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Role of Total Joint Replacement in the Management of Chronic TMJ Dislocation

  • Nigel Shaun Matthews
  • Russell Eric Warburton
Chapter

Abstract

Temporomandibular joint dislocation can be acute, chronic, or recurrent. Chronic or long-standing dislocation is rarely encountered and can require difficult and invasive surgical intervention to manage successfully. Management of chronic dislocation can include closed reduction, arthrotomy with open reduction, eminectomy, coronoidectomy, or condylectomy. Alloplastic reconstruction of the temporomandibular joint may allow for more predicable outcomes in the management of irreducible chronic dislocation. A managed case of chronic temporomandibular joint dislocation is presented in this chapter, and the literature is reviewed. The case described illustrates the importance of early recognition and treatment of temporomandibular joint dislocation. Relevant clinical and radiographic findings are discussed. It is important to remember that failure to promptly identify and treat a dislocation can lead to significant patient morbidity, increased difficulty in management, and long-term temporomandibular joint dysfunction.

References

  1. 1.
    Gottlieb O. Long-standing dislocation of the jaw. J Oral Surg. 1952;10(1):25–32.PubMedGoogle Scholar
  2. 2.
    Hammersley N. Chronic bilateral dislocation of the temporomandibular joint. Br J Oral Maxillofac Surg. 1986;24(5):367–75.CrossRefPubMedGoogle Scholar
  3. 3.
    Solomon S, Gupta S, Jesudasan J. Temporomandibular dislocation due to aripiprazole induced dystonia. Br J Clin Pharmacol. 2010;70(6):914–5.  https://doi.org/10.1111/j.1365-2125.2010.03770.x.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Akinbami BO. Evaluation of the mechanism and principles of management of temporomandibular joint dislocation. Systematic review of literature and a proposed new classification of temporomandibular joint dislocation. Head Face Med. 2011;7:10.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Theston A. A case of Ehlers–Danlos syndrome presenting with recurrent dislocation of the temporomandibular joint. Br J Oral Surg. 1965;3:190–3.Google Scholar
  6. 6.
    Wilson A, Mackay L, Ord RA. Recurrent dislocation of the mandible in a patient with myotonic dystrophy. J Oral Maxillofac Surg. 1989;47(12):1329–32.CrossRefPubMedGoogle Scholar
  7. 7.
    Vázquez Bouso O, Forteza González G, Mommsen J, Grau VG, Rodríguez Fernández J, Mateos MM. Neurogenic temporomandibular joint dislocation treated with botulinum toxin: report of 4 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109(3):e33–7.CrossRefPubMedGoogle Scholar
  8. 8.
    Mar FGL. Long-standing bilateral dislocation of the jaw. Br J Oral Surg. 1965;3:222–5.Google Scholar
  9. 9.
    Huang IY, Chen CM, Kao YH, Chen CM, Wu CW. Management of long-standing mandibular dislocation. Int J Oral Maxillofac Surg. 2011;40(8):810–4.  https://doi.org/10.1016/j.ijom.2011.02.031. Epub 2011 Apr.CrossRefPubMedGoogle Scholar
  10. 10.
    Ugboko VI, Oginni FO, Ajike SO, Olasoji HO, Adebayo ET. A survey of temporomandibular joint dislocation: aetiology, demographics, risk factors and management in 96 Nigerian cases. Int J Oral Maxillofac Surg. 2005;34(5):499–502.CrossRefPubMedGoogle Scholar
  11. 11.
    Wijmenga JP, Boering G, Blankestijn J. Protracted dislocation of the temporomandibular joint. Int J Oral Maxillofac Surg. 1986;15(4):380–8.CrossRefPubMedGoogle Scholar
  12. 12.
    Sanders B, Schneider J, Given J. Prolonged dislocation of the mandibular condyle: report of case. J Oral Surg. 1979;37(5):346–8.PubMedGoogle Scholar
  13. 13.
    Littler BO. The role of local anaesthesia in the reduction of long-standing dislocation of the temporomandibular joint. Br J Oral Surg. and. 1980;18:81–5.CrossRefGoogle Scholar
  14. 14.
    Lee SH, Son SI, Park JH, Park IS, Nam JH. Reduction of prolonged bilateral temporomandibular joint dislocation by midline mandibulotomy. Int J Oral Maxillofac Surg. 2006;35(11):1054–6.CrossRefPubMedGoogle Scholar
  15. 15.
    Tipps SP, Landis CF. Prolonged bilateral mandibular dislocation. J Oral Maxillofac Surg. 1982;40(8):524–7.CrossRefPubMedGoogle Scholar
  16. 16.
    El-Attar A, Ord RA. Long-standing mandibular dislocations: report of a case, review of the literature. Br Dent J. 1986;160(3):91–4.Google Scholar
  17. 17.
    Parekh PK, Bhatia IK. Condylectomies for prolonged bilateral temporomandibular dislocation. Arch Orthop Trauma Surg. 1983;102(2):123–5.CrossRefPubMedGoogle Scholar
  18. 18.
    Topazian RG, Costich ER. Management of protracted dislocation of the mandible. J Trauma. 1967;7(2):257–64.CrossRefPubMedGoogle Scholar
  19. 19.
    Baur DA, Jannuzzi JR, Mercan U, Quereshy FA. Treatment of long term anterior dislocation of the TMJ. Int J Oral Maxillofac Surg. 2013;42(8):1030–3.  https://doi.org/10.1016/j.ijom.2012.11.005.CrossRefPubMedGoogle Scholar
  20. 20.
    Blank DM, Stein AC, Gold BD, Berger J. Treatment of protracted bilateral mandibular dislocation with Proplast-Vitallium prostheses. Oral Surg Oral Med Oral Pathol. 1982;53(4):335–9.CrossRefPubMedGoogle Scholar
  21. 21.
    Chin RS, Gropp H, Beirne OR. Long-standing mandibular dislocation: report of a case. J Oral Maxillofac Surg. 1988;46(8):693–6.CrossRefPubMedGoogle Scholar
  22. 22.
    Hayward JR. Prolonged dislocation of the mandible. J Oral Surg. 1965;23(7):585–94.PubMedGoogle Scholar
  23. 23.
    Wolford LM, Mercuri LG, Schneiderman ED, Movahed R, Allen W. Twenty-year follow-up study on a patient-fitted temporomandibular joint prosthesis: the Techmedica/TMJ Concepts device. J Oral Maxillofac Surg. 2015;73(5):952–60.  https://doi.org/10.1016/j.joms.2014.10.CrossRefPubMedGoogle Scholar
  24. 24.
    Leandro LF, Ono HY, Loureiro CC, Marinho K, Guevara HA. A ten-year experience and follow-up of three hundred patients fitted with the Biomet/Lorenz Microfixation TMJ replacement system. Int J Oral Maxillofac Surg. 2013;42(8):1007–13.  https://doi.org/10.1016/j.ij.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Nigel Shaun Matthews
    • 1
  • Russell Eric Warburton
    • 1
    • 2
  1. 1.Department of Oral and Maxillofacial SurgerySchool of Dentistry, University of North Carolina at Chapel HillChapel HillUSA
  2. 2.KnoxvilleUSA

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