scholarly journals TRATAMENTO DE LUXAÇÃO MANDIBULAR CRÔNICA COM EMINECTOMIA: RELATO DE CASO

2019 ◽  
Author(s):  
Eugênio Braz Rodrigues Arantes
Keyword(s):  
Temporomandibular Joint ◽  
Chronic Condition ◽  
Mouth Opening ◽  
Temporomandibular Joint Disorders ◽  
Glenoid Cavity ◽  
Articular Eminence ◽  
Joint Dislocation ◽  
Tmj Dislocation ◽  
Joint Dislocations ◽  
Removal Technique

ResumoA luxação da articulação temporomandibular é caracterizada quando o côndilo ultrapassa os movimentos limítrofes da sua excursão normal e se desloca para fora da cavidade glenoide, à frente da eminência articular, permanecendo temporariamente retido. A recorrência dessa patologia caracteriza uma condição recidivante ou crônica. As formas de tratamento para essa desordem estão de acordo com a periodicidade e o tempo de evolução e podem variar desde tratamentos conservadores locais até procedimentos cirúrgicos invasivos. O objetivo do presente trabalho é apresentar o relato de um caso clínico de uma paciente com luxação recidivante da ATM tratada através da técnica de remoção da eminência articular, também chamada de eminectomia. O tratamento deste caso através de eminectomia mostrou-se eficiente e adequado em relação à abertura máxima, recidiva e função articular pós-operatória.Palavras-chave: Articulação temporomandibular, transtornos da articulação temporomandibular, luxações articulares, artroplastia.AbstractTemporomandibular joint dislocation occurs when the condyle exceed the borderline movements of its normal excursion and moves out of the glenoid cavity, remaining temporarily retained in front of the articular eminence. The recurrence of this pathology characterizes a relapsing or chronic condition. The forms of treatment for this disorder are according to the periodicity and time of evolution and may range from local conservative treatments to invasive surgical procedures. The aim of the present paper is to present a case report of a patient with recurrent TMJ dislocation treated by the joint eminence removal technique, also called eminectomy. The proposed treatment in this case proved to be efficient and adequate in relation to the maximum mouth opening, recurrence and postoperative joint function.Key-words: Temporomandibular joint, temporomandibular joint disorders, joint dislocations, arthroplasty.

scholarly journals Management of temporomandibular joint recurrent dislocation using Dautery’s procedure: report and review

2019 ◽  
Vol 5 (6) ◽  
pp. 1748
Author(s):  
S. K. Bhandari ◽  
Yuvraj Issar ◽  
Shanender Singh Sambyal ◽  
Andrews Navin Kumar
Keyword(s):  
Temporomandibular Joint ◽  
Mouth Opening ◽  
Recurrent Dislocation ◽  
Anterior Dislocation ◽  
Articular Eminence ◽  
Forward Movement ◽  
Tmj Dislocation ◽  
Surgical Methods ◽  
One Year

<p class="abstract">Temporomandibular joint (TMJ) dislocation is an involuntary forward movement of the mandible beyond the articular eminence with the condyle remaining stuck in the anterior-most position which leaves the patient unable to close his mouth. Various surgical methods have been described in literature for the management of TMJ dislocation in patients where conservative measures are not successful and need surgical intervention. This case report highlights outcome of Dautrey’s method of surgical correction in three cases of recurrent bilateral TMJ dislocation. All the patients had history of manual reduction of lock jaw in the past and none was medically compromised. TMJ tomograms open mouth confirmed anterior dislocation of condyles beyond articular eminence in all three patients. Total six Dautrey’s procedures were performed. All the patients showed marked improvement in pain and TMJ function with no relapse at two years follow up. Post-operative mouth opening became normal in all the patients at one year follow up. No episode of pain, clicking, deviation or TMJ dislocation was seen in follow up period of 1, 3, 6, 12, 24 months. Hence, Dautery’s procedure serves as an effective management option for recurrent temporomandibular joint dislocation.</p>

scholarly journals Eminectomy for the management of unilateral chronic, recurrent temporomandibular joint dislocation: a case report

