Dautrey's Procedure Revisited in Management of Recurrent Mandibular Dislocation

ABSTRACT Introduction Mandibular dislocation occurs when the condylar head glides out of the glenoid fossa with the condyle positioned in such a way that its posterior articulating surface lying ahead of the articular eminence. Recurrent mandibular dislocation is relatively uncommon. Patient is extremely distressed and goes through a lot of discomfort. Varied etiologies have been cited in the literature, such as keeping the mouth wide open for long periods of time during dental procedures, yawning, laughing, traumatic injuries to the mandible, psychiatric disturbances, and certain drugs. Acute dislocations are best managed immediately by reduction and intermaxillary fixation. However, dislocations that have remained over a period of a month are considered to be chronic and these cannot be reduced successfully by manual manipulation of the mandible. Such chronic recurrent dislocations are surgically managed with eminectomy, meniscectomy, and condylotomies. A downward and forward osteotomy of the zygomatic arch in front of the articular eminence so as to produce a mechanical obstruction was recommended by Dautrey and Gosserez. This article will highlight the surgical experience of managing six patients with chronic recurrent dislocations of the temporomandibular joints (TMJs) bilaterally employing Dautrey's procedure. How to cite this article Baptist J, Baliga M. Dautrey's Procedure Revisited in Management of Recurrent Mandibular Dislocation. J Contemp Dent Pract 2017;18(1):78-79.

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Replacement of temporomandibular condylar head in a patient suffering from ankylosing spondylitis with severe ankylosis of the temporomandibular joints and whole spine

Journal of Oral and Maxillofacial Surgery Medicine and Pathology ◽

10.1016/j.ajoms.2017.03.011 ◽

2019 ◽

Vol 31 (1) ◽

pp. 31-37

Author(s):

Kazumichi Yonenaga ◽

Kazuto Hoshi ◽

Takao Uchiyama ◽

Asako Taniguchi ◽

Hideyuki Suenaga ◽

...

Keyword(s):

Ankylosing Spondylitis ◽

Temporomandibular Joints ◽

Condylar Head ◽

Whole Spine

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Morphology of the articular eminence in temporomandibular joints and condylar bone change

Journal of Oral Rehabilitation ◽

10.1111/j.1365-2842.2004.01255.x ◽

2004 ◽

Vol 31 (5) ◽

pp. 438-444 ◽

Cited By ~ 36

Author(s):

K. Yamada ◽

A. Tsuruta ◽

K. Hanada ◽

T. Hayashi

Keyword(s):

Bone Change ◽

Articular Eminence ◽

Temporomandibular Joints

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Morphology of the mandibular fossa and the articular eminence in temporomandibular joints with anterior disk displacement

International Journal of Oral and Maxillofacial Surgery ◽

10.1016/s0901-5027(96)80037-3 ◽

1996 ◽

Vol 25 (3) ◽

pp. 236-238 ◽

Cited By ~ 23

Author(s):

Shuichi Sato ◽

Hiroshi Kawamura ◽

Katsutoshi Motegi ◽

Kazuhiro Takahashi

Keyword(s):

Articular Eminence ◽

Disk Displacement ◽

Temporomandibular Joints ◽

Mandibular Fossa

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Temporomandibular Joints’ Morphology and Osteoarthritic Changes in Cone-Beam Computed Tomography Images in Patients with and without Reciprocal Clicking—A Case Control Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17103428 ◽

2020 ◽

Vol 17 (10) ◽

pp. 3428

Author(s):

Marcin Derwich ◽

Maria Mitus-Kenig ◽

Elzbieta Pawlowska

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Orthodontic Treatment ◽

Statistical Significance ◽

Cone Beam ◽

Glenoid Fossa ◽

Computed Tomography Images ◽

Temporomandibular Joints ◽

Condylar Head ◽

Reciprocal Clicking

Background: Patients referred for orthodontic treatment often present symptoms of temporomandibular joints’ disorders (TMD), predominantly clicking. The objective was to analyze the morphology of the temporomandibular joints in cone-beam computed tomography (CBCT) images based on the presence of reciprocal clicking before orthodontic treatment. Methods: 105 participants took part in the study. 210 temporomandibular joints (TMJs) were allocated into one of two groups regarding the presence of reciprocal clicking. Morphology of condyle’s head, glenoid fossa, and articular eminence as well as condylar head position in the glenoid fossa and osteoarthritic changes in the area of the condylar head were examined for each TMJ in the CBCT images. Statistical analysis was performed with STATISTICA version 12.0. The following tests were performed: U-Mann Whitney, Kruskal-Wallis, t-Student, and chi-square. The statistical significance level was p = 0.05 for all the measurements included. Results: Significantly smaller condylar A-P dimension (p = 0.040) characterized temporomandibular joints with reciprocal clicking. Condyles were substantially more often positioned posteriorly (p = 0.043) and were significantly more often accompanied by subcortical cysts and pathologic osteoarthritic bone changes (p < 0.001). Conclusions: The early stages of internal derangements stay with alterations in morphology and position of TMJs as well as with the presence of osteoarthritic changes.

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Traumatic Temporomandibular Joint Luxation in a Cat and Treatment by Condylar Tethering

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.1055/s-0038-1632429 ◽

1995 ◽

Vol 08 (01) ◽

pp. 61-65 ◽

Cited By ~ 5

Author(s):

T. M. Caporn

Keyword(s):

Temporomandibular Joint ◽

Mandibular Condyle ◽

Frontal Plane ◽

Articular Eminence ◽

Polyester Suture ◽

Temporomandibular Joints ◽

A New Technique ◽

The Right ◽

Joint Luxation ◽

Temporomandibular Joint Luxation

SummaryThe cat in this report was admitted with mandibular symphyseal separation and jaw malocclusion referrable to luxation of the right TMJ. Radiographs revealed a fracture of the right articular eminence in the frontal plane of the head. Closed reduction, while initially successful, failed to prevent reluxation of the mandible. Polyester suture was used to successfully tether the right mandibular condyle to the zygomatic process of the temporal bone, preventing any reluxation and allowing healing of the fractured eminence.Temporomandibular joint (TMJ) luxation is a relatively commonly encountered injury of the feline jaw. While most temporomandibular joints remain stable once relocated, some will reluxate. A new technique using polyester suture to successfully treat an unstable rostral TMJ luxation, and associated fracture in a cat, is described. Alternative treatments for this condition are briefly discussed.

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Interdisciplinary Management of Gingivitis Artefacta Major: A Case Series

Case Reports in Dentistry ◽

10.1155/2015/678504 ◽

2015 ◽

Vol 2015 ◽

pp. 1-4

Author(s):

Naina Pattnaik ◽

Anurag Satpathy ◽

Rinkee Mohanty ◽

Rashmita Nayak ◽

Surjeet Sahoo

Keyword(s):

Psychological Treatment ◽

Behavioral Therapy ◽

Case Series ◽

Emotional Disturbances ◽

Behavioral Approach ◽

Interdisciplinary Management ◽

Traumatic Injuries ◽

Dental Procedures ◽

History Of ◽

Male Patients

Cases described here discuss interdisciplinary (periodontal and behavioral) approach in the management of rare and difficult to diagnose self-inflicted injuries of gingiva such as gingivitis artefacta major. Self-inflicted injuries to the gingiva are rare and their management by periodontal therapy alone is inadequate. Proper management of this condition requires early detection and effective psychological treatment through behavioral therapy in addition to the treatment of dental lesion. Three male patients in their twenties presented with traumatic injuries of gingiva with history of self-injury and underlying emotional disturbances. Following basic periodontal intervention, their self-inflicting behavior was confirmed on psychiatric consultation. All of them underwent cognitive behavior therapy and were able to successfully curb their self-inflicting behavior prior to any definitive dental procedures. These cases illustrate the essentiality of behavioral intervention in addition to periodontal procedures in the management of such lesions.

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Steepness of articular eminence and movement of the condyle and disk in asymptomatic temporomandibular joints

Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology ◽

10.1016/s1079-2104(98)90117-2 ◽

1998 ◽

Vol 86 (2) ◽

pp. 152-157 ◽

Cited By ~ 25

Author(s):

A Isberg ◽

P.-L Westesson

Keyword(s):

Articular Eminence ◽

Temporomandibular Joints

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Comparison between human and rat TMJ: anatomic and histopathologic features

Acta Cirurgica Brasileira ◽

10.1590/s0102-86502010000300012 ◽

2010 ◽

Vol 25 (3) ◽

pp. 290-293 ◽

Cited By ~ 15

Author(s):

Gabriela Granja Porto ◽

Belmiro Cavalcanti do Egito Vasconcelos ◽

Emanuel Sávio de Souza Andrade ◽

Valdemiro Amaro Silva-Junior

Keyword(s):

Temporal Bone ◽

Fibrous Tissue ◽

Point Of View ◽

Synovial Lining ◽

Articular Eminence ◽

Male Adult ◽

Anatomical Structures ◽

Temporomandibular Joints ◽

Mandibular Fossa ◽

Normal Rat

PURPOSE: To describe and evaluate normal rat temporomandibular joints from anatomic and histopathologic point of view and make a comparison between this joint in rats and humans. METHODS: Twelve male adult Wistar rats (12 same side joints) were used in this procedure. The following anatomical structures were histologically evaluated in a qualitative fashion: condyle, disc, temporal bone, retrodiscal tissue and synovia. The macroscopical and microscopic study of the human TMJ was based on the current literature. RESULTS: The TMJ is surrounded by a thin capsule, consisting of fibrous tissue, and a synovial lining. The mandibular angle has a prominent shape. The glenoid fossa is flat, with no eminences. Histologically, the TMJ is composed of different tissues that comprise the mandibular head, mandibular fossa and fibrocartilaginous disc. A layer of hyaline cartilage covers the articulating cortical condyle and temporal bone. CONCLUSION:Morphologically and histologically, the articular structure of rats is, on the whole, similar to that of humans. In these animals there is no articular eminence.

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