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Table 3 Treatments Useful for Chronic protracted dislocation

From: Evaluation of the mechanism and principles of management of temporomandibular joint dislocation. Systematic review of literature and a proposed new classification of temporomandibular joint dislocation

Conservative Treatment of Chronic protracted dislocation

No. of patients

Manual reduction without anaesthesia

0

Manual reduction with Local Anaesthesia (L.A)+ sedation

1

Manual reduction with L.A +sedation + nerve block

1

Manual reduction with General Anaesthesia (GA)

13

Assisted (open) reduction with General Anaesthesia

1

Elastic traction with Intermaxillary fixation

1

Traction with bone hook

1

Mandibular guidance therapy

1

To reposition condyle in fossa (There was much restriction of movement)

 

Temporalis Myotomy

4

High Condylotomy

?

To correct fusion and restore the joint ( There was complete restriction of movement )

 

Low Condylotomy

?

Condylectomy (for chronic lateral dislocation)

2

Gap Arthroplasty (for superior dislocation)

8

To maintain new joint and correct occlusion (There was little restriction of movement)

 

Horizontal subsigmoid osteotomy

?

Vertical/Oblique Osteotomy

9

Inverted L Shaped Osteotomy

1

Bilateral Sagittal Split Osteotomy

1

Midline Mandibulotomy

1