From the Research
Reduction Techniques
The steps to reduce a dislocated Temporomandibular Joint (TMJ) by manipulation include:
- Applying a manipulation technique for disk displacement to the reduction, taking into account the patient's position, route of approach, and timing of reducing each side 1
- Using an extraoral route to apply steady pressure over the prominent part of the coronoid process and anterior border of the ramus to reduce the anteriorly dislocated mandible 2
- Employing an ipsilateral approach, which involves extraoral or intraoral manipulation of the dislocated side to accomplish closed reduction, without using sedatives or analgesics 3
- Utilizing a combination of methods, including extraoral, intraoral, and combined approaches, to achieve successful reduction 3
Key Considerations
When attempting to reduce a dislocated TMJ, it is essential to consider the following:
- The patient's position and the route of approach can significantly impact the success of the reduction 1
- The use of sedatives or analgesics may not be necessary with certain reduction techniques 1, 2, 3
- A novel method for reduction of the dislocated TMJ via extraoral route can be effective and simple to perform 2
- Chronic or recurrent dislocations may require conservative and surgical methods to limit forward movement of the mandibular condyle 4, 5
Surgical Interventions
In some cases, surgical intervention may be necessary to reduce a dislocated TMJ, including: