Temporomandibular Joint Dislocation

Liddell, Aaron; Pérez, Daniel

doi:10.1016/j.coms.2014.09.009

Cited by 76 publications

(34 citation statements)

References 44 publications

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“…When reducing the dislocated condyles via the indirect open procedures, and it fails, direct reduction of dislocated condyles via a preauricular approach is the following level of procedure. Direct or invasive interventions are aimed at anatomic modification of the eminence, condyle or musculocapsular tissues (9). At this point, different authors have chosen different solutions to the problem.…”

Section: Discusionmentioning

confidence: 99%

“…This can be accomplished utilizing such conventional intraoral osteotomies as a sagittal split osteotomy or a vertical ramus osteotomy (9). These can be used to achieve an adequate functional occlusion and improved aesthetics.…”

Section: Discusionmentioning

confidence: 99%

“…Caminiti and Weinberg (1) report four cases of extra-long standing dislocation in which they demonstrate the difficulty of treatment. In cases of chronic dislocation, where the joint has been out of the fossa for more than 6 months, it is important to consider orthognathics or total joint prosthesis (9). Adekeye et al (14) emphasizes the difficulties encountered in adequately reducing the condyle.…”

Section: Discusionmentioning

confidence: 99%

“…This dense capsulo-ligamentous apparatus functionally restricts extremes of mandibular movement. It is generally accepted that initial dislocation is caused by lack of muscular coordination during the initiation of jaw closure (9), and it occurs as a combination of 3 factors: laxity of ligaments, the size of the bony eminence and muscular spasm.…”

Section: Introductionmentioning

confidence: 99%

“…Although the most common condylar dislocation is anterior to the articular eminence, onto the preglenoid plane, the condyle can be dislocated in a medial, lateral, posterior, or intracranial position (9). …”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Temporomandibular chronic dislocation: The long-standing condition

Mateo¹,

Puche‐Torres²,

Iglesias-Gimilio³

2016

Med Oral

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BackgroundThe temporomandibular joint (TMJ) dislocation can be categorised into three groups: acute, habitual or recurrent and long-standing. The long-standing or protracted lower jaw dislocation refers to a condition that persists for more than one month without reduction. There are a great variety of methods for its treatment, from the manual or non-surgical, to surgical ones like the indirect approach (conservative surgical approach) and direct approach (open joint). Additional procedures in unsuccessful cases may include extra-articular orthognathic techniques to correct a malocclusion until joint replacement.Material and MethodsWe report four new cases with a minimum of 6 weeks dislocation who were seen since 1995 to 2015 in the Maxillofacial Department of the Clínico Hospital (Valencia, Spain), in which the mean age was 57.5 years. Most of them were bilateral and the gender was predominantly female. Additionally, we have reviewed the related literature.ResultsAll of the cases were successfully treated and half of them required open surgery.ConclusionsThe report confirms the difficulty of the treatment and reaffirms the necessity to bear in mind the wide variety of methods available for the treatment of this pathology. We stress the difficulties associated with managing the treatment and of suggesting new guidelines. The best option still remains not to delay the diagnostic and to select the appropriate initial treatment. Key words:Temporomandibular luxation, TMJ dislocation, protracted dislocation, long-standing dislocation.

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Section: Discusionmentioning

confidence: 99%

Section: Discusionmentioning

confidence: 99%