Skip to main content
SpringerLink
Log in

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

  • Chapter
  • First Online:
Dislocation of the Temporomandibular Joint

  • 942 Accesses

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

References

  1. Gottlieb O. Long-standing dislocation of the jaw. J Oral Surg. 1952;10(1):25–32.

    CAS  PubMed  Google Scholar 

  2. Hammersley N. Chronic bilateral dislocation of the temporomandibular joint. Br J Oral Maxillofac Surg. 1986;24(5):367–75.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  PubMed  PubMed Central  Google Scholar 

  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.

    Article  PubMed  PubMed Central  Google Scholar 

  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. 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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  8. Mar FGL. Long-standing bilateral dislocation of the jaw. Br J Oral Surg. 1965;3:222–5.

    Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  11. Wijmenga JP, Boering G, Blankestijn J. Protracted dislocation of the temporomandibular joint. Int J Oral Maxillofac Surg. 1986;15(4):380–8.

    Article  CAS  PubMed  Google Scholar 

  12. Sanders B, Schneider J, Given J. Prolonged dislocation of the mandibular condyle: report of case. J Oral Surg. 1979;37(5):346–8.

    CAS  PubMed  Google Scholar 

  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.

    Article  CAS  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  15. Tipps SP, Landis CF. Prolonged bilateral mandibular dislocation. J Oral Maxillofac Surg. 1982;40(8):524–7.

    Article  CAS  PubMed  Google Scholar 

  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. Parekh PK, Bhatia IK. Condylectomies for prolonged bilateral temporomandibular dislocation. Arch Orthop Trauma Surg. 1983;102(2):123–5.

    Article  CAS  PubMed  Google Scholar 

  18. Topazian RG, Costich ER. Management of protracted dislocation of the mandible. J Trauma. 1967;7(2):257–64.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  21. Chin RS, Gropp H, Beirne OR. Long-standing mandibular dislocation: report of a case. J Oral Maxillofac Surg. 1988;46(8):693–6.

    Article  CAS  PubMed  Google Scholar 

  22. Hayward JR. Prolonged dislocation of the mandible. J Oral Surg. 1965;23(7):585–94.

    CAS  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Nigel Shaun Matthews F.D.S., F.R.C.S., F.R.C.S (OMFS) & Russell Eric Warburton D.M.D., M.D.

  2. Knoxville, TN, USA

    Russell Eric Warburton D.M.D., M.D.

Authors
  1. Nigel Shaun Matthews F.D.S., F.R.C.S., F.R.C.S (OMFS)
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Russell Eric Warburton D.M.D., M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Nigel Shaun Matthews F.D.S., F.R.C.S., F.R.C.S (OMFS) .

Editor information

Editors and Affiliations

  1. School of Dentistry, Department of Oral and Maxillofacial Surgery, University of North Carolina School of Dentistry, Chapel Hill, North Carolina, USA

    Nigel Shaun Matthews

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Matthews, N.S., Warburton, R.E. (2018). Role of Total Joint Replacement in the Management of Chronic TMJ Dislocation. In: Matthews, N. (eds) Dislocation of the Temporomandibular Joint. Springer, Cham. https://doi.org/10.1007/978-3-319-62652-9_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-62652-9_9

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-62651-2

  • Online ISBN: 978-3-319-62652-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation