Abstract
Purpose
Recurrent temporomandibular joint (TMJ) dislocation can be challenging to treat and the current understanding regarding aetiology and management of this condition is limited. The aim of this paper was to conduct a systematic review regarding the management of recurrent TMJ dislocation.
Methods
A literature review was conducted using PRISMA guidelines to identify papers published between 2006 and 2016. The resultant papers were analysed.
Results
A total of 33 papers were found relevant to the study. Minimally invasive techniques described included autologous blood injection, which was associated with an overall success of 80% at 12 months. Other modalities investigated included OK-432 sclerotherapy, laser capsulorrhaphy, botulinum toxin of the lateral pterygoid muscle or modified dextrose. These publications show promising success rates.
Surgical techniques described included disc plication, eminoplasty and eminectomy. These modalities had a similar success rate, although numbers were limited. The true incidence of recurrent TMJ dislocation is unknown and aetiology is limited to expert opinion.
Conclusion
The current understanding of management for recurrent TMJ dislocation is limited to case series and case reports. This paper compiles the current understanding of management of recurrent TMJ dislocation. Compared to previous reviews, this paper describes some novel minimally invasive techniques with promising success in the management of recurrent TMJ dislocation.
Similar content being viewed by others
Data availability
Raw data and further material is available on request from the corresponding author.
References
de Feitas Silva L, Ribeiro NR, Faverani LP, Gondim RF, Maia RN (2016) Treatment of chronic recurrent temporomandibular joint dislocation. J Craniofac Surg 27(3):815
Le Goff F, Lefaucheur R, Fetter D, Rouille A, Maltête D (2016) Recurrent bilateral dislocation of the temporomandibular joint induced by clonazepam in a Parkinsonian patient. Clin Neuropharmacol 39(1):66
Oztel M, Bilski WM, Bilski A (2016) Botulinum toxin used to treat recurrent dislocation of the temporomandibular joint in a patient with osteoporosis. Br J Oral Maxillofac Surg 55(1):e1–e2
de Almeida VL, Vitorino Nde S, Nascimento AL, da Silva Júnior DC, de Freitas PH (2016) Stability of treatments for recurrent temporomandibular joint luxation: a systematic review. Int J Oral Maxillofac Surg 45(3):304–307
Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6(7):e1000097. https://doi.org/10.1371/journal.pmed1000097
Murakami K, Hori S, Yamaguchi Y, Mercuri LG, Harayama N, Maruo S, Takahashi T (2015) Synovial plicae and temporomandibular joint disorders: surgical findings. J Oral Maxillofac Surg 73(5):827–833
Liddell A, Perez DE (2015) Temporomandibular joint dislocation. Oral Maxillofac Surg Clin North Am 27(1):125–136. https://doi.org/10.1016/j.coms.2014.09.009 Review
Sahoo NK, Bhardwaj PK (2013) Radiographic assessment of changes in articular tubercle after Dautrey’s procedure. J Oral Maxillofac Surg 71(2):249–254
Sharma NK, Singh AK, Pandey A, Verma V, Singh S (2015) Temporomandibular joint dislocation. Natl J Maxillofac Surg 6(1):16–20
Undt G (2011) Temporomandibular joint eminectomy for recurrent dislocation. Atlas Oral Maxillofac Surg Clin North Am 19(2):189–206
Coser R, da Silveira H, Medeiros P, Ritto FG (2015) Autologous blood injection for the treatment of recurrent mandibular dislocation. Int J Oral Maxillofac Surg 44(8):1034–1037
Bayoumi AM, Al-Sebaei MO, Mohamed KM, Al-Yamani AO, Makrami AM (2014) Arthrocentesis followed by intra-articular autologous blood injection for the treatment of recurrent temporomandibular joint dislocation. Int J Oral Maxillofac Surg 43(10):1224–1228
Hegab AF (2013) Treatment of chronic recurrent dislocation of the temporomandibular joint with injection of autologous blood alone, intermaxillary fixation alone, or both together: a prospective, randomised, controlled clinical trial. Br J Oral Maxillofac Surg 51(8):813–817
Machon V, Abramowicz S, Paska J, Dolwick MF (2009) Autologous blood injection for the treatment of chronic recurrent temporomandibular joint dislocation. J Oral Maxillofac Surg 67(1):114–119
Kato T, Shimoyama T, Nasu D, Kaneko T, Horie N, Kudo I (2007) Autologous blood injection into the articular cavity for the treatment of recurrent temporomandibular joint dislocation: a case report. J Oral Sci 49(3):237–239
Gupta D, Rana AS, Verma VK (2013) Treatment of recurrent TMJ dislocation in geriatric patient by autologous blood - a technique revisited. J Oral Biol Craniofac Res 3(1):39–41
Gulses A, Bayar GR, Aydintug YS, Sencimen M, Erdogan E, Agaoglu R (2013) Histological evaluation of the changes in temporomandibular joint capsule and retrodiscal ligaments following autologous blood injection. J Craniomaxillofac Surg 41(4):316–320
Candirli C, Yüce S, Cavus UY, Akin K, Cakir B (2012) Autologous blood injection to the temporomandibular joint: magnetic resonance imaging findings. Imaging Sci Dent 42(1):13–18
Candirli C, Yüce S, Yldrm S, Sert H (2011) Histopathologic evaluation of autologous blood injection to the temporomandibular joint. J Craniofac Surg 22(6):2202–2204
