Recurrent or chronic dislocation of the temporomandibular joint is relatively rare
and often results in facial asymmetry, impairment of function, and discomfort. Although
manual reduction is the primary choice of treatment, patients presenting with recurrent
or prolonged dislocations require conservative and surgical methods to limit forward
movement of the mandibular condyle. This clinical report presents a 75-year-old woman
with severe mandibular deviation and subsequent facial asymmetry caused by a chronic
unilateral temporomandibular joint dislocation that was treated with a mandibular
guidance prosthesis combined with physical therapy. (J Prosthet Dent 2008;99:95-100)
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Prosthetic DentistryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Management of temporomandibular disorders and occlusion. 6th ed. Elsevier Health Sciences, St Louis2007: 191-193 (423-4.)
- Temporomandibular disorders: diagnosis and treatment. W B Saunders, Philadelphia1991: 488
- Inverted L-shaped ramus osteotomy for prolonged bilateral dislocation of the temporomandibular joint.Oral Surg Oral Med Oral Pathol. 1976; 41: 568-577
- Chronic mandibular dislocation: the role of non-surgical and surgical treatment.J Can Dent Assoc. 1998; 64: 484-491
- Surgical reconstruction of the temporomandibular joint for chronic subluxation and dislocation.Int J Oral Maxillofac Surg. 2001; 30: 344-348
- Treatment of recurrent mandibular dislocation. Part I: Leclerc blocking procedure.Int J Oral Maxillofac Surg. 1997; 26: 92-97
- Long-standing mandibular dislocation: report of a case.J Oral Maxillofac Surg. 1988; 46: 693-696
- Medical treatment of recurrent temporomandibular joint dislocation using botulinum toxin A.Br Dent J. 1997; 183: 415-417
- Lateral displacement of the intact mandibular condyle. A report of five cases.Br J Oral Surg. 1969; 7: 24-30
- Mandibular condyle dislocation into the middle cranial fossa.Int J Oral Surg. 1977; 6: 141-146
- Correction of recurrent dislocation of the mandible in elderly patients by the Dautrey procedure.Br J Oral Maxillofac Surg. 2000; 38: 54-57
- Recurrent temporomandibular joint dislocation treated with botulinum toxin: report of 3 cases.J Oral Maxillofac Surg. 2004; 62: 244-246
- Treatment of recurrent temporomandibular joint dislocation with intramuscular botulinum toxin injection.Clin Oral Investig. 2003; 7: 52-55
- Surgical correction of lesions of the temporomandibular joints.Plast Reconstr Surg. 1975; 55: 335-340
- Recurrent dislocation of the mandible: treatment of ten cases by the Dautrey procedure.Br J Oral Surg. 1982; 20: 14-21
- Chronic recurrent anterior luxation of the mandible. A review of 12 patients treated by the LeClerc procedure.Int J Oral Maxillofac Surg. 1988; 17: 170-172
- The Dautrey procedure in recurrent dislocation: a review of 12 cases.Int J Oral Maxillofac Surg. 1994; 23: 229-231
- Treatment of recurrent mandibular dislocation, Part II: Eminectomy.Int J Oral Maxillofac Surg. 1997; 26: 98-102
- Arthroscopic eminoplasty for habitual dislocation of the temporomandibular joint: preliminary study.J Craniomaxillofac Surg. 1999; 27: 390-397
- The fabrication of cast metal guidance flange prostheses for a patient with segmental mandibulectomy: a clinical report.J Prosthet Dent. 2005; 93: 217-220
- Maxillofacial rehabilitation: prosthodontic and surgical considerations. Ishiyaku EuroAmerica, St. Louis1996: 184-186
- Evaluation, diagnosis, and treatment of occlusal problems. 2nd. ed. Mosby, St Louis1988: 35-39
- Contemporary fixed prosthodontics. 4th. ed. Mosby, St. Louis2006: 555-708 (740-773.)
- Stewart's clinical removable partial prosthodontics. 3rd ed. Quintessence Publishing Co, Chicago2003: 367-395
- Oral and maxillofacial pathology. 2nd ed. WB Saunders, Philadelphia2001: 741-762
Article info
Identification
Copyright
© 2008 The Editorial Council of the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.
