DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20203211

Conservative management of bilateral chronic protracted temporomandibular joint dislocation: a case report

Paramjit ., Neetu Pansotra

Abstract


Temporomandibular joint (TMJ) dislocation is a condition in which the mandibular condyle is anteriorly displaced beyond the articular eminence, hence completely out of glenoid fossa which leaves the patient unable to close his/her mouth. Long standing TMJ dislocation persisting for more than a month are the most challenging to treat. The management varies widely, from closed reduction to complicated surgical procedures to reduce the dislocated condyle. Each case of dislocation presents with its own unique features. Since there are no standard rules or conventions for the ideal strategy in different circumstances till date, initial approach should be conservative, preserving surgical treatment for later if needed. This paper presents the experience of conservatively managing a case of long standing (one and half month old) TMJ dislocation under general anaesthesia with excellent outcome.

 


Keywords


TMJ dislocation, Mandibular condyle, Long standing

Full Text:

PDF

References


Almeida VL, Vitorino SN, Nascimento OAL, Junior SDC, Freitas PHL. Stability of treatments for recurrent temporomandibular joint luxation: a systematic review. Int J Oral Maxillofac Surg. 2016;45(3):304-7.

Sharma NK, Singh AK, Pandey A, Verma V, Singh S. Temporomandibular joint dislocation. Natl J Maxillofac Surg. 2015;6(1):16-20.

Pradhan L, Jaisani MR, Sagtani A, Win A. Conservative Management of Chronic TMJ Dislocation: An Old Technique Revived. J Maxillofacial Oral Surg. 2013;14(1):267-70.

Razi MRM, Zamhari AK, Lee SW. Traumatic long-standing unilateral dislocation of TMJ: a case report. Oral Surg. 2015;9(1):35-9.

Akinbami BO. Evaluation of the mechanism and principles of management of temporomandibular joint dislocation. Systematic review of literature and a proposed new classification of temporomandibular joint dislocation. Head Face Med. 2011;7:10.

Elledge ROC, Speculand B. Conservative Management Options for Dislocation of the Temporomandibular Joint. In: Matthews N, eds. Dislocation of the Temporomandibular Joint. Springer Cham. 2018:63-70.

Chin S, Berahim N, Adnan K, Ramasamy S. Delayed Management of Unrecognized Bilateral Temporomandibular Joint Dislocation: A Case Report. Craniomaxillofacial Trauma Reconstruction. 2017;11(02):145-9.