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A Nonsurgical Treatment Strategy for Longstanding, Nonreducible, Bilateral Temporomandibular Joint Dislocation: A
Sanicha Yaklai1, Chayanit Chaweewannakorn2, Panunn Sastravaha1
1Instructor, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Chulalongkorn University, Bangkok, Thailand.
Abstract:
Temporomandibular joint (TMJ) dislocation is a condition in which the mandibular condyle is displaced from the glenoid fossa and must be manipulated to return it to its normal position. Among several diagnostic subtypes, long-standing or chronically protracted TMJ dislocation is rare and challenging to manage. Treatment options include various nonsurgical and surgical approaches. This case report describes the successful nonsurgical management of a longstanding bilateral TMJ dislocation using elastic traction with a removable appliance and posterior bite planes. This technique should be attempted before performing additional surgical interventions.
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