2019 ◽  
Vol 6 (1) ◽  
pp. 197
Author(s):  
Sandeep Mehta ◽  
Andrews Navin Kumar ◽  
Gaurav Dua ◽  
Shanender Singh Sambyal
Keyword(s):  
Case Report ◽  
Temporomandibular Joint ◽  
Mouth Opening ◽  
Clinical Entity ◽  
Joint Dislocation ◽  
Tmj Dislocation ◽  
Masticatory Efficiency ◽  
Temporomandibular Joint Dislocation

<p class="abstract">In this case reportunilateral chronic mandibular dislocation was managed by Myrhaug’s procedure (eminectomy). Temporomandibular joint (TMJ) dislocation is a uncommon clinical entity and surgery is a more definitive option when it’s come to the management chronic and recurrent TMJ dislocation. Eminectomy is shown to be efficient in preventing TMJ dislocations without affecting the maximum mouth opening, articulation and masticatory efficiency.</p><p class="abstract"> </p>

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

2020 ◽  
Vol 6 (8) ◽  
pp. 1538
Author(s):  
Paramjit . ◽  
Neetu Pansotra
Keyword(s):  
Case Report ◽  
Temporomandibular Joint ◽  
Mandibular Condyle ◽  
Glenoid Fossa ◽  
Articular Eminence ◽  
Joint Dislocation ◽  
Excellent Outcome ◽  
Tmj Dislocation ◽  
Temporomandibular Joint Dislocation ◽  
The Ideal

<p>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.</p><p> </p>

scholarly journals Midline Mandibulotomy for Reduction of Long-Standing Temporomandibular Joint Dislocation

2013 ◽  
Vol 6 (2) ◽  
pp. 127-131 ◽  
Author(s):  
Vidya Rattan ◽  
Sachin Rai ◽  
Amit Sethi
Keyword(s):  
Temporomandibular Joint ◽  
Indirect Reduction ◽  
Joint Dislocation ◽  
Related Literature ◽  
Reduction Techniques ◽  
Tmj Dislocation ◽  
Direct Exposure ◽  
Uncommon Condition ◽  
Temporomandibular Joint Dislocation

Long-standing temporomandibular joint (TMJ) dislocation is an uncommon condition, and due to its rarity, no definitive guidelines have been developed for its management. Various reduction techniques ranging from indirect traction techniques to direct exposure of the TMJ have been used. Indirect traction techniques for reduction may fail in long-standing dislocation. Management of two cases of long-standing TMJ dislocation with midline mandibulotomy is discussed in which other indirect reduction techniques had failed. Midline osteotomy of the mandible can be used for reduction in difficult TMJ dislocations. An algorithm for the management of long-standing TMJ dislocation is proposed and related literature is reviewed.

A SYSTEMATIC REVIEW OF CLINICAL OUTCOMES IN THE TREATMENT OF TEMPOROMANDIBULAR JOINT DYSFUNCTION USING ULTRASOUND GUIDED ARTHROCENTESIS AND CONVENTIONAL THERAPY

2021 ◽  
pp. 19-22
Author(s):  
Chirag Bhatia ◽  
Hirkani Attarde
Keyword(s):  
Systematic Review ◽  
Temporomandibular Joint ◽  
Operating Time ◽  
Mouth Opening ◽  
Risk Of Bias ◽  
Temporomandibular Joint Disorders ◽  
Current Evidence ◽  
Cochrane Library ◽  
Review Protocol ◽  
Reported Data

Objective: This systematic review aimed to compare outcomes between ultrasound (US)-guided arthrocentesis and conventional arthrocentesis for the management of temporomandibular joint disorders (TMDs). Methods: PubMed, MEDLINE, Cochrane Library, Google Scholar and th EBSCOhost databases were searched up to 30 September 2020 for randomized control trials (RCTs) comparing US-guided and conventional arthrocentesis. The review protocol followed the PRISMA guidelines and was registered in PROSPERO (CRD42020211942). The risk of bias of the studies was independently evaluated using Cochrane Risk of Bias tool. Results: Four RCTs were included. It did not demonstrate any statistically signicant difference in pain or maximal mouth opening (MMO) scores after 1 week and 1 month of follow-up between US-guided and conventional arthrocentesis. Studies also reported data on intra-operative needle relocations and operating time but with conicting results. Conclusion: This study indicates that the use of US during arthrocentesis may not improve postoperative pain and MMO in the short term. Further high-quality adequately powered RCTs are required to strengthen current evidence.

scholarly journals A Triad of Temporomandibular Joint Ankylosis, Mandibular Retrognathia and Severe Obstructive Sleep Apnoea: Case report

2018 ◽  
Vol 18 (3) ◽  
pp. 379 ◽  
Author(s):  
Issa K. Al-Nuumani ◽  
Abdulaziz Bakathir ◽  
Ahmed Al-Hashmi ◽  
Mohammed Al-Abri ◽  
Hussein Al-Kindi ◽  
...  
Keyword(s):  
Case Report ◽  
Temporomandibular Joint ◽  
Obstructive Sleep Apnoea ◽  
Mouth Opening ◽  
Sleep Apnoea ◽  
Temporomandibular Joint Disorders ◽  
University Hospital ◽  
Tmj Ankylosis ◽  
Obstructive Sleep ◽  
Mandibular Retrognathia

The surgical management of paediatric patients with temporomandibular joint (TMJ) ankylosis, mandibular retrognathia and obstructive sleep apnoea (OSA) is challenging. We report a nine-year-old boy who presented to the Department of Oral Health, Sultan Qaboos University Hospital, Muscat, Oman, in 2016 with complaints of limited mouth opening, loud snoring and excessive daytime sleepiness. He was diagnosed with TMJ ankylosis, mandibular retrognathia and severe OSA. The patient initially underwent mandibular distraction and, subsequently, release of the TMJ ankylosis and rib graft reconstruction. The overall patient outcome was successful, with improvement in OSA-related symptoms, good facial symmetry and adequate mouth opening.Keywords: Temporomandibular Joint Disorders; Temporomandibular Ankylosis; Retrognathia; Obstructive Sleep Apnea; Case Report; Oman.

scholarly journals Arthrocentesis and Sodium Hyaluronate Infiltration in Temporomandibular Disorders Treatment. Clinical and MRI Evaluation

2020 ◽  
Vol 5 (1) ◽  
pp. 18 ◽  
Author(s):  
Mario Santagata ◽  
Roberto De Luca ◽  
Giorgio Lo Giudice ◽  
Antonio Troiano ◽  
Giuseppe Lo Giudice ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Joint Damage ◽  
Mouth Opening ◽  
Sodium Hyaluronate ◽  
Mean Value ◽  
Temporomandibular Joint Disorders ◽  
Mean Values ◽  
Masticatory Efficiency ◽  
The Mean

Arthrocentesis in temporomandibular joint disorders can be associated with the intra-articular infiltration of various drugs with the objective of increase treatment efficacy. The aim of this study was to evaluate the clinical indexes variation in patients affected by temporomandibular joint disorders treated with arthrocentesis and sodium hyaluronate (SH) injections. A total of 28 patients suffering from temporomandibular joint disorders underwent one cycle of five arthrocentesis and infiltrations of sodium hyaluronate. Spontaneous mouth opening improved from 36.3 ± 7.5 mm to 45.1 ± 1.9 mm at six months follow-up. A significant reduction in the pain at rest and during mastication mean values emerged at follow-up (p < 0.0001). The mean masticatory efficiency, evaluated through a visual analogic scale, showed improvement at the follow-up period, highlighted by the increase of mean value from a baseline of 3.1 ± 1.2 to a mean value of 8.5 ± 1.2 (p < 0.0001). The mean severity of the joint damage at baseline time was 2.4 ± 0.9 and decreased to 0.4 ± 0.3 at the end of the follow-up period. The decrease in values is confirmed by statistical test (p < 0.05). Our data show how arthrocentesis integrated with sodium hyaluronate infiltrations performed under local anesthesia is a valid method of treating temporomandibular joint disorders.

scholarly journals Correlation of Condylar Translation During Maximal Mouth Opening with Presence of Signs of Temporomandibular Joint Disorders in an Asymptomatic Population of 18-25 Years Age Group of Northern India

2018 ◽  
Vol 12 (1) ◽  
pp. 770-781
Author(s):  
Deepak Gupta ◽  
Soheyl Sheikh ◽  
Shambulingappa Pallagatti ◽  
Ravinder Singh ◽  
Amit Aggarwal
Keyword(s):  
Temporomandibular Joint ◽  
Clinical Signs ◽  
Mouth Opening ◽  
Temporomandibular Joint Disorders ◽  
Older Age ◽  
Direct Result ◽  
Age Group ◽  
Anterior Translation ◽  
Northern India ◽  
Significant Difference

Objective(s):The objective of this study was to determine the frequency of “subluxation” and presence of clinical signs of Temporomandibular Joint Disorder (TMD) in asymptomatic individuals and its distribution according to age and sex.Materials and Methods:The material investigated comprised of 200 asymptomatic subjects with 400 joints. The subjects were divided into two groups of 18-25 years and 50-60 years of age consisting of equal number of males and females. Clinical examination involved measurement of maximal inter-incisal distance, joint sounds and deviation. For radiological examination, Temporomandibular Joint (TMJ) open mouth close mouth view option (TMJ1/2) was used on a Digital Panoramic Machine. All the radiographs were traced to assess subluxation and anterior translation of the condyle. The statistical analysis was carried out using Statistical Package for Social Sciences (SPSSInc., Chicago, IL, version 15.0 for Windows).Results:The prevalence of the signs of TMDs in the asymptomatic population was found to be very high and more predominant in females as compared to males. Furthermore, the older age group had comparatively less signs of TMDs. It was of interest that the subjects presenting with clinical signs of TMD were significantly less as compared to the subjects presenting with subluxation. The value of anterior translation was found to be more in females in the younger age group as compared to the males. Similarly, it was more in males as compared to females in older age group. But the mean anterior translation difference in females in 18-25 years and 50-60 years showed a statistically significant difference withP-value 0.017.Conclusion:Subluxation is a very common feature found in almost all the subjects in this study with a high prevalence. Hence, we may assume that the increased incidence of TMDs could be a direct result of the phenomena of subluxation. The decrease in mandibular length could be the cause of decreased mouth opening and increased subluxation.

scholarly journals Emergency management of temporomandibular joint dislocation with manual reduction

2019 ◽  
Vol 1 (2) ◽  
pp. 27
Author(s):  
Zefry Zainal Abidin ◽  
Ronny Baehaqi
Keyword(s):  
Temporomandibular Joint ◽  
Cross Sectional Study ◽  
Emergency Unit ◽  
Sectional Study ◽  
Cross Sectional ◽  
Joint Dislocation ◽  
Manual Reduction ◽  
Tmj Dislocation ◽  
Direct Management ◽  
Temporomandibular Joint Dislocation

Objective:Present serial case management of temporomandibular joint dislocation in emergency unit and to provide information on emergency handling in the case of temporomandibula joint especially for dentist.Method: Datas of temporomandibular joint dislocation cases were collected from October 2016 to March 2017 with a cross sectional study presented by Oral and Maxillofacial Resident in RSUD Dr Soetomo Surabaya.Results: Nine patients were managed. In totalmales accounted for 66,67% of the patients, and yawning was the most frequent etiological factor. Acute TMJ dislocation had the highest frequency in this study. The management conducted was giving muscle relaxant, manual repositioning and head bandage. Manual reduction of TMJ dislocation can be divided into three approaches, intraorally, extraorally and a combination between the two approaches; intraorally by using Hippocrates’ technique and Wrist Pivot technique. The extraoral approach does not involve fingers in the oral cavity. Applying these three approaches could be distinguished by clinical examination and patient history.Conclusion: Temporomandibular joint dislocation is one of the problem in dentistry that requires direct management and could cause complications if immediate treatment is not givenKeywords: Dislocations, Manual Reduction , Temporomandibular joint

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