Recurrent dislocation: scientific evidence and management following a systematic review

Melo, Auremir Rocha; Júnior, Edwaldo Dourado Pereira; Santos, L.A. de M.; Vasconcelos, Belmiro Cavalcanti do Egito

doi:10.1016/j.ijom.2016.10.018

Cited by 13 publications

(8 citation statements)

References 36 publications

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“…Subluxation of TMJ refer to excessive abnormal movement of the condylar head anterior to the eminence on wide mouth opening that can be spontaneously reduced into the glenoid fossa . Whereas TMJ dislocation occurs when the condyle moves outside the glenoid fossa and becomes fixed in the anterosuperior aspect of the articular eminence, where it cannot be self‐reduced . Patients usually find it problematic when it is associated with symptoms (pain and sounds in the TMJ, otalgia, headache, and open lock) and interferes with smooth mandibular movements …”

Section: Introductionmentioning

confidence: 99%

“…Pathogenesis of TMJ hypermobility is commonly associated with trauma, abnormal chewing movements, poor development of the articular fossa, weakness or laxity of the TMJ ligament and joint capsule, and excessive activity of the lateral pterygoid and infrahyoid muscles due to drugs such as phenothiazine or diseases characterised with general joint laxity (Ehlers‐Danlos syndrome, Marfan syndrome and juvenile rheumatoid arthritis) …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The efficacy of dextrose prolotherapy over placebo for temporomandibular joint hypermobility: A systematic review and meta‐analysis

Nagori¹,

Jose

Venkatesan

et al. 2018

J of Oral Rehabilitation

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Within the limitations of the study, dextrose prolotherapy may cause significant reduction in mouth opening and pain associated with TMJ hypermobility. Conclusions with regard to reduction of episodes of subluxation/dislocation cannot be drawn. There is a need of more high-quality RCTs with larger sample size and homogenous prolotherapy protocol to draw stronger conclusions on the effect of dextrose prolotherapy in patients with TMJ hypermobility.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The efficacy of dextrose prolotherapy over placebo for temporomandibular joint hypermobility: A systematic review and meta‐analysis

Nagori¹,

Jose

Venkatesan

et al. 2018

J of Oral Rehabilitation

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show abstract

“…Thus, well-designed quasi-experimental (defined by a broad range of non-randomized intervention studies, usually made when it is not logistically feasible or ethical to conduct a RCT) and well-designed non-experimental descriptive studies are of undoubtful usefulness in our field. This general idea was also supported by Melo et al [16] who stated that when studies with a high level of evidence on a given subject are not available, observations from case reports and case series can provide clinical information for consideration by the surgical community until cohort studies or RCTs can be conducted.…”

Section: Overall Reportmentioning

confidence: 86%

Scientific evidence in surgery for the treatment of temporomandibular joint internal derangement

González-García¹

2019

SDS

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Temporomandibular joint (TMJ) internal derangement (ID) is the most prevalent indication for surgery among TMJ pathology. Generally considered the literature lacks studies with the highest evidence-which is mainly supported by systematic reviews and randomized controlled trials-regarding the usefulness of surgery in the management of TMJ ID. The objective of the present manuscript is to report the actual knowledge in terms of surgical treatment of TMJ ID considering scientific evidence criteria. A non-systematic review in the literature in relation to the degree of the existing scientific evidence regarding the uselfuness of surgery for the treatment of ID of the TMJ is performed. A bibliography search on MEDLINE, EMBASE and the Cochrane library databases for studies published from March 2000 to March 2019 was conducted. The author only included studies published in the English language and those dealing with "surgical treatment of temporomandibular internal derangement"; The following technical bibliographic exclusion criteria were applied: (1) case reports; (2) technical report; (3) animal or in vitro studies; (4) review articles; (5) uncontrolled clinical studies; and (6) publications in which the same data were published by the same group of researchers. The abstracts of yielded results were reviewed and the full text of those with apparent relevance was obtained. Several results must be highlighted from the evaluation of the literature with the highest degree of evidence: (1) high-degree evidence is insufficient in relation to the effect of surgery; (2) surgery is useful in patients refractory to conservative treatment; (3) there are not differences among surgical techniques; (4) arthroscopy and arthrocentesis are effective in the treatment of chronic closed lock of the TMJ. Surgical treatment of the TMJ based on evidence is present in a moderate degree, as studies with the highest evidence are scarce. Specially for patients with TMJ ID, surgical treatment must be highly supported by the results of large series by experienced surgeons and recommendations from societies of experts in TMJ surgery.

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“…Esse movimento do côndilo para frente ocorre no final da abertura e reflete a ausência de limitação do movimento translacional e é passível de redução espontânea na fossa glenóide (Tuijt et al, 2018). Em contrapartida, a luxação ocorre quando o côndilo se move para fora da fossa glenóide, fixando-se no aspecto ântero-superior da eminência articular, onde não pode ser autoreduzido (Melo et al, 2017). Isso pode provocar um bloqueio da mandíbula na posição aberta, impedindo o paciente de fechar a boca (Tuijt et al, 2018).…”

Section: Hipermobilidadeunclassified

Distúrbios intracapsulares da articulação temporomandibular: da semiologia à terapêutica: uma revisão de literatura

Silva

Viana

Medeiros

et al. 2021

RSD

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Introdução: As disfunções temporomandibulares (DTM’s) são condições capazes de afetar diretamente a anatomia e as características funcionais da articulação temporomandibular (ATM). Elas podem ser classificadas conforme as estruturas afetadas em: Disfunção Muscular ou DTM extracapsular, quando envolve componentes do sistema mastigatório como os músculos e Disfunção Articular ou DTM intracapsular, quando afeta diretamente a ATM. Objetivo: Este trabalho consiste em uma revisão da literatura que objetiva descrever fatores etiológicos, sintomatologia, sinais clínicos, métodos de diagnóstico e modalidades de tratamento existentes dos distúrbios intracapsulares da ATM. Metodologia: Realizou-se uma busca nas bases de dados eletrônicas: PubMed, SciELO e Google Acadêmico, através do rastreio de artigos publicados entre 2005 e 2020, além de livros considerados proveitosos para o conteúdo deste estudo. Resultados: Os distúrbios intracapsulares da ATM estão associados a uma etiologia multifatorial, podendo apresentar sintomas e sinais clínicos semelhantes entre si, à exemplo, dor orofacial de intensidade variável, limitação dos movimentos mandibulares e ruídos articulares. Os exames de imagem são decisivos para o diagnóstico clínico dos distúrbios. Em relação aos tratamentos, os conservadores são preconizados e caso não mostrem eficácia, técnicas cirúrgicas são preconizadas. Conclusão: o papel do cirurgião-dentista no atendimento primário do paciente com DTM é imprescindível para um melhor prognóstico terapêutico, refletindo, sobretudo, na redução das cronificações da doença, visto que o diagnóstico precoce e o início de um tratamento que induza a adaptação da articulação frente às desordens podem impedir a evolução para quadros clínicos mais severos, como doenças degenerativas.

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Recurrent dislocation: scientific evidence and management following a systematic review

Cited by 13 publications

References 36 publications

The efficacy of dextrose prolotherapy over placebo for temporomandibular joint hypermobility: A systematic review and meta‐analysis

The efficacy of dextrose prolotherapy over placebo for temporomandibular joint hypermobility: A systematic review and meta‐analysis

Scientific evidence in surgery for the treatment of temporomandibular joint internal derangement

Distúrbios intracapsulares da articulação temporomandibular: da semiologia à terapêutica: uma revisão de literatura

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