Shehata, B., Darwish, S., Aly, T., Younis, G. (2015). TREATMENT OF RECURRENT TEMPOROMANDIBULAR JOINT DISLOCATION WITH BOTULINUM TOXIN. Alexandria Dental Journal, 40(2), 200-207. doi: 10.21608/adjalexu.2015.59152
B Shehata; S Darwish; T Aly; G Younis. "TREATMENT OF RECURRENT TEMPOROMANDIBULAR JOINT DISLOCATION WITH BOTULINUM TOXIN". Alexandria Dental Journal, 40, 2, 2015, 200-207. doi: 10.21608/adjalexu.2015.59152
Shehata, B., Darwish, S., Aly, T., Younis, G. (2015). 'TREATMENT OF RECURRENT TEMPOROMANDIBULAR JOINT DISLOCATION WITH BOTULINUM TOXIN', Alexandria Dental Journal, 40(2), pp. 200-207. doi: 10.21608/adjalexu.2015.59152
Shehata, B., Darwish, S., Aly, T., Younis, G. TREATMENT OF RECURRENT TEMPOROMANDIBULAR JOINT DISLOCATION WITH BOTULINUM TOXIN. Alexandria Dental Journal, 2015; 40(2): 200-207. doi: 10.21608/adjalexu.2015.59152
TREATMENT OF RECURRENT TEMPOROMANDIBULAR JOINT DISLOCATION WITH BOTULINUM TOXIN
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.
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