Treatment of temporomandibular joint luxation: a systematic literature review.
Hypermobility
Luxation
Prolotherapy
TMJ dislocation
TMJ reduction
Journal
Clinical oral investigations
ISSN: 1436-3771
Titre abrégé: Clin Oral Investig
Pays: Germany
ID NLM: 9707115
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
20
11
2018
accepted:
16
10
2019
pubmed:
16
11
2019
medline:
7
2
2020
entrez:
16
11
2019
Statut:
ppublish
Résumé
To evaluate the effectiveness of surgical and nonsurgical treatment of temporomandibular joint (TMJ) luxation. 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. 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. 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. Autologous blood injection combined with intermaxillary fixation can be recommended for patients with recurrence of TMJ luxation.
Identifiants
pubmed: 31729577
doi: 10.1007/s00784-019-03126-1
pii: 10.1007/s00784-019-03126-1
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Pagination
61-70Références
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