“Management of recurrent temporomandibular dislocation using orthodontic traction screws.” |
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| Institution: | 1. Department of Oral and Maxillofacial Surgery, SRM Dental College and Hospital, Ramapuram Campus, Ramapuram, Chennai, India;2. Indian Council of Medical Research — National Institute of Epidemiology, Chennai, India;1. Department of Prosthetic Dentistry, University Hospital Würzburg, Pleicherwall 2, 97070, Würzburg, Germany;2. Department of Oral and Maxillofacial Plastic Surgery, University Hospital Würzburg, Pleicherwall 2, 97070, Würzburg, Germany;3. Institute for Hygiene and Microbiology, University of Würzburg, Josef-Schneider-Straße 2, 97080, Würzburg, Germany;4. Department of Psychology (Biological Psychology, Clinical Psychology and Psychotherapy), University of Würzburg, Marcusstraße 9–11, 97070, Würzburg, Germany;1. Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Bahçe?ehir University, Istanbul, Turkey;2. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ondokuz May?s University, Samsun, Turkey;3. Department of Histology and Embryology, Faculty of Medicine, Ondokuz May?s University, Samsun, Turkey;4. Department of Pathology, Faculty of Veterinary Medicine, Ondokuz May?s University, Samsun, Turkey;1. Nitte Meenakshi Institute of Craniofacial Surgery, Nitte Deemed to be University, India;2. Dept. of Periodontics, Srinivas Inst. of Dental Sciences, RGUHS, India;3. Dept. of Cleft and Craniofacial Orthodontics, Nitte Meenakshi Institute of Craniofacial Surgery, Nitte Deemed to be University, India;4. Dept. of Oral and Maxillofacial Surgery, A.B.Shetty Memorial Inst. of Dental Sciences, Nitte Deemed to be University, India;5. Klinik Professor Sailer, Zurich, Switzerland |
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| Abstract: | Temporomandibular joint dislocation is defined as the loss of joint congruency between the mandibular condyle and the glenoid fossa of the temporal bone. Multiple therapeutic options have been proposed for the treatment of recurrent TMJ dislocation. The aim of this paper is to present two recently treated cases with a modification of Wolford's technique, replacing the Mitek anchors with orthodontic screws. Case series: The first case concerns a 36 year-old women with recurrent temporomandibular dislocation, and the second one a 26 year-old patient with the same diagnosis. In both cases, one 8mm orthodontic screw was placed in the lateral pole of mandibular condyle, sutured with PremiCron® 2/0 to a hole made in the root of each zygomatic arch. At twelve-month follow-up (first patient) and at six-month follow-up (second patient), patients had not presented new episodes of mandibular dislocation and mouth opening range remained stable.This technique can be considered as an alternative to Wolford's technique in treating recurrent temporomandibular dislocation when conservative management fails. |
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| Keywords: | Recurrent temporomandibular dislocation Temporomandibular joint disorders Orthodontic miniscrews |
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