Recurrent condylar luxation after third molar extraction: an uncommon condition treated by eminectomy
Luxação condilar recorrente após exodontia de terceiro molar: uma condição incomum tratada através de eminectomia
Oliveira, Maiolino Thomaz Fonseca; Rodrigues, Átila Roberto; Rocha, Flaviana Soares; Zanetta-Barbosa, Darceny
Abstract
Introduction: Extraction of third molars can rarely provoke post-operative complications, such as temporomandibular joint disorders (TMDs). Objective: Although the literature presents a series of discussions of the clinical evidence related to this subject, in this report, we present an uncommon case of a patient submitted for the extraction of third molars who presented, in postoperative monitoring, with recurrent bilateral condylar luxation. Conclusion: Due to this critical condition, the patient was successfully treated by bilateral eminectomy.
Keywords
Resumo
Introdução: A exodontia dos terceiros molares raramente promove complicações pós-operatórias como desordens temporomandibulares. Objetivo: Embora a literatura apresente uma série de discussões sobre a evidência clínica relacionada a este assunto, neste artigo, apresentamos um caso incomum de uma paciente submetida à extração dos terceiros molares que apresentou, no acompanhamento pós-operatório, luxação condilar recorrente bilateral. Conclusão: Devido a este estado crítico, a paciente foi tratada com sucesso pela eminectomia bilateral após tentativas terapêuticas não cirúrgicas.
Palavras-chave
References
1. Blondeau F, Daniel NG. Extraction of impacted mandibular third molars: postoperative complications and their risk factors. J Can Dent Assoc. 2007;73:325. PMid:17484797.
2. Bouloux GF, Steed MB, Perciaccante VJ. Complications of third molar surgery. Oral Maxillofac Surg Clin North Am. 2007;19:117-28. PMid:18088870. http://dx.doi.org/10.1016/j.coms.2006.11.013
3. DeAngelis AF, Chambers IG, Hall GM. Temporomandibular joint disorders in patients referred for third molar extraction. Aust Dent J. 2009;54:323-5. PMid:20415930. http://dx.doi.org/10.1111/j.1834-7819.2009.01157.x
4. Dodson TB, Susarla SM, Chuang SK, Donoff RB. Third molars and TMD. J Am Dent Assoc. 2007;138:576-8. PMid:17473030.
5. Huang GJ, Rue TC. Third-molar extraction as a risk factor for temporomandibular disorder. J Am Dent Assoc. 2006;137:1547-54. PMid:17082281.
6. Widmer CG. Third-molar extraction may increase relative risk for temporomandibular disorders. J Evid Based Dent Pract. 2008;8:40-2. PMid:18346706. http://dx.doi.org/10.1016/j.jebdp.2007.12.012
7. Huang GJ. Letter to the editor. J Evid Based Dent Pract. 2008;8:63. PMid:18492571. http://dx.doi.org/10.1016/j.jebdp.2008.04.001
8. Juhl GI, Jensen TS, Norholt SE, Svensson P. Incidence of symptoms and signs of TMD following third molar surgery: a controlled, prospective study. J Oral Rehabil. 2009;36:199-209. PMid:19207447. http://dx.doi.org/10.1111/j.1365-2842.2008.01925.x
9. Threlfall AG, Kanaa MD, Davies SJ, Tickle M. Possible link between extraction of wisdom teeth and temporomandibular disc displacement with reduction: matched case control study. Br J Oral Maxillofac Surg. 2005;43:13-6. PMid:15620768. http://dx.doi.org/10.1016/j. bjoms.2004.10.001
10. Vasconcelos BC, Porto GG. Treatment of chronic mandibular dislocations: a comparison between eminectomy and miniplates. J Oral Maxillofac Surg. 2009;67: 2599-604. PMid:19925978. http://dx.doi.org/10.1016/j.joms.2009.04.113
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email