.ResultsThe pain scores exhibited a highly statistically significant difference among the three groups (p < 0.001) over the 8-week study period. MMO was statistically significantly different between groups at week 4 and week 8. The Oral Health Impact Profile-14 (OHIP-14) score was statistically significant difference between groups at week 8. The time showed a highly significant effect on the study outcomes within each group.ConclusionIncreased the number of LLLT sessions reduced the pain improved the MMO, and subsequently improved the quality of life.ClinicalTrials.gov IDNCT06327204 - retrospectively registered.

Assessment of Treatment Approaches for Oroantral Communication and Fistulas

Objective: The aim of this study was to investigate and compare the treatment methods of large size oroantral defects (OADs) and their clinical outcomes. Material and Methods: The patients who referred our clinic between 2017 and 2023 suffering from oroantral fistula (OAF) and the cases which was occurred oroantral communication (OAC) larger than 5mm during oral procedures were included in the study. The size, type and cause of OAD, treatment method, the patient’s demographic data was recorded. VAS scale, analgesic requirement, the edema, and mouth opening measurements were obtained from preoperative day and postoperative records at 3, 7, 10 days after surgery. Results: 23 patient (8 OAF, 15 OAC) was included in this study. 9 of them was treated with buccal advancement flap (BAF), 10 with buccal fat pad (BFP) and 4 with press-fit technique. No problem was occurred at the healing process. Only in one patient BFP application was failed, and after 2 months second surgery was performed, and the area was fully covered. According to postoperative clinical outcomes, any statistically significance wasn’t observed between groups in the terms of vas scale, analgesic requirement, edema and trismus at any timepoint (p 0.05). Although there was insignificance at all parameters between treatment groups, VAS scale and analgesic requirement was less than BAF and BFP in press fit. Conclusion: BAF, BFP and press-fit methods are reliable and well-known techniques for OAD management, however, further clinical studies with larger sample sizes are needed to create treatment algorithm for OAD.

Effects of acupuncture and related techniques in temporomandibular disorders (TMD): A systematic review

Acupuncture has shown promise as a therapeutic option in temporomandibular disorders (TMD). Its benefits include pain relief, reduction of muscle tension and improvement of jaw function. Several alternative approaches, including dry needling and laser acupuncture, were also reported to improve TMD symptoms. This review aims to summarise the most recent studies available on these alternative therapies for TMD. An electronic literature search was conducted in 3 databases, PubMed, Web of Science, and Scopus, in order to identify articles on acupuncture, dry needling, or laser acupuncture. Search development, process, and two-step article selection were conducted by independent researchers. Data was extracted regarding study characteristics, population characteristics, acupuncture points or techniques used, and assessment methods for diagnosis and effects. Out of 431 identified results, 20 were selected for inclusion. We identified 11 studies on acupuncture, 3 studies on laser acupuncture and 6 studies on dry needling. Most studies showed improvement of TMD symptoms post-intervention, assessed by pain scales and maximum mouth opening. Overall, most studies showed promising results for acupuncture as an alternative, minimally invasive treatment method for TMD. When compared to controls or placebo, acupuncture, and related techniques result in significant relief of TMD symptoms.

Exploring Mouth Opening in 3–14-year-Old Children in a Tertiary Care Centre of Nepal

Mouth opening plays a crucial role in our daily lives. Maximum mouth opening is an important parameter in the assessment of several clinical situations and its value is documented to have variations with gender, age and individual’s physical characteristics. This cross-sectional study was carried out to measure the clinical maximum mouth opening in children and its correlation with age, gender, height and weight. A total of 301 children of 3 to 14 years old were included in the study. Data was analyzed using SPSS 16. The mean maximum mouth opening seen in male was 43.17 ± 6.09 mm and in female was 42.55 ± 6.13 mm. Mouth opening differences among different gender was not significant. The mean maximum mouth opening in 3 to 5 years age group was 35.71 ± 4.88 mm, 6 to 8 years age group was 41.71 ± 4.86 mm, 9 to 11 years age group was 44.82 ± 4.61 mm, and 12 to 14 years age group was 47.73 ± 5.84 mm. There was significant difference in the mouth opening of different age groups. There was a positive significant correlation between MMO and weight (Pearson’s correlation coefficient r = 0.592; P &lt; 0.0001) as well as between MMO and height (r = 0.616; P &lt; 0.0001).

