TREATMENT OF RECURRENT TEMPOROMANDIBULAR JOINT DISLOCATION WITH BOTULINUM TOXIN | ||||
| Alexandria Dental Journal | ||||
| Article 10, Volume 40, Issue 2, December 2015, Page 200-207 PDF (1.53 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/adjalexu.2015.59152 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| B Shehata* ; S Darwish* ; T Aly* ; G Younis* | ||||
| Master student at the Oral and Maxillofacial Surgery department, Faculty of Dentistry, Alexandria University. | ||||
| Abstract | ||||
| Introduction: The use of botulinum toxin type A (BTX-A) injection as it is a more recently reported treatment to alter the musculature with the intended effect to weaken the lateral pterygoid muscle (LPM) sufficiently to prevent temporomandibular joint (TMJ) dislocation. This caused a new imbalance between the muscles used for opening and closing the jaws, and mouth opening was slightly limited because of the weakness of the LPM. Objectives: To evaluate the efficacy of injection of BTX-A as the first choice of treatment for patients with chronic TMJ dislocation not responding to conservative line of treatment. Materials and methods: A prospective study was conducted on a total of 20 patients complaining of recurrent episodes of chronic TMJ dislocation. Group A: (The study group) patients were injected with BTX-A in the LPM through an intraoral approach, Group B: (The control group) patients suffering from chronic TMJ dislocation and treated by inter maxillary fixation (IMF). Results: The study revealed that injecting BTX-A in the LPM prevents the TMJ dislocation and reduced pain caused by the movement of the LPM by 90 % through temporary paralysis of the muscle, thus allowing the muscle to move more naturally. Conclusions: This is a relatively conservative option, injection into the muscle is straightforward and can be done in outpatients with few complications. | ||||
| Keywords | ||||
| Temporomandibular joint; dislocation; Botulinum toxin type A; lateral pterygoid muscle | ||||
| References | ||||
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