J Oral Med Pain.  2023 Mar;48(1):25-30. 10.14476/jomp.2023.48.1.25.

Management of Disc Displacement with Retrodiscitis after Macrotrauma: A Case Report

• Kim TS
• Lee YH

• KMID: 2552150
• DOI: http://doi.org/10.14476/jomp.2023.48.1.25

Abstract

We present the case of a 60-year-old male with post-macrotrauma disc displacement and retrodiscitis, in which temporomandibular joint (TMJ) injection and manual therapy were used to alleviate his symptoms. He visited our clinic with complaints of pain and swelling in his right facial area and malocclusion of his right side teeth after being hit on the right side of his face five days earlier. During clinical and radiological examinations, the inflammatory state of the joint and disc displacement on the right side, which led to malocclusion, were noted. At the initial visit, we performed TMJ intracapsular injection and prescribed medications to control pain and inflammation. Simultaneously, manual manipulation was performed to relocate the disc. The same treatments were employed two days later. However, 10 days after the first visit, his symptoms did not mitigate substantially. We also performed magnetic resonance imaging (MRI), prescribed nortriptyline, and created a stabilization splint. MRI images depicted inflammatory disc displacement and joint effusion in the right TMJ. Based on the accurate diagnosis, we kept administering a stabilization splint, intra-articular injection, and medication. His signs and symptoms were alleviated 20 days after the initial visit and did not reoccur for the next 40 days.

Keyword

Intra-articular injection; Macrotrauma; Magnetic resonance imaging; Malocclusion; Retrodiscitis; Temporomandibular disorder