Assessment of Breastfeeding and Weaning Practices and Their Effects on Infant Growth in Western Maharashtra: A Cross-Sectional Study.

Breastfeeding provides nutrients and antibodies crucial for developing infants and their immune systems. Understanding the current breastfeeding and weaning practices helps identify areas requiring improvements to boost infant health outcomes. The World Health Organization and other health bodies recommend that babies be exclusively breastfed for the first six months of life. Then, complementary feeding should be introduced along with breastfeeding, which should be continued for up to two years or more. This study aims to analyze the perception and practices of breastfeeding and weaning among mothers with 9- to 12-month-old infants. This cross-sectional analytical study was conducted at Krishna Hospital and Research Centre, Karad, for a period of six months. A validated questionnaire developed by investigators was used as the study tool.Mothers visiting the immunization clinics with their 9- to 12-month-old infants were enrolled in the study. Infants diagnosed as having inborn metabolic disorders, diabetes, heart diseases, and congenital malformations and those who were on special feeds or diets were not included in the study. The majority of the study participants (28 [33%]) initiated weaning when the infants were six to seven months of age, with the earliest being five months (8 [10%]). Five (6%) mothers could not initiate weaning until the infants were 12 months old. The most common weaning food was dal and rice with ghee (24 [29%]). A total of 50 (60%) participants used plastic bottles for feeding, and among them, 30 (36%) mothers used bottles to give water to their infants. A total of 23 (27%) participants did not feed their infants colostrum. The most common hunger cue was crying (82 [98%]), whereas the least common cue was mouth opening (8 [9%]). The incorrect practices followed by the mothers were late initiation of breastfeeding because of which colostrum could not be fed to the neonate; incorrect breastfeeding technique, that is, feeding little milk from each side of the breast without emptying one breast completely; late or no initiation of weaning foods; and offering less amount of weaning food than that required by the infant according to its nutritional demand. Initiating breastfeeding early and continuing breastfeeds along with complimentary feeds are essential for optimal infant growth.

Unpublished antefixes and a mould fragment from Brigetio in the collection of the Hungarian National Museum

AbstractThere are six antefixes and an antefix mould from Roman Brigetio (Komárom-Szőny, Hungary) in the collection of the Hungarian National Museum, which are the first antefixes to be published from Brigetio. All made in the form of tragic masks with desperate expressions, they can be classified into two types based on their appearance. The only Type 1 antefix is characterized by straight, stylized hair and high onkos, with close parallels in Aquincum. The other five antefixes belong to Type 2 and were made in the same mould. These feature a male head with open mouth and wavy, shoulder-length hear with what appears to be a topknot. The mould fragment was the negative form of the Type 2 antefixes. Type 2 antefixes made in Brigetio were also found in the Roman villa of Ravazd.

Health and TMJ Function in Adult Patients Treated for Dentoskeletal Open Bite with Orthognathic Surgery—A Retrospective Cohort Study

This study aims to assess the presence and progression of TMD in adult patients undergoing orthognathic surgery to correct dentoskeletal open bite and evaluate whether these changes can be attributed to the intervention. A retrospective cohort study was conducted on 44 adult patients (14 males and 30 females) aged 18 to 43 years. Articular assessments were performed to evaluate temporomandibular joint (TMJ) health and functionality before (T0) and after (T1) combined orthodontic-surgical treatment. TMJ health was assessed by maximum mouth opening, joint noises, parafunctions (bruxism or clenching), joint locking, TMJ pain, masticatory muscle pain, and headaches. Statistical analyses used McNemar’s Exact Test and paired T-tests. The study shows a significant reduction (p &lt; 0.05) in symptoms, except for locking, with the most substantial decrease in headaches (p = 0.0001). Overall, articular symptoms markedly decreased post-surgery, with sustained joint functionality. Restoring physiological occlusion in patients with anterior open bite is crucial for maintaining the stomatognathic system’s balance. Orthognathic surgery, when indicated, appears beneficial in alleviating articular symptoms while preserving TMJ function.

