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Clinical Oral Investigations

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Open Access 01-01-2020 | Review

Treatment of temporomandibular joint luxation: a systematic literature review

Authors: Helene Abrahamsson, Lars Eriksson, Peter Abrahamsson, Birgitta Häggman-Henrikson

Published in: Clinical Oral Investigations | Issue 1/2020

Abstract

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.

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Title: Treatment of temporomandibular joint luxation: a systematic literature review
Authors: Helene Abrahamsson
Lars Eriksson
Peter Abrahamsson
Birgitta Häggman-Henrikson
Publication date: 01-01-2020
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 1/2020
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-019-03126-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Treatment of temporomandibular joint luxation: a systematic literature review

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

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