scholarly journals Recurrent TMJ Dislocation in a Child: A Case Report and Discussion

2021 ◽  
Vol 30 (02) ◽  
pp. 139-141
Author(s):  
Humayun Kaleem Siddiqui ◽  
◽  
Sharjeel Bashir
Keyword(s):  
Ct Scan ◽  
Temporomandibular Joint ◽  
Pediatric Population ◽  
Mandibular Condyle ◽  
Recurrent Dislocation ◽  
Retropharyngeal Abscess ◽  
Initial Examination ◽  
Tmj Dislocation ◽  
Dental Procedures ◽  
Digital Manipulation

Temporomandibular joint (TMJ) dislocation demonstrate a displacement of the mandibular condyle from it functional position within the glenoid fossa and articular eminence. TMJ dislocation is an acute episode can be transformed into chronic dislocation after multiple repeated episodes. Oral surgeon is frequently called for the management of recurrent TMJ dislocation in adults. In pediatric population, TMJ dislocation sometimes caused by trauma or other than trauma related to wide opening of the mouth during vomiting, yawning and dental procedures considerably under general anesthesia. A 3-year-old baby girl came to Emergency department with a complaint of open mouth for the last 6 hours. Initial examination was carried out and patient was sent for CT-Scan. CT-Scan reported an asymmetric soft tissue density mass in retropharyngeal area at the level of C1 and C2, showing more bulk on right side. Some subtle radiolucency are also identified within the mass. The possibility of a low-density foreign body or retropharyngeal abscess could not be entirely excluded. A quick examination under anesthesia (EUA)was performed to relieve the patient from the abscess/growth. During EUA, they did not find any growth or collection or pus. The patient was sent to oral and maxillofacial surgeon, on initial examination and previous CT Scan findings, TMJ dislocation was diagnosed. In order to completely examine the patient, reduction of the jaw was attempted on chair side. This was achieved by digital manipulation with little effort and the baby’s jaw was secured with Barton’s bandage to prevent repeated dislocation. She continued tablet baclofen for 6 months as prescribed by the pediatrician. KEYWORDS: Temporomandibular Joint (TMJ), Recurrent dislocation, pediatric

scholarly journals RECURRENT TEMPOROMANDIBULAR JOINT DISLOCATIONS IN GERIATRIC PATIENT ON ANTIPSYCHOTIC DRUGS AND ITS CONSERVATIVE MANAGEMENT

2017 ◽  
Vol 10 (11) ◽  
pp. 8 ◽  
Author(s):  
Deepika Pai ◽  
Abhay Kamath T ◽  
Girish Menon ◽  
Arun Urala ◽  
Saurabh Kumar ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Antipsychotic Medication ◽  
Conservative Management ◽  
Antipsychotic Drugs ◽  
Recurrent Dislocation ◽  
Oromandibular Dystonia ◽  
Tmj Dislocation ◽  
Joint Dislocations ◽  
Patient Reported ◽  
Systemic Condition

  Recurrent temporomandibular joint (TMJ) dislocation can cause difficulty in swallowing and speech hence can be distressing for the patient. A 79-year-old male patient reported with recurrent dislocation of TMJ since 2 months. He was on antipsychotic medication for schizophrenia which predisposes to recurrent TMJ dislocation due to oromandibular dystonia. Since the patient had undergone tracheostomy, his systemic condition was not suitable for surgical management. Thus a conservative option of chin cup was planned. The chin cup limits the movement of the mandible hence prevents dislaocation of the TMJ. The patient was successfully rehabilitated with no new episodes of TMJ dislocation for the last 4 months. It focuses on conservative management of recurrent TMJ dislocations induced by antipsychotic drugs.

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 TMJ´s Posterolateral Dislocation with Tympanic Plate Fracture – Case Report

2017 ◽  
Vol 1 (2) ◽  
pp. 59-64
Keyword(s):  
Case Report ◽  
Temporomandibular Joint ◽  
High Intensity ◽  
Clinical Symptoms ◽  
Mandibular Condyle ◽  
Abnormal Position ◽  
Tmj Dislocation ◽  
Plate Fracture ◽  
Traumatic Dislocation

Temporomandibular joint (TMJ) dislocation is characterized by mandibular condyle dislocation out of articular cavity, fixated in an abnormal position in which self-reduction it is not possible. The TMJ traumatic dislocation occurs after medium and high intensity trauma directly on the joint or on symphyseal area and it is generally associated to fractures. This report documents a case of an unusual posterolateral dislocation of the left condyle with tympanic plate fracture, insignificant fracture of mandibular condyle, and discuss about the clinical symptoms, classification of dislocations, and treatment. A list of similar cases from the last 10 years is also showed.

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.

Bilateral temporomandibular joint ankylosis as sequel of bilateral fracture of the mandibular condyle and symphysis

2013 ◽  
Vol 18 (1) ◽  
pp. 39-42 ◽  
Author(s):  
Matheus B Benaglia ◽  
Ellen Cristina Gaetti-Jardim ◽  
Janayna G Paiva Oliveira ◽  
Jose Carlos Garcia Mendonça
Keyword(s):  
Temporomandibular Joint ◽  
Mandibular Condyle ◽  
Temporomandibular Joint Ankylosis ◽  
Bilateral Fracture ◽  
Joint Ankylosis

Effect of Mechanical Stress on Rheumatoid Arthritis of the Temporomandibular Joint: a Morphological and Histological Evaluation

2021 ◽  
Author(s):  
Kohei Nagai ◽  
Takenobu Ishii ◽  
Yasushi Nishii
Keyword(s):  
Rheumatoid Arthritis ◽  
T Cell ◽  
Mechanical Stress ◽  
Temporomandibular Joint ◽  
Mandibular Condyle ◽  
Γδ T Cells ◽  
Histological Evaluation ◽  
Control Group ◽  
Condylar Cartilage ◽  
Layer Width

Abstract Background Rheumatoid arthritis of the temporomandibular joint (TMJ-RA) has been reported to have a larger incidence range than systemic rheumatoid arthritis (RA). The presence or absence of mechanical stress (MS) is considered a factor in this. In this study, we hypothesized that TMJ-RA develops or worsens when excessive MS is applied to the temporomandibular joint of RA mouse models. We aimed to clarify the relationship between TMJ-RA and MS through morphological and histological evaluation. Methods Collagen antibody-induced arthritis (CAIA) was induced in male DBA/1JNCrlj 9–12 weeks old mice by administering Type II collagen antibody and lipopolysaccharide to produce RA model mice. MS was applied to the mandibular condyle. The group was separated into non-RA (control group (N = 5) and MS group (N = 5)), and RA group (CAIA group (N = 5)and CAIA MS group (N = 5)). To confirm the morphological changes in the mandibular condyle, micro-CT imaging was performed. Histological evaluation of the TMJ was performed by hematoxylin and eosin staining for condylar cartilage cell layer thickness, Safranin O staining for proteoglycans, and tartrate-resistant acidic phosphatase staining for osteoclast count. Immunohistochemical evaluation was performed to assess the localization of cartilage destruction enzymes using ADAMTS-5 (a disintegrin and metalloproteinase with thrombospondin motifs) antibody. Additionally, CD3 (cluster of differentiation), CD45, and γδ TCR (T cell receptor) antibodies were used to localize and identify the type of lymphocytes. Results In the CAIA MS model, a three-dimensional analysis of the temporomandibular joint by microcomputer tomography showed a crude change in the surface of the mandibular condyle. Histological examination revealed a decrease in the chondrocyte layer width and an increase in the number of osteoclasts in the mandibular condyle. T cell accumulation was observed, and γδ T cell involvement was confirmed. Conclusions In the CAIA model, the TMJ was less sensitive to the initiation of RA. However, the results suggested that it was exacerbated by MS, and that γδ T cells may be involved in TMJ-RA.

scholarly journals Optimal Use of a Panoramic Radiograph as a Screening Tool for Condylar Resorption in Patients Undergoing Active Orthodontic Treatment: A Case Series

2020 ◽  
Vol 10 ◽  
pp. 65
Author(s):  
Shaima Malik ◽  
Shilpa Singh ◽  
Robby T. George ◽  
Mayank Kakkar ◽  
Nikhilesh R. Vaid
Keyword(s):  
Orthodontic Treatment ◽  
Behavioral Therapy ◽  
Mandibular Condyle ◽  
Case Series ◽  
Panoramic Radiograph ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Initial Examination ◽  
Panoramic Radiographs ◽  
Specific Medication

Condylar resorption of temporomandibular joint findings in the panoramic radiographs is an indication of bone resorption suggesting possible degenerative joint disease that warrants early screen and subsequent referral to a dedicated specialist. This case series reports three patients that underwent the active orthodontic treatment for the duration of approximately 24–36 months. The patients were asymptomatic at the initial examination. The clinical examination was negative for clicking; the range of motion on opening, lateral excursion, and protrusion was normal. Neither of these patients had a history of rheumatic disease or bruxism. During the later stages of orthodontic treatment, two of the three patients reported mild pain and clicking during mastication, which was also confirmed chairside on clinical evaluation. Patients were referred to the orofacial pain specialist, were they were prescribed specific medication for the symptoms, along with cognitive behavioral therapy, and were further evaluated for splint therapy. Panoramic radiographs taken before the start of the treatment, during the treatment and at the completion of the orthodontic treatments indicate the progression in the resorption of mandibular condyle in all three patients suggesting possible degeneration that warrants further investigation and therapy.

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