Recurrent Mandibular Dislocation in Geriatric Patients: Treatment and Prevention by a Simple and Non-invasive Technique
Identifieur interne : 000942 ( Pmc/Corpus ); précédent : 000941; suivant : 000943Recurrent Mandibular Dislocation in Geriatric Patients: Treatment and Prevention by a Simple and Non-invasive Technique
Auteurs : Shruti Chhabra ; Naveen Chhabra ; Prachi GuptaSource :
- Journal of Maxillofacial & Oral Surgery [ 0972-8279 ] ; 2013.
Abstract
Dislocation is defined as the complete loss of articular relationship between the articular fossa of the temporal bone and the condyle-disk complex. Most common aetiology of dislocation is wide mouth opening, trauma and use of certain drugs. It is classified as acute, chronic and recurrent. Chronic recurrent dislocation of mandible is a distressing condition especially for geriatric patients. Various non-surgical methods of reduction include Hippocratic method, Awang’s gag reflex method, wrist-pivot technique, combined ipsilateral staggering technique, recumbent approach, intermaxillary fixation, injection of a sclerosing solution, autologus blood transfusion and botulinum toxin. In geriatric population, the ridges become atrophic with time and use of any method of reduction which exerts force on mandible increases chances of fracture of mandible. Awang’s gag reflex method is a non invasive technique which helps in treatment of chronic recurrent dislocation in geriatric patients. Along with this technique the use of a cervical collar has been reported in this article, which not only acts as a restrainer but also is helpful for cervical spondylosis, a common condition encountered in geriatric population.
Url:
DOI: 10.1007/s12663-012-0454-7
PubMed: 25838702
PubMed Central: 4379240
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PMC:4379240Le document en format XML
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<series><title level="j">Journal of Maxillofacial & Oral Surgery</title>
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<front><div type="abstract" xml:lang="en"><p>Dislocation is defined as the complete loss of articular relationship between the articular fossa of the temporal bone and the condyle-disk complex. Most common aetiology of dislocation is wide mouth opening, trauma and use of certain drugs. It is classified as acute, chronic and recurrent. Chronic recurrent dislocation of mandible is a distressing condition especially for geriatric patients. Various non-surgical methods of reduction include Hippocratic method, Awang’s gag reflex method, wrist-pivot technique, combined ipsilateral staggering technique, recumbent approach, intermaxillary fixation, injection of a sclerosing solution, autologus blood transfusion and botulinum toxin. In geriatric population, the ridges become atrophic with time and use of any method of reduction which exerts force on mandible increases chances of fracture of mandible. Awang’s gag reflex method is a non invasive technique which helps in treatment of chronic recurrent dislocation in geriatric patients. Along with this technique the use of a cervical collar has been reported in this article, which not only acts as a restrainer but also is helpful for cervical spondylosis, a common condition encountered in geriatric population.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Maxillofac Oral Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">J Maxillofac Oral Surg</journal-id>
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<article-id pub-id-type="doi">10.1007/s12663-012-0454-7</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
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<title-group><article-title>Recurrent Mandibular Dislocation in Geriatric Patients: Treatment and Prevention by a Simple and Non-invasive Technique</article-title>
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<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Chhabra</surname>
<given-names>Shruti</given-names>
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<address><email>drshruti75@gmail.com</email>
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<contrib contrib-type="author"><name><surname>Chhabra</surname>
<given-names>Naveen</given-names>
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<address><email>naveenprisha@yahoo.co.in</email>
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<contrib contrib-type="author"><name><surname>Gupta</surname>
<given-names>Prachi</given-names>
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<address><email>prachigupta1@ymail.com</email>
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<aff id="Aff1">Department of Oral and Maxillofacial Surgery, D.A.V. Dental College and Hospital, Yamunanagar, 135001 India</aff>
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<pub-date pub-type="epub"><day>17</day>
<month>2</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="ppub"><month>3</month>
<year>2015</year>
</pub-date>
<volume>14</volume>
<issue>Suppl 1</issue>
<fpage>231</fpage>
<lpage>234</lpage>
<history><date date-type="received"><day>5</day>
<month>12</month>
<year>2011</year>
</date>
<date date-type="accepted"><day>3</day>
<month>10</month>
<year>2012</year>
</date>
</history>
<permissions><copyright-statement>© Association of Oral and Maxillofacial Surgeons of India 2013</copyright-statement>
</permissions>
<abstract id="Abs1"><p>Dislocation is defined as the complete loss of articular relationship between the articular fossa of the temporal bone and the condyle-disk complex. Most common aetiology of dislocation is wide mouth opening, trauma and use of certain drugs. It is classified as acute, chronic and recurrent. Chronic recurrent dislocation of mandible is a distressing condition especially for geriatric patients. Various non-surgical methods of reduction include Hippocratic method, Awang’s gag reflex method, wrist-pivot technique, combined ipsilateral staggering technique, recumbent approach, intermaxillary fixation, injection of a sclerosing solution, autologus blood transfusion and botulinum toxin. In geriatric population, the ridges become atrophic with time and use of any method of reduction which exerts force on mandible increases chances of fracture of mandible. Awang’s gag reflex method is a non invasive technique which helps in treatment of chronic recurrent dislocation in geriatric patients. Along with this technique the use of a cervical collar has been reported in this article, which not only acts as a restrainer but also is helpful for cervical spondylosis, a common condition encountered in geriatric population.</p>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>TMJ dislocation</kwd>
<kwd>Cervical collar</kwd>
<kwd>Mandibular dislocation</kwd>
<kwd>Geriatric patients</kwd>
<kwd>Mon-invasive technique</kwd>
<kwd>Awang’s gag reflex</kwd>
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<meta-value>© The Association of Oral and Maxillofacial Surgeons of India 2015</meta-value>
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