Abstract
Three cases of temporomandibular joint luxation in patients with complications are reported.
Case 1: A 68-year-old woman suffering from myocardial infarction and complaining of habitual luxation of the left temporomandibular joint was introduced to our clinic. She has not worn dentures since she had heart attack. Conservative treatment was done by remodeling and by fitting her dentures. With wearing well fitting dentures, habitual luxation was terminated.
Case 2: An 86-year-old woman who had an apoplectic stroke and was suffering from hemiparalysis and hypertension was proved to have long-standing bilateral forward dislocation of the temporomandibular joint. Open reduction was performed under general anesthesia.
Case 3: A 68-year-old woman suffering from atrophy of the cerebellum and Parkinsonism complained of recurrent forward dislocation of her bilateral temporomandibular joints.
Open reduction according to the Myrhaug's eminectomy was performed under general anesthesia. The postoperative course was satisfactory.
A way to treat temporomandibular joint luxation in a patient with complications must be chosen under careful considerations. There are many ways, either conservative or operative, to treat temporomandibular luxation. Though the conservative treatments are preferable, operative treatments must be chosen in some cases.
