{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:41:41Z","timestamp":1786653701717,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Chronic protracted mandibular dislocation (CPMD) in elderly patients poses unique treatment challenges due to age-related anatomical changes. This report details the successful management of bilateral CPMD in a geriatric patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Report:<\/jats:title>\n                    <jats:p>A 69-year-old female presented with a 3-month history of inability to close her mouth following bilateral TMJ dislocation. Examination and imaging revealed thinning of the glenoid fossa and zygomatic root, along with pneumatization. Previous forceful reductions under general anesthesia had failed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention:<\/jats:title>\n                    <jats:p>A custom titanium modified bent L miniplate was surgically placed to act as a mechanical stop, preventing excessive anterior condylar translation while preserving hinge movement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes:<\/jats:title>\n                    <jats:p>At follow-up, the patient reported no further dislocations, significant pain reduction, and improved mastication and speech. Postoperative mouth opening increased from 12 mm to 34 mm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The custom miniplate technique offers a promising solution for managing chronic TMJ dislocations in elderly patients with compromised bone quality, providing mechanical stability without intra-articular intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijdr.ijdr_131_25","type":"journal-article","created":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T06:00:07Z","timestamp":1752645607000},"page":"240-242","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Surgical Management of Permanent Bilateral Temporomandibular Joint Dislocation\u2014A Case Report"],"prefix":"10.4103","volume":"36","author":[{"given":"S. M.","family":"Balaji","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Balaji Dental and Craniofacial Hospital, Teynampet, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Preetha","family":"Balaji","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Balaji Dental and Craniofacial Hospital, Teynampet, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachin","family":"Nishanth","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Balaji Dental and Craniofacial Hospital, Teynampet, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,15]]},"reference":[{"key":"R1-20251006","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1007\/s00784-020-03710-w","article-title":"Prevalence of temporomandibular joint disorders:A systematic review and meta-analysis","volume":"25","author":"Valesan","year":"2021","journal-title":"Clin Oral Investig"},{"key":"R2-20251006","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s10006-019-00746-5","article-title":"Surgical management of recurrent TMJ dislocation-A systematic review","volume":"23","author":"Tocaciu","year":"2019","journal-title":"Oral Maxillofac Surg"},{"key":"R3-20251006","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1186\/s12903-024-04925-z","article-title":"The experience of chronic protracted mandibular dislocation treatment:Manual vs. surgical reduction","volume":"24","author":"Zou","year":"2024","journal-title":"BMC Oral Health"},{"key":"R4-20251006","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1007\/s10006-008-0097-5","article-title":"Surgical treatment of chronic temporomandibular joint dislocation:A case report","volume":"12","author":"Guarda-Nardini","year":"2008","journal-title":"Oral Maxillofac Surg"},{"key":"R5-20251006","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.ajoms.2020.07.003","article-title":"A newly designed condylar block plate for treatment of recurrent temporomandibular joint dislocation","volume":"33","author":"Osman","year":"2020","journal-title":"J Oral Maxillofac Surg Med Pathol"},{"key":"R6-20251006","doi-asserted-by":"crossref","first-page":"455","DOI":"10.4103\/ijdr.IJDR_493_18","article-title":"Surgical management of chronic temporomandibular joint dislocations","volume":"29","author":"Balaji","year":"2018","journal-title":"Indian J Dent Res"},{"key":"R7-20251006","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.1016\/j.ijom.2011.04.019","article-title":"Treatment of chronic mandibular dislocations using a new miniplate","volume":"40","author":"Cavalcanti","year":"2011","journal-title":"Int J Oral Maxillofac Surg"},{"key":"R8-20251006","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1055\/s-0037-1601862","article-title":"Delayed management of unrecognized bilateral temporomandibular joint dislocation:A case report","volume":"11","author":"Chin","year":"2018","journal-title":"Craniomaxillofacial Trauma Reconstr"},{"key":"R9-20251006","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.jcms.2003.09.010","article-title":"Treatment of chronic mandibular dislocations by bone plates:Two case reports","volume":"32","author":"Bakardjiev","year":"2004","journal-title":"J Craniomaxillofac Surg"}],"container-title":["Indian Journal of Dental Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijdr.ijdr_131_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:41:11Z","timestamp":1786650071000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijdr.ijdr_131_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ijdr.ijdr_131_25","relation":{},"ISSN":["0970-9290","1998-3603"],"issn-type":[{"value":"0970-9290","type":"print"},{"value":"1998-3603","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2025-02-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}