Abstract

Psycho-Social Stress Influencing Chronic Temporo-Mandibular Joint Subluxation–A Case Study and Follow-up

Temporo-mandibular Joint (TMJ) Subluxation is defined as the complete loss of articular relationships, between the articular fossa of the temporal bone and the Condylar head, during wide mouth opening. The common etiological factors responsible for TMJ subluxation are traumatic occlusion, occlusal trauma, TMJ ligament & capsule laxity, masticatory muscles disorientation, internal derangement of TMJ and Psycho-social stress. Treatment of TMJ subluxation remains a complex mission. Condylectomy, has been well explained and reported by many authors, which removes the mechanical obstacle, avoids the joint locking, but the TMJ ligament, capsular and masticatory muscles were attached to the condyle will get detached, which in-turn fails to form a healthy pseudo-joint. Here we present a well-documented and in current surgical practice technique of eminectomy, which full fill both in removing the mechanical obstacle and in restoration of healthy Pseudo-TMJ for the patient with severe Subluxation influenced by psycho-social stress.