Therapeutic manipulation of the temporomandibular joint

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 im...

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Bibliographic Details
Published in:British journal of oral & maxillofacial surgery 2000-12, Vol.38 (6), p.641-644
Main Authors: Foster, M.E., Gray, R.J.M., Davies, S.J., Macfarlane, T.V.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Chi-Square Distribution
Dentistry
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Humans
Joint Dislocations - therapy
Male
Manipulation, Orthopedic
Medical sciences
Middle Aged
Non tumoral diseases
Otorhinolaryngology. Stomatology
Prospective Studies
Range of Motion, Articular
Statistics, Nonparametric
Temporomandibular Joint Disorders - therapy
Treatment Outcome
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Summary: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.
ISSN:0266-4356
1532-1940
DOI:10.1054/bjom.2000.0532