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British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 19, Issue.: 3

Method Article

Introduction of a Novel Technique for Reduction of Temporomandibular Joint Dislocation

 

Mohammad Hassan Samandari1, Parisa Soltani2, Mohammad Moein Kafshdar Goharian3 and Amirhossein Moaddabi4*

1Department of Oral and Maxillofacial Surgery, Dental Implants Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

2Department of Oral and Maxillofacial Radiology, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.

3Department of Prosthodontics, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

4Department of Oral and Maxillofacial Surgery, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

Article Information
Editor(s):
(1) James Anthony Giglio, Adjunct Clinical Professor of Oral and Maxillofacial Surgery, School of Dentistry, Virginia Commonwealth University, Virginia, USA.
Reviewers:
(1) Edward Kijak, Pomeranian Medical University, Szczecin, Poland.
(2) Ujwala Shivarama Shetty, A J Institute of Dental Sciences and Hospital, Mangalore, India.
Complete Peer review History: http://www.sciencedomain.org/review-history/17222

Abstracts

Aims: Although the conventional method for reduction of acute mandibular dislocation has been a versatile one, it occasionally fails to relocate the condyle within the glenoid fossa.

Application of heavy forces is inevitable in some clinical scenarios which potentially can cause damage to condylar structures. Moreover, the heavy force used in conventional method may be difficult for the patient to tolerate and also it can necessitate the use of adjunctive methods such as medications. The aim of this technical note is to present a novel method for reduction of acute anterior dislocation of mandibular condyle.

Technique: Standing in front of the patient, the clinician should touch the coronoid process of the mandible along the upper vestibule intraorally, slightly rotate the mandible clockwise and apply a mild to moderate backward pressure over the coronoid process. This pressure would bring about the reduction of the condyle.

Conclusion: This maneuver has been applied by the author in 130 cases and it has been successful in all cases of anterior condylar dislocation. It is very effective and simple, comfortable for the patients, does not need any equipment or medications, and eliminates the risk of damage to jaw structures.

Keywords :

Dislocation; mandibular condyle; reduction; anterior dislocation.

Full Article - PDF    Page 1-4

DOI : 10.9734/BJMMR/2017/30583

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