Modified wrist pivot method enabling straightforward temporomandibular joint dislocation reduction.

Abstract

Temporomandibular joint (TMJ) dislocation reduction maneuvers can be difficult, even for experienced professionals, as muscle spasms and trismus can impede the process if not addressed promptly and effectively. This technical note presents a modification to the wrist pivot method, making the reduction of mandibular luxation more comfortable and efficient. Gravity assists the reduction, and if it fails, a fulcrum using the thumb wrapped in gauze is introduced, with the second lower molar as support. This technique was successfully tested in eleven cases, all reduced without sedation. The wrist pivot method, known for its efficiency in TMJ reduction, allows for comfortable reductions with minimal force and avoids the need for sedation. This modification simplifies the wrist pivot method, enhances patient comfort, and reduces potential complications and resource usage. It offers a valuable alternative for practitioners, especially where sedation is not an option or resources are limited.