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[Temporomandibular luxations (author's transl)]

J C Bertrand

    Annales D'Oto-Laryngologie Et De Chirurgie Cervico Faciale : Bulletin De La Societe D'Oto-Laryngologie Des Hopitaux De Paris
    |January 1, 1981
    PubMed
    Summary

    Temporomandibular luxations vary from blocked to recurrent types. For recurrent cases, occlusal re-equilibration is the most reliable treatment, with surgery reserved as a last resort.

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    Area of Science:

    • Dentistry
    • Orthodontics
    • Oral Surgery

    Background:

    • Temporomandibular luxations encompass a spectrum of presentations, including anteriorly blocked and recurrent types.
    • Luxations associated with condylar fractures are considered an epiphenomenon of the fracture itself.

    Purpose of the Study:

    • To differentiate the management of acute, blocked temporomandibular luxations from chronic, recurrent cases.
    • To evaluate the efficacy of different therapeutic approaches for temporomandibular joint luxations.

    Main Methods:

    • Review of clinical presentations and treatment outcomes for temporomandibular luxations.
    • Comparison of early reduction techniques (Nelson's manoeuvre) for acute luxations.
    • Assessment of occlusal re-equilibration versus surgical interventions for recurrent luxations.

    Main Results:

    • Blocked anterior luxations are rare and typically manageable with early reduction using Nelson's manoeuvre under local anesthesia.
    • Recurrent temporomandibular luxations present complex therapeutic challenges, with differing opinions on early surgery versus occlusal re-equilibration.
    • Occlusal re-equilibration demonstrated higher reliability in managing recurrent luxations compared to surgical methods.

    Conclusions:

    • Acute, blocked temporomandibular luxations require prompt reduction.
    • Occlusal re-equilibration is the preferred and most reliable method for managing recurrent temporomandibular luxations.
    • Surgical intervention should be considered only when conservative management, specifically occlusal re-equilibration, fails.

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