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Table 4 Treatments useful for Chronic Recurrent 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 Recurrent dislocation

No. of patients

Chemical Capsuloraphy

?

   Alcohol

 

   Rivanol(aethedicaine)

 

   Sodium monoruate

 

   Sodium psyliate (Sylnasol)

 

   Sodium tetradecyl sulphate

 

Autologous blood capsuloraphy

18

Platelet rich plasma capsuloraphy

?

Botulinium toxin A toxin muscle injection

2

To restrict condylar movement

 

Surgical capsuloraphy/Restitution of ligaments

?

Use of Mersilene or fascia lata around condylar neck

?

Internal Lateral pterygoid myotomy

15

External Lateral pterygoid myotomy

1

Open Condylotomy

4

Closed Condylotomy

2

To recreate mechanical obstruction along condylar path

 

Anterior reposition/forward placement of disc

?

Downward and inward fracture of zygomatic bone

?

Eminoplasty with screws or L shaped pins

3

Eminoplasty with plates, mini-anchors

24

Eminoplasty with inlay bone grafts (Norman procedure)

4

Eminoplasty with onlay bone gafts (Dautery procedure)

60

To remove mechanical obstacle along condylar path

 

Eminectomy (Standard)

95

Eminectomy (Modified)

1

Arthroscopic eminectomy

5

  1. ? (Questionable)-signify that the number of cases treated by the treatment method could not be obtained.