Prague Med. Rep. 2026, 127, 55-63
https://doi.org/10.14712/23362936.2026.10
Mandibular Dislocation in a Patient Diagnosed with Bell’s Palsy: A Case Report and Literature Review
Brender Leonan-Silva1
, João Pedro Lemos Silva da Costa2, Matheus Raniery Nunes do Carmo2, Rafael Alvim Magesty1, Haroldo Neves de Paiva2, Olga Dumont Flecha1
, João Pedro Lemos Silva da Costa2, Matheus Raniery Nunes do Carmo2, Rafael Alvim Magesty1, Haroldo Neves de Paiva2, Olga Dumont Flecha1
1Postgraduate Program in Dentistry, Federal University dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brazil
2Department of Dentistry, Federal University dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brazil
Received January 13, 2025
Accepted February 26, 2026
References
1. , T. A., Tannure, P. N., Dip, E. C., Uemoto, L., Barcelos, R., Gouvêa, C. V. D. (2012) Bell’s palsy and temporomandibular disorder association: Clinical treatment. RFO UPF 17(2), 222–227.
2. Almeida, A. M., Fonseca, J., Félix, S. (2016) Dor Orofacial e Disfunções Temporomandibulares: Tratamento Farmacológico, 1st Edition. Sociedade Portuguesa de Disfunção Temporomandibular e Dor Orofacial, Porto.
3. , E. A., Farea, R., Qasem, K. A., Al-Wadeai, M. S., Al-Sabahi, M. E., Al-Iryani, G. M. (2020) Effectiveness of occlusal splint therapy in the management of temporomandibular disorders: Network meta-analysis of randomized controlled trials. Int. J. Oral Maxillofac. Surg. 49(8), 1042–1056.
<https://doi.org/10.1016/j.ijom.2020.01.004>
4. , M. A., Alsufyani, N. A., Saltaji, H., Jaremko, J. L., Major, P. W. (2016) MRI and CBCT image registration of temporomandibular joint: A systematic review. J. Otolaryngol. Head Neck Surg. 45(1), 30.
<https://doi.org/10.1186/s40463-016-0144-4>
5. , F. B., Andrade, F. C. D. (2021) Socioeconomic inequalities related to dental care needs among adolescents and adults living in the state of Minas Gerais, Brazil. Cad. Saude Colet. 29(3), 322–329.
<https://doi.org/10.1590/1414-462x202129030186>
6. , A. S. K., Ono, M. C. C., Maluf Junior, I., Lopes, M. C., Gus, I. O., Cruz, G. A. O. (2012) Paralisia facial periférica idiopática como fator predisponente para luxação de articulação temporomandibular: Relato de caso. Arquivos Catarinenses de Medicina 41(1), 33–35.
7. , Y., Yildiz, S., Gokce, E., Tumer, M. K., Ege, B. (2023) Does temporomandibular joint magnetic resonance imaging diagnosis support clinical examination diagnosis following diagnostic criteria for temporomandibular disorders? J. Oral Maxillofac. Surg. 81(7), 813–819.
<https://doi.org/10.1016/j.joms.2023.03.007>
8. , R. F., Basura, G. J., Ishii, L. E., Schwartz, S. R., Drumheller, C. M., Burkholder, R., Deckard, N. A., Dawson, C., Driscoll, C., Gillespie, M. B., Gurgel, R. K., Halperin, J., Khalid, A. N., Kumar, K. A., Micco, A., Munsell, D., Rosenbaum, S., Vaughan, W. (2013) Clinical practice guideline: Bell’s palsy. Otolaryngol. Head Neck Surg. 149(3 Suppl.), S1–S27.
9. , I. F. A., Glória, J. C. R., Gonçalves, P. F., Oliveira, D. W. D., Flecha, O. D. (2021) Uso de Front Plateau inferior no diagnóstico diferencial em DTM – Relato de caso. Full Dent. Sci. 12(48), 64–67.
10. , A. G. (2017) Território e acesso: Questões sobre as políticas de saúde brasileiras. Avances en Psicología Latinoamericana 35(2), 339–349.
<https://doi.org/10.12804/revistas.urosario.edu