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Temporomandibular joint dislocation: experiences from Zaria, Nigeria

Journal of the Korean Association of Oral and Maxillofacial Surgeons / Journal of the Korean Association of Oral and Maxillofacial Surgeons, (P)2234-7550; (E)2234-5930
2014, v.40 no.3, pp.111-116
Rowland Agbara (Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna, Nigeria)
Benjamin Fomete (Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna, Nigeria)
Athanasius Chukwudi Obiadazie (Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna, Nigeria)
Kelvin Idehen (Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna, Nigeria)
Uche Okeke (Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna, Nigeria)

Abstract

Objectives: Dislocation of the temporomandibular joint may occur for various reasons. Although different invasive methods have been advocated for its treatment, this study highlights the value of non-invasive treatment options even in chronic cases in a resource-poor environment. Materials and Methods: A seven-year retrospective analysis of all patients managed for temporomandibular joint dislocation in our department was undertaken. Patient demographics, risk factors associated with temporomandibular joint dislocation and treatment modalities were retrieved from patientrecords. Results: In all, 26 patients were managed over a seven-year period. Males accounted for 62% of the patients, and yawning was the most frequent etiological factor. Conservative treatment methods were used successfully in 86.4% of the patients managed. Two (66.7%) of the three patients who needed surgical treatment developed complications, while only one (5.3%) patient who was managed conservatively developed complications. Conclusion: Temporomandibular joint dislocation appears to be associated with male sex, middle age, yawning, and low socio-economic status, althoughthese observed relationships were not statistically significant. Non-invasive methods remain an effective treatment option in this environment in view of the low socio-economic status of the patients affected.

keywords
Temporomandibular joint, Dislocations, Yawning, Zaria

Journal of the Korean Association of Oral and Maxillofacial Surgeons