Management of temporomandibular joint (TMJ) trauma is challenging and is a subject of ongoing discussions and controversies. Regardless of the management strategy, obtaining precise diagnostic imaging is pivotal for medical and surgical decision-making and prognostic purposes. The main objective of TMJ fracture management is a rapid return to normal function via restoration of pre-trauma occlusion, range of motion, and masticatory function. We distinguish between surgical interventions or a conservative management approach. Given the diversity in TMJ trauma and patient circumstances, the formulation of an individualized treatment plan is recommended. Knowledge of potential short- and long-term complications such as infection, malocclusion, ankylosis, fibrosis and osteoarthritis is essential during TMJ fracture management. Importantly, while our knowledge on managing TMJ trauma in dogs and cats improves, we rely on comparative evidence-based overviews to advance the veterinary field. This lecture discusses current practices to managing TMJ trauma in dogs and cats and current understanding of outcome to inspire a professional discussion on experiences to inform future practices and research.