A case report of arthrocentesis in temporomandibular joint internal derangement

In this case report, a 56-year-old male presented to our department of oral and maxillofacial surgery with a chief complaint of pain during mouth opening on the left joint region. The patient also complained of limited mouth opening and temporomandibular joint (TMJ) pain. Arthrocentesis was performed under aseptic conditions. Clinical evaluation of the patients was done before the procedure, 1 week, 1 month, and 4 months postoperatively. Intensity of TMJ pain and maximal mouth opening were recorded at each follow-up visit. There was a significant improvement in mouth opening and a reduction in pain scores in the postoperative period. Arthrocentesis is a simple and safe procedure for patients with internal derangement with a closed lock for improving mouth opening and decreasing pain.

Long-Term Prognosis and Influencing Factors of Chinese Adolescents With Temporomandibular Disorder After Physical Therapy.

Physical therapy is the preferred conservative treatment for patients with temporomandibular disorder (TMD). However, few studies have investigated the application of physical therapy in adolescents, especially follow-up studies on the long-term prognosis of these patients. This study investigated the short-term effects and long-term prognosis of physical therapy in adolescent patients with TMD and the factors influencing long-term symptoms. Information regarding baseline data, specific treatment methods, treatment times and evaluation results was collected retrospectively for adolescent patients with TMD who received physical therapy. Patients were followed up via telephone and online questionnaires, and the influence of age, sex, disease course, mouth opening, pain intensity, oral parafunctional habits and treatment methods on long-term symptoms was analysed. Pain intensity, maximum mouth opening and the joint noise score improved significantly in 270/286 patients who received individualised comprehensive physical therapy. TMD-related symptoms improved with no noticeable impact on daily life in 187/199 patients who were followed up for an extended period (average, 30.71 ± 10.86 months) and were divided into asymptomatic or symptomatic groups according to the persistence of symptoms. Logistic regression analysis revealed that uncorrected oral parafunctional habits and fewer treatments were related to long-term symptoms. The long-term prognosis of adolescent patients with TMD after physical therapy was satisfactory. However, 52.8% of the patients experienced persistent TMD-related symptoms for an extended period, possibly due to insufficient treatment times and parafunctional habits. ClinicalTrials.gov identifier: NCT05781607.

Comparison of Trigger Point Lidocaine Injection and Stabilization Splint Use in Myofascial Orofacial Pain Treatment

Objective: This study aims to compare the short-, medium-, and long-term efficacy of trigger point local anesthetic injection and stabilization splint use for myofascial orofacial pain. Materials and methods: Group 1 comprised 15 patients who received trigger point local anesthetic injections (LAI), while Group 2 comprised 15 patients who were treated with a stabilization splint (SS). Analysis of pain-free maximum mouth opening (MMO) measurements, jaw disability checklists (JDC), short-form McGill pain questionnaires (SF-MPQ), and Visual analog scales (VAS) were used for comparison between the groups. Results: The LAI group showed a significantly greater increase in pain-free MMO in all terms (p &lt; 0.001) and had significantly lower values on the JDC in both the medium (p = 0.026) and the long term (p = 0.006). The SF-MPQ was significantly lower in the medium term (p = 0.001) in the LAI group; the VAS showed a significantly greater decrease in the short (p = 0.016) and medium terms (p &lt; 0.001) in the LAI group. Conclusion: The results indicate that a treatment choice can be made between TN lidocaine injection and occlusal splint based on patient tolerance.

Airway management for patients with tracheal stenosis and severe scar contracture of the face and neck via bronchoscopy: a case report

Both anaesthesiologists and surgeons experience challenges in managing airway stenosis and scar contracture in the face and neck. Herein, we report the case of a 38-year-old woman (BMI 23.1 kg/m2, third-degree burns covering 40% of her body, an American Society of Anaesthesiologists physical status III) with an unusual case of airway constriction. This patient had a predictable difficult airway (mouth opening of 2 cm, bilateral nostril scar hyperplasia, Mallampatti score III, scarring of the head and neck, and severe tracheal stenosis). Tracheal stenosis measuring 5.5 mm in width as observed 8 cm below the glottis, and the bronchoscope could not pass through it. After two failed attempts at laryngeal mask insertion, we decided to instead insert a custom-made tracheal tube under the guidance of a fiberoptic bronchoscope. The operation was successful, and the patient was transferred to the intensive care unit (ICU).

Hydrodynamic and energy-harvesting performances of a compact-array OWC device: An experimental study

This study proposed and evaluated a compact-array oscillating water column device called “Rainbow”, which is expected to adapt to the nearshore wave climate characteristics in China, and satisfy the quick response requirements to coastal and offshore electricity. The proposed device employs a bent-duct buoy concept, with an open mouth in two opposite directions, and embraced a moon pool in a ring shape. Moreover, models under a scale ratio of 1:10 are designed and manufactured, which are fixed on the bottom and tested in regular and irregular wave scenarios in a wave tank. The time histories of critical performance parameters, hydrodynamic and aerodynamic performances, and capture width ratios in different modules were recorded and analyzed to reveal the operating mechanisms of the model. The various module arrangement topologies were found to cause significant differences in the value distribution characteristics of the capture width ratio in different modules, peaking at 0.26. The experimental results can be employed as critical benchmark cases for further designs and optimizations.

Comparison of the effects of acupuncture methods on the temporomandibular disorder: A network meta-analysis.

A network meta-analysis (NMA) was applied to compare the therapeutic effect of different acupuncture methods on temporomandibular disorder (TMD). A computer retrieval was carried out in the English databases of Cochrane, PubMed, Embase and Web of Science, as well as the Chinese databases of CNKI, Wanfang and VIP for randomized controlled trials on the effect of acupuncture on TMD, with a retrieval deadline of January 21, 2024. Data analysis was conducted using R software and Bayesian method. The pain score served as the primary outcome measure, with the mouth opening as the secondary outcome measure. Thirty-five articles were included in the analysis, involving 1937 TMD patients. The NMA results suggested that DN-PT had the best effect on relieving pain and improving mouth opening. (Description of all abbreviations in Supplementary Material S3). Based on the available evidence, the results of the NMA suggest that DN-PT is most effective in relieving TMD pain and increasing mouth opening. However, due to the fact that some acupuncture therapies are only reported in a small number of research reports, this may lead to an increase in the randomness of the results and a decrease in the reliability.

Modern methods of 3D diagnostics and prototyping in temporomandibular joint reconstruction

This study presents the result of work using an optimized approach to preoperative planning and prototyping during TMJ replacement. The purpose of the study was to substantiate the need for the use of 3D technologies at the planning stage of surgical joint reconstruction. To achieve this goal, we analyzed the treatment data of 90 patients, who were divided into 2 groups. In the first group (n = 60), patients underwent preliminary planning followed by the manufacture of individual endoprostheses and templates, while the data in the second group (n = 30) were obtained through a retrospective analysis of medical records (no planning was carried out, stock endoprostheses were used). Pain, mouth opening, and quality of life scores were used for comparison. Data analysis supports the use of three-dimensional planning and manufacturing of individual endoprostheses and templates when performing temporomandibular joint replacement.

Multidisciplinary treatment of a patient with TMJ ankylosis and a severe dentofacial discrepancy: A case report.

Temporomandibular joint (TMJ) ankylosis is a debilitating condition characterised by the fusion of bony or fibrous tissues in the TMJ, resulting in restricted mouth opening, functional challenges and facial deformities. This report highlights the complexity and multifaceted nature of TMJ ankylosis and emphasises the significance of early intervention and a multidisciplinary approach. Distraction osteogenesis has emerged as a successful method for managing TMJ ankylosis and associated facial asymmetry. Post-distraction orthodontic management is essential to address occlusal changes, including posterior open bite and crossbite. A 17-year-old boy with unilateral right-sided TMJ ankylosis presented with restricted mouth opening, facial asymmetry and functional difficulties. Multidisciplinary treatment planning involved distraction osteogenesis, condylectomy, coronoidectomy and orthodontic correction to achieve proper occlusion and facial aesthetics. The treatment significantly improved facial aesthetics, mouth opening, occlusion and the patient's confidence and self-esteem. This case report underscores the complexity of TMJ ankylosis and the need for a comprehensive approach, including surgical and orthodontic interventions. Collaboration among healthcare professionals and ongoing research is vital to refine treatment approaches and improve the quality of life for patients with TMJ ankylosis.