Retrospective Evaluation of Cases of Temporomandibular Joint Dislocation Treated in Barau Dikko Teaching Hospital, Kaduna, North-West, Nigeria.

Omisakin Olatunde Oluleke


Background Study: Temporomandibular Joint [TMJ] dislocation is an uncommon acquired facial deformity. The condition may be traumatic or non-traumatic, acute or chronic, bilateral or unilateral in presentation. The aim of this study is to analyze the causes, pattern, presentation, and treatments that was giving to patients that presented with TMJ dislocation in our Centre

 Methods:  This study is a retrospective analysis of TMJ dislocations treated in the Accident and Emergency Unit and Dental/Maxillofacial Clinic , Barau Dikko Teaching Hospital Kaduna, Nigeria, from April 2012 to December, 2019. Information was collected from patients’ record which includes: age, gender, causes, localization, frequency and therapy.

Results: Twenty-eight patients were included. The mean age was 37.80 years and commoner in females than males at the ratio of 1.3 to 1.00. Most of the cases were non-traumatic (n= 24, 85.7%), mostly bilateral (n= 22, 78.6%) and appeared in acute situation (n= 15, 53.6%). Twenty-four (84.7%) of the patients received conservative treatment, which consists of reposition of the TMJ with (57.1%) or without (28.6%) analgesic and sedation. Only     one had acrylic bite block and three had surgical correction because of ineffective conservative treatment.

Conclusion: TMJ dislocation need urgent attention as it deprived the victims’ adequate nutrition because of swallowing problems and speech deficiency.

Keywords: Temporomandibular joint, dislocation, hypermobility, Hippocractic, repositioning.


Temporomandibular joint, dislocation, hypermobility, Hippocractic, repositioning.


Sharma NK, Singk AK, Pandey A, Verma V, Singh S. Temporomandibular joint dislocation. Natl J Maxillofac Surg 2015; 6(1): 16-20.

Snell SN. Clinical anatomy by Regions. 8th ed. Baltimore (MD): Lippincott Williams and Wilkins, 2008.

Mcgoldrick DM, Stassen LF. Management of Acute dislocation of the temporomandibular joint in dental practice. J Ire Dent Ass 2010; 56(6): 268-270.

El Bouazzaoui A, Labib S, Derkaoui A, Adnane Berdai M, Bendadi A, Harandou M. Dislocation of temporomandibular joint – an uncommon circumstance of occurrence: vaginal delivery. Pan Afr Med J 2010; 5:23-25.

Girish K, Syed S, Shashi S.C, Khan M. Management of temporomandibular joint dislocation; review of literature. Int J Sci Res 2016; 5(1): 574-577.

Liddell A, Perez DE. Temporomandibular joint dislocation. Oral Maxillofac Surg Clin North Am 2015; 27(1): 125-136.

Pillai S, Konia MR. Unrecognized bilateral temporomandibular joint dislocation after general anesthesia with a delay in diagnosis and management: a case report. J Med Case Rep 2013;7:243.

Oliphant R, Key B, Dawson C, Chung D. Bilateral temporomandibular joint dislocation following pulmonary function testing: a case report and review of closed reduction techniques. Emerg Med J. 2008; 25(7): 435-436.

Thangarajah T, McCulloch N, Thangarajah S, Stocker J. Bilateral temporomandibular joint dislocation in a 29-year-old man: a case report. J Med Case Rep 2010;4:263.

White T, Hedderick V, Ramponi DR. Dislocation of the temporomandibular joint and relocation procedures Adv Emerg Nurs J 2016;38(3):177-182.

Adekeye EO, Shamia RI, Cove P. Inverted L-shaped ramus osteotomy for prolonged bilateral dislocation of the temporomandibular joint. Oral surg oral med oral pathol. 1976;41(5):568-577.

Srivastava R, Jyoti B, Devi P. Oral splint for temporomandibular joint disorders with revolutionary fluid system. Dent Res J (Isfahan) 2013; 10(3): 307-313.

Wright EF, North SL. Management and treatment of temporomandibular disorders: a clinical perspective. J Man Manip Ther 2009; 17(4): 247-254.

Honglund LT, Scott BW. Automobilization intervention and exercise for temporomandibular joint open lock. J Man Manip Ther 2012; 20(4): 182-191.

Akinbami BO. Evaluation of the mechanism and principles of management of temporomandibular joint dislocation systematic review of literature and a proposed new classification of temporomandibular joint dislocation. Head face Med. 2011;7:10.

Agbara R, Fomete B, Idehen K, Okeke AU. Temporomandibular joint dislocation: experiences from Zaria, Nigeria. J Korean Ass Oral Maxillofac Surg 2014;40:111-116.

Ugboko VI, Oginni FO, Ajike SO, Olasoji HO, Adebayo ETA. Survey of temporomandibular joint dislocation: aetiology, demographics, risk factors and management in 96 Nigeria cases. Int J Oral Maxillofac Surg 2005;34:499-502.

Solomon S, Gupta S, Jesudasan J. Temporomandibular dislocation due to aripipraazole induced dystonia. Br J Clin Pharmacol 2010;70(6): 914-915.1

Aghabiklooei A, Elahi H, MostafazadehB. Temporomandibular joint dislocation due to acute propranolol intoxication. Int Med Case Rep J. 2010;3:59-61.

Gorchynski J, Karabidian E, Sanchez M. The “syringe” technique: a hands – free approach for the reduction of acute nontraumatic temporomandibular dislocations in the emergency department. J Emerg Med. 2014;47(6):676-681.

Heidari SF. The new technique for reduction of bilateral mandibular dislocation. Am J Emerg Med. 2015; 33(9): 1327-1342

Zwifel DF, Pietramaggiori G, Broome M. Videos in clinical medicine. Repositioning dislocated temporomandibular joints. N Engl J Med. 2014; 370 (6): e9.

Full Text: PDF


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

ISSN: 1597-4292