Pinto AS, McVeigh KP, Bainton R (2009) The use of autologous blood and adjunctive ‘face lift’ bandage in the management of recurrent TMJ dislocation. Br J Oral Maxillofac Surg 47(4):323–324
Daif ET (2010) Autologous blood injection as a new treatment modality for chronic recurrent temporomandibular joint dislocation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 109(1):31–36
Vázquez Bouso O, Forteza González G, Mommsen J, Grau VG, Rodríguez Fernández J, Mateos Micas M (2010) Neurogenic temporomandibular joint dislocation treated with botulinum toxin: report of 4 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 109(3):e33–e37
Torres DE, McCain JP (2012) Arthroscopic electrothermal capsulorrhaphy for the treatment of recurrent temporomandibular joint dislocation. Int J Oral Maxillofac Surg 41(6):681–689
Zhou H, Hu K, Ding Y (2014) Modified dextrose prolotherapy for recurrent temporomandibular joint dislocation. Br J Oral Maxillofac Surg 52(1):63–66
Matsushita K, Abe T, Fujiwara T (2007) OK-432 (Picibanil) sclerotherapy for recurrent dislocation of the temporomandibular joint in elderly edentulous patients: case reports. Br J Oral Maxillofac Surg 45(6):511–513
Zachariah T, Neelakandan RS, Ahamed MI (2015) Disc Anchoring with an Orthodontic Mini-Screw for Chronic Meniscocondylar Dislocation of TMJ. J Maxillofac Oral Surg 14(3):735–744
Pentyala S, Mysore P, Moller D, Pentyala S, Kardovich R, Martino A, Proothi M (2014) Temporomandibular joint disorder and inner ear pruritus: resolution by eminectomy. J Craniofac Surg 25(5):1840–1842
Martins WD, Ribas Mde O, Bisinelli J, França BH, Martins G (2014) Recurrent dislocation of the temporomandibular joint: a literature review and two case reports treated with eminectomy. Cranio 32(2):110–117 Review
Mayrink G, Olate S, Assis A, Sverzut A, de Moraes M (2012) Recurrent mandibular dislocation treated by eminectomy. J Craniofac Surg 23(5):e516–e520
Güven O (2009) Management of chronic recurrent temporomandibular joint dislocations: a retrospective study. J Craniomaxillofac Surg 37(1):24–29
Kahveci R, Simsek ME, Akın S, Ozbek S, Ozgenel GY, Gökmen ZG (2013) Treatment of recurrent temporomandibular joint dislocation. J Maxillofac Oral Surg 12(4):379–381
Da Costa Ribeiro R, dos Santos BJ Jr, Provenzano N, de Freitas PHL (2014) Dautrey’s procedure: an alternative for the treatment of recurrent mandibular dislocation in patients with pneumatisation of the articular eminence. Int J Oral Maxillofac Surg 43:465–469
Ying B, Hu J, Zhu S (2013) Modified Leclerc blocking procedure with miniplates and temporal fascial flap for recurrent temporomandibular joint dislocation. J Craniofac Surg 24(3):740–742
Gadre KS, Kaul D, Ramanojam S, Shah S (2010) Dautrey’s procedure in treatment of recurrent dislocation of the mandible. J Oral Maxillofac Surg 68:2021–2024
Guarda-Nardini L, Palumbo B, Manfredini D, Ferronato G (2008) Surgical treatment of chronic temporomandibular joint dislocation: a case report. Oral Maxillofac Surg 12(1):43–46
Medra AM, Mahrous AM (2008) Glenotemporal osteotomy and bone grafting in the management of chronic recurrent dislocation and hypermobility of the temporomandibular joint. BJOMS 46:119–122
Taglialatela Scafati C, Taglialatela Scafati S (2012) Role of orthognathic surgery in the treatment of recurrent mandibular dislocation: importance of mandibular ramus inclination. J Craniofac Surg 23(5):e420–e423
Ogita S, Tsuto T, Nakamura K, Deguchi E (1996) OK-432 therapy for lymphangioma in children: why and how does it work? J Pediatr Surg 31(4):477–480
Cottrell DA, Wolford LM (1993) The Mitek mini anchor in maxillofacial surgery. J Oral Maxillofac Surg Educ Summaries and Outlines 57(3):150
Myrhaug H. (1951) A new method of operation for habitual dislocation of the mandible. Review of former methods of treatment. Taylor & Francis
LeClerc G, Girard G (1943) Un nouveau procede de butee dans le traitement chirurgical de la luxation reidivante de la machoire inferieure. Mem Acad Chir 69:457–459
Güven O (2008) A clinical study on treatment of temporomandibular joint chronic recurrent dislocations by a modified eminoplasty technique. J Craniofac Surg 19(5):1275–1280
Chhabra S, Chhabra N (2011) Recurrent bilateral TMJ dislocation in a 20-month-old child: a rare case presentation. J Indian Soc Pedod Prev Dent 29(6 Suppl 2):S104–S106
Author information
Authors and Affiliations
Contributions
All authors made a significant contribution to this research and its publication. All authors have read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflicts of interest to declare.
Ethics approval
This research was granted ethical approval from the Research Governance Unit of the St Vincent’s Hospital Melbourne. LNR HREC reference number LNR/17/SVHM/19.
Consent for publication
All authors and subjects involved in this research have consented for its publication
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Tocaciu, S., McCullough, M.J. & Dimitroulis, G. Surgical management of recurrent TMJ dislocation—a systematic review. Oral Maxillofac Surg 23, 35–45 (2019). https://doi.org/10.1007/s10006-019-00746-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10006-019-00746-5