Bilateral temporomandibular joint luxation in a 6-month-old child: Case report

Cranio. 2023 Jan;41(1):5-8. doi: 10.1080/08869634.2020.1839723. Epub 2020 Oct 29.

Abstract

Background: Luxation of the temporomandibular joint (TMJ) is an acute condition associated with translocation of the condylar joint out of its functional position. Traumatic causes are more common in childhood, while non-traumatic causes are very rare.

Clinical presentation: A 6-month-old patient was brought to a rural hospital emergency department with the inability to close her mouth. The patient was diagnosed with anterior TMJ luxation after the examination, and no additional imaging was requested. Reduction was performed with gas sedation accompanied by paracetamol for pain.

Conclusion: In rare cases, non-traumatic TMJ luxation may be observed after excessive crying or vomiting in infants. Examination findings are generally sufficient for diagnosis. Reduction is performed with the classical manual method, especially in childhood. One issue that should not be ignored is the possibility of recurrence after dislocation.

Keywords: Child; dislocation; temporomandibular joint.

Publication types

  • Case Reports

MeSH terms

  • Acetaminophen / therapeutic use
  • Child
  • Face
  • Female
  • Humans
  • Infant
  • Joint Dislocations* / diagnostic imaging
  • Joint Dislocations* / etiology
  • Temporomandibular Joint / diagnostic imaging
  • Temporomandibular Joint Disorders* / complications

Substances

  • Acetaminophen