Recurrent luxation of TMJ treated with hemotherapy and intermaxillary fixation

SAULO CHATEAUBRIAND NASCIMENTO, MARCELO VINICIUS DE OLIVEIRA, GUSTAVO CAVALCANTI ALBUQUERQUE, VALBER BARBOSA MARTINS, JOEL MOTTA JÚNIOR

Introduction: Dislocation of TMJ occurs when the condyle moves out of the glenoid fossa, previously locking the joint eminence. This condition is called recurrent when episodes become frequent. Objective: The aim of this work is to report a case of a patient with recurrent TMJ treated conservatively, through intra-articular autologous blood injection (ISA) and pericapsular tissue, associated with intermaxillary fixation (FIM) for three weeks. Case report: A 31-year-old female patient with main complaint of frequent episodes of mandibular “fall”, initiated after trauma two years before the consultation. Click and crackling were observed in the opening and closing movements of the mouth, bilateral TMJ dislocation, local pain, dysphonia, dysphagia, and dysarthria. It was verified, by means of a caliper, that the degree of opening that caused dislocation was from 30mm. Conclusion: The patient responded satisfactorily to the treatment, without recurrent episodes of dislocation. The ISA associated with FIM has been shown to be a safe, simple and economical method for the treatment of recurrent TMJ dislocation, being a conservative approach with high success rates.

Keywords: Temporomandibular joint. Joint dislocations. Temporomandibular joint disorders.

How to cite: Nascimento SC, Oliveira MV, Albuquerque GC, Martins VB, Motta Júnior J. Recurrent luxation of TMJ treated with hemotherapy and intermaxillary fixation. J Braz Coll Oral Maxillofac Surg. 2020 May-Aug;6(2):27-31.

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