J Korean Assoc Maxillofac Plast Reconstr Surg.  2000 Feb;22(1):76-82.

Application of a mandibular manipulation to the patients with closed lock

• Kim JH
• Kim HJ

Abstract

In general, treatment of the patients with closed lock divides into a conservative and a surgical treatment. Surgical treatment has been often applied in case that occlusal splint therapy was not effective on the patient with closed lock. In recent, some clinicians reported good results with mandibular manipulation. Three patients complained limitation of mouth opening-(mean mouth opening was 22.3mm) and TMJ pain. Articular discs were displaced anteriorly on MRI. Two patients didn,t improve the symptoms with long term occlusal splint therapy. We applied mandibular manipulation after injection with 2% lidocaine into the upper joint space of the affected TMJ and directly inserted occlusal splint to all patients. At the follow-up check, mean mouth opening was 41.7mm, TMJ pain decreased, condyle and disc relationship was improved functionally on MRI.

Keyword

Mandibular manipulation

MeSH Terms

Follow-Up Studies
Humans
Joints
Lidocaine
Magnetic Resonance Imaging
Mouth
Occlusal Splints
Temporomandibular Joint
Lidocaine