title: Stability of treatments for recurrent temporomandibular joint luxation: a systematic review.
abstract: Temporomandibular joint luxation (TMJ) is the excessive anterior translation of the mandibular condyle out of its normal range of movement and away from the glenoid fossa. Once dislocation occurs, the abnormal condylar position generates reflex contractions of the masticatory muscles, which in turn hinder movement of the condyle back to its resting position. Frequent luxation episodes characterize a condition referred to as recurrent TMJ luxation. While there are several surgical and conservative therapeutic options available for recurrent TMJ luxation, a robust, evidence-based rationale for choosing one technique over another is missing. Thus, a systematic review based on the PRISMA statement was proposed in an attempt to determine which therapeutic option results in the longest time to relapse. There is no good quality evidence on which treatment options guarantee the long-term elimination of recurrent TMJ luxation. In cases of post-surgical relapse, eminectomy has often been used as a 'rescue procedure', which may mean that surgeons empirically consider this treatment to be the 'gold standard' for addressing recurrent TMJ luxation.
authors.affiliation: Department of Dentistry, Federal University of Sergipe at Lagarto, Lagarto, Sergipe, Brazil.
authors.forename: V L
authors.initials: VL
authors.lastname: de Almeida
authors.affiliation: Brazilian Army Health Corps, Armed Forces Hospital, Brasília, Brazil.
authors.forename: N de S
authors.initials: Nde S
authors.lastname: Vitorino
authors.affiliation: Graduate Program of Applied Health Sciences, Federal University of Sergipe at Lagarto, Lagarto, Sergipe, Brazil.
authors.forename: A L de O
authors.initials: AL
authors.lastname: Nascimento
authors.affiliation: Graduate Program of Applied Health Sciences, Federal University of Sergipe at Lagarto, Lagarto, Sergipe, Brazil.
authors.forename: D C
authors.initials: DC
authors.lastname: da Silva Júnior
authors.affiliation: Department of Dentistry, Federal University of Sergipe at Lagarto, Lagarto, Sergipe, Brazil; Graduate Program of Applied Health Sciences, Federal University of Sergipe at Lagarto, Lagarto, Sergipe, Brazil. Electronic address: paulo@bucomaxiloaracaju.com.br.
authors.forename: P H L
authors.initials: PH
authors.lastname: de Freitas
mesh_terms: D006801:Humans; D004204:Joint Dislocations / Q000503:physiopathology* / Q000628:therapy*; D008335:Mandibular Condyle / Q000503:physiopathology*; D012008:Recurrence; D013705:Temporomandibular Joint Disorders / Q000503:physiopathology* / Q000628:therapy*
keywords: articular hypermobility; dislocation; review; temporomandibular joint; temporomandibular joint disorders