Surgical management of recurrent TMJ dislocation-a systematic review

Area of Science:

• Oral and Maxillofacial Surgery
• Orthodontics
• Biomedical Engineering

Background:

• Recurrent temporomandibular joint (TMJ) dislocation presents significant treatment challenges.
• Existing knowledge on the etiology and management of recurrent TMJ dislocation is limited.

Purpose of the Study:

• To systematically review the current management strategies for recurrent TMJ dislocation.
• To compile and analyze existing literature on TMJ dislocation treatments.

Main Methods:

• A systematic literature review was performed adhering to PRISMA guidelines.
• Papers published between 2006 and 2016 were identified and analyzed.

Main Results:

• Thirty-three relevant papers were identified, detailing various treatment modalities.
• Minimally invasive techniques, such as autologous blood injection, showed an 80% success rate at 12 months.
• Other investigated methods include OK-432 sclerotherapy, laser capsulorrhaphy, botulinum toxin, and dextrose injections, alongside surgical options like disc plication, eminoplasty, and eminectomy.

Conclusions:

• Current understanding of recurrent TMJ dislocation management relies heavily on case series and reports.
• This review synthesizes current management approaches, including novel minimally invasive techniques with promising outcomes.
• Further research is needed to establish definitive treatment protocols for recurrent TMJ dislocation.