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Treatment of temporomandibular joint luxation: a systematic literature review
Malmö University, Faculty of Odontology (OD).
Malmö University, Faculty of Odontology (OD).
The Maxillofacial Unit, Halmstad Hospital, Halmstad, Sweden.
Malmö University, Faculty of Odontology (OD). Department of Odontology/Clinical Oral Physiology, Umeå University, Umeå, Sweden.ORCID iD: 0000-0001-6088-3739
2020 (English)In: Clinical Oral Investigations, ISSN 1432-6981, E-ISSN 1436-3771, Vol. 24, p. 61-70Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To evaluate the effectiveness of surgical and nonsurgical treatment of temporomandibular joint (TMJ) luxation. MATERIALS AND METHODS: This systematic literature review searched PubMed, the Cochrane Library, and Web of Science databases to identify randomized controlled trials on TMJ luxation treatment published between the inception of each database and 26 March 2018. RESULTS: Two authors assessed 113 unique abstracts according to the inclusion criteria and read nine articles in full text. Eight articles comprising 338 patients met the inclusion criteria, but none of these evaluated surgical techniques. Three studies including 185 patients concerned acute treatment with manual reduction of luxation while five studies including 153 patients evaluated minimally invasive methods with injection of autologous blood or dextrose prolotherapy for recurrent TMJ luxation. These studies reported that mouth opening after treatment was reduced and that independent of type of injection, recurrences of TMJ luxation were rare in most patients. CONCLUSIONS: In the absence of randomized studies on surgical techniques, autologous blood injection in the superior joint space and pericapsular tissues with intermaxillary fixation seems to be the treatment for recurrent TMJ luxation that at present has the best scientific support. Well-designed studies on surgical techniques with sufficient numbers of patients, long-term follow-ups, and patient experience assessment are needed for selection of the optimal surgical treatment methods. CLINICAL RELEVANCE: Autologous blood injection combined with intermaxillary fixation can be recommended for patients with recurrence of TMJ luxation.

Place, publisher, year, edition, pages
Springer, 2020. Vol. 24, p. 61-70
National Category
Dentistry
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URN: urn:nbn:se:mau:diva-6510DOI: 10.1007/s00784-019-03126-1ISI: 000513239100006PubMedID: 31729577Scopus ID: 2-s2.0-85075234349Local ID: 30664OAI: oai:DiVA.org:mau-6510DiVA, id: diva2:1403453
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-09-03Bibliographically approved

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Abrahamsson, HeleneEriksson, LarsAbrahamsson, PeterHäggman-Henrikson, Birgitta

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