Temporomandibular chronic dislocation : the long-standing condition

Autor: Mariano Marqués-Mateo, Miguel Puche-Torres, Maria-Eugenia Iglesias-Gimilio
Rok vydání: 2016
Předmět:
Zdroj: Marqués Mateo, M. ; Puche Torres, M. ; Iglesias Gimilio, Maria Eugenia. Temporomandibular chronic dislocation : the long-standing condition. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 21 6 2016: 18
RODERIC. Repositorio Institucional de la Universitat de Valéncia
instname
Medicina Oral, Patología Oral y Cirugía Bucal
MEDICINA ORAL PATOLOGIA ORAL Y CIRUGIA BUCAL
r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
ISSN: 1698-6946
Popis: Background The 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 Methods We 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. Results All of the cases were successfully treated and half of them required open surgery. Conclusions The 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.
Databáze: OpenAIRE