Reclamation Autohaemotherapy For Chronic Recurrent Tmj Dislocation In Mentally Challenged Young Adult : Case Report.

Authors : Venkatesh Hange

Pages : 54-63

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Publication Date : 2020-06-30

Article Type : Review

Abstract :Temporo mandibular joint (TMJ) dislocation is a common problem faced in outpatient setting by maxillofacial surgeons & dentist.It is a excruciating pain instance that appears when condyle becomes locked to anterior superior aspect of the articular eminence.It may be acute or chronic as well as it may show unilateral or bilateral involvement.(1) Dislocation of the both TMJ is more prevalent with the mandible in a straight open position, whereas with a single-sided dislocation, the mandible is deviated to the opposite side, with a partially open mouth. dislocation of the TMJ represents 3% of all cases of reported dislocated joints in the body.(3) Management of chronic recurrent TMJ dislocation which can be broadly classified into surgical (Invasive) and nonsurgical (Conservative) methods.Nonsurgical (Conservative) methods comprise of physiotherapy, occlusal splint, and avoidance of yawning, laughing which can cause large-mouth-opening Prescribing muscle relaxants and soft diet , injection of sclerosing agents such as 5% Sodium Morruhate and 5% Ethanolamine Oleate (EO), autohaemotherapy into the TMJ pericapsular tissues and injection of botulinum toxin into the masticatory muscles.(6,7) We are sharing our experience of successful management of chronic recurrent TMJ dislocation using autologous blood injection in a mentally challenged young adult through this case report.
Keywords : Recurrent TMJ dislocation, autologous blood injection, sclerotherapy, reclamation autohemotherapy, hypermobility