Displacement of the non-reduction temporomandibular disk with limitation of opening. Story of a clinical case—Follow up five years


Displacement of the non-reduction disk with limitation of opening (DDwLO) can be treatment of the non-surgical form. However, it required scientific and clinic knowledge of diagnostic area of the disorders temporomandibulares. This study was performed with the patient CN, 18 years, white, female, who went to the orofacial pain ambulatory with complaints of extreme pain on the right temporomandibular joint (TMJ) and limitation of maximum opening of 29 mm with shift to right, which she has been suffering for at least three years. After a criterion anamnese the diagnosis hypothesis found was a displacement of the non-reduction disk with limitation of opening. The treatment was based on infiltration in the right TMJ with anesthesic followed by mandibular manipulation. After the therapeutic conduct the patient presented clinical signals of normality with absence of trismus and mandibular movement without shift to right. The patient was followed up during five years not presenting return of the pathology.

Share and Cite:

Vinholi, G. , Coêlho, T. , Insaurralde, E. , da Silva, A. , Terra, G. and de Pinho, L. (2014) Displacement of the non-reduction temporomandibular disk with limitation of opening. Story of a clinical case—Follow up five years. Health, 6, 475-478. doi: 10.4236/health.2014.65066.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Conti, P.C.R., Miranda, J.E. and Ornelas, F. (2000) Joint noises and signs of temporomandibular dysfunction: A comparative study by means of manual palpation and computerized vibratografia of TMJ. Pesqui Odontol Bras, 14, 367-371.
[2] Manfredini, D. (2009) Etiopathogenesis of disk displacement of the temporomandibular joint: A review of the mechanisms. Indian Journal of Dental Research, 20, 212.
[3] Bove, S.R., Guimarães, A.S. and Smith, R.L. (2005) Characterization of patients in a temporomandibular dysfunction and orofacial pain outpatient clinic. Revista Latino-Americana de Enfermagem, 13, 686-691.
[4] Carlsson, G.E., Magnusson, T. and Guimarães, A.S. (2006) Management of the temporomandibular disorder in the General Dental Practice. 1st Edition, Quintessence, São Paulo, 215 p.
[5] LeResche, L., Fricton, J., Mohl, N., Sommers, E. and Truelove, E. (1992) Research Diagnostic Criteria. Journal of Craniomandibular Disorders: Facial & Oral Pain, 6, 327-339.
[6] Zarb, G.A., Carlsson, G.E. and Sessle, J.B. (2000) Temporomandibular joint and Masticatory Muscle Disorders. Santos, São Paulo, 624.
[7] Palla, S. (2004) Myoarthropathy of the masticatory system and orofacial pain. Artes Médicas, 502 p.
[8] Nitzan, D.W., Dolwick, M.F. and Martinez, G.A. (1991) Temporomandibular joint arthrocentesis: A simplified treatment for severe, limited mouth opening. Journal of Oral and Maxillofacial Surgery, 49, 1163-1167.
[9] Moses, J.J., Sartoris, D., Glass, R., Tanaka, T. and Poker, I. (1989) The effect of arthroscopy surgical lysis and lavage of the superior joint space on temporomandibular joint disk position and mobility. Journal of Oral and Maxillofacial Surgery, 447, 674.
[10] Cavalcanti do Egito Vasconcelos, B., Bessa-Nogueira, R.V. and Rocha, N.S. (2006) Arthrocentesis of the temporomandibular joint: Evaluation of results and review of the literature. Revista Brasileira de Otorrinolaringologia, 72, 634-638.
[11] Spallaccia, F., Rivaroli, A. and Cascone, P. (2000) Temporomandibular joint arthrocentesis: Long-term results. Bull Group Int Rech Sci Stomatol Odontol; Belgium, 42, 31-37.
[12] Shoji, Y.N. (1995) Nonsurgical treatment of anterior disk displacement without reduction for the temporomandibular joint: A case report on the relationship between condylar rotation and translation. The Journal of Craniomandibular Practice, 13, 270-273.
[13] Farrar, W.B. and McCarty, W.L. (1982) A clinical outline of temporomandibular joint diagnosis and treatment. Normandie Publications, Montgomery.

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.