Advertisement

Therapeutic manipulation of the temporomandibular joint

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      We present a prospective study of manipulation of the temporomandibular joint (TMJ) under a general anaesthetic undertaken to find out the success rate in an effort to reduce the number of patients referred for invasive surgery.Results : Of the 55 patients invited to participate in this study, 15 improved, 15 did not, 6 showed partial improvement, and 19 were not treated. The median pre-treatment opening was 20mm (range 13–27). Among those who improved after manipulation, the median opening after treatment was 38mm (range 35–56). Some of those who improved experienced a return of TMJ clicking but not of joint or muscle tenderness. Conclusion: Manipulation under general anaesthesia helps some patients with disc displacement without reduction.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to British Journal of Oral and Maxillofacial Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      References

        • Gray RJM
        • Davies SJ
        • Quayle AA
        A clinical guide to temporomandibular disorders.
        Br Dent J. 1997; 177: 101-106
        • Gray RJM
        • Davies SJ
        • Quayle AA
        A clinical guide to temporomandibular disorders.
        Br Dent J. 1997; 177: 135-142
        • Davies SJ
        • Gray RJM
        The pattern of splint usage in the management of two common temporomandibular disorders. Part I: The anterior repositioning splint in the treatment of disc displacement with reduction.
        Br Dent J. 1997; 183: 199-203
        • Henny FA
        • Baldridge OL
        Condylectomy for the persistently painful TMJ.
        J Oral Surg. 1957; 15: 24
        • Ohnishi M
        Arthroscopic Surgery for hypermobility and recurrent mandibular dislocation.
        Oral Maxillofac Surg Clin North Am. 1989; 1: 160
        • Leopard PJ
        Anterior dislocation of the temporomandibular disc.
        Br J Oral Maxillofac Surg. 1984; 22: 9-17
      1. SPSS for Windows. Release 9, Chicago, SPSS Inc, 1998

        • Segami N
        • Murakami K
        • Iizuka T
        • Fukuda M
        Arthrographic evaluation of disk position following mandibular manipulation technique for internal derangement with closed lock of the temporomandibular joint.
        J Craniomandib Disord. 1990; 4: 99-108
        • Jagger RG
        Mandibular manipulation of anterior disc displacement without reduction.
        J Oral Rehabil. 1991; 18: 497-500
        • Minagi S
        • Nozaki S
        • Sato T
        • Tsuru H
        A manipulation technique for treatment of anterior disk displacement without reduction.
        J Prosthet Dent. 1991; 65: 686-691
        • Murakami K
        • Hosaka H
        • Moriya Y
        • Segami N
        • Iizuka T
        Short-term treatment outcome study for the management of temporomandibular joint closed lock.
        Oral Surg Oral Med Oral Path Oral Radiol. 1995; 80: 253-257
        • Mongini F
        • Ibertis F
        • Manfredi A
        Long-term results in patients with disk displacement without reduction conservatively treated.
        J Craniomandib Pract. 1996; 14: 301-305
        • Nan Theisson C
        Sex, illness and medical care. A review of data, theory and method.
        Soc Sci Med. 1977; 11: 13-25
        • Agerberg G
        Maximal mandibular movements in young men and women.
        Swed Dent J. 1974; 67: 81-86