Dislocation of the Temporomandibular Joint: A Guide to Diagnosis and Management

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Nigel Shaun Matthews
Springer, Jan 24, 2018 - Medical - 120 pages

This book provides a comprehensive overview of dislocation of the temporomandibular joint (TMJ), covering all relevant aspects, from aetiology and diagnosis to management. The treatment-oriented chapters describe nonsurgical, surgical and arthroscopic interventions, and the book closes by examining the role of total alloplastic reconstruction of the TMJ in patients with chronic jaw joint dislocation. Each chapter commences with a summary of key points and the clearly written text is supported by numerous clinical photographs, as well as by videos to which the reader will have online access. All of the authors are recognized experts in the topics that they discuss.

Dislocation of the TMJ constitutes a medical emergency since prompt treatment is required in order to prevent the harmful sequelae that may arise once spasm of the muscles of mastication has become established, preventing return of the condyle into the glenoid fossa. If the condition is left untreated, radical corrective surgery may be required to restore jaw function and eliminate pain. In presenting state of the art knowledge on TMJ dislocation, this book will be of value for all involved in the management of the condition.



Introduction Etiology Presentation and Diagnosis
Imaging of the TMJ
Acute TMJ Dislocation and Technique of Manual Reduction
Chronic Temporomandibular Joint Dislocation
Conservative Management Options for Dislocation of the Temporomandibular Joint
Surgical Management Clearing the Path
Surgical Management Obstructing the Path
Arthroscopic Management of TMJ Dislocation
Role of Total Joint Replacement in the Management of Chronic TMJ Dislocation

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About the author (2018)

Nigel Shaun Matthews, BDS, FDS, MBBS, FRCS, FRCS (OMFS), is Clinical Associate Professor at the School of Dentistry, University of North Carolina and Attending Surgeon in the Department of Oral and Maxillofacial Surgery, UNC Hospitals, Chapel Hill, NC, USA. Prior to taking up his current appointments in 2014, he was a Consultant (Attending and Residency Program Supervisor) in Oral and Maxillofacial Surgery at King’s College Hospital, London, UK (2006–2014). In 2009, he developed, led, and subsequently published on the first true TMJ multidisciplinary team clinic in the United Kingdom, a model which is now being mimicked by other units worldwide. Dr. Matthews is the author of more than 30 articles in international peer-reviewed journals, as well as a number of book chapters. Furthermore, his work on jaw joint replacement surgery has been extensively cited in UK national and regional newspapers, as well as on the BBC News. Dr. Matthews regularly delivers presentations at national and international conferences, and his lectureship commitments have extended to the delivery of talks all over Europe, North America, Australia and India, as well as to the presentation of international webinars. In January 2016, Dr. Matthews gave a keynote lecture entitled “Management of Moderate to Advanced TMJ Disorders: Current Status of Options” at the Annual Winter Conference of the American Association of Orthodontists/American Association of Oral & Maxillofacial Surgeons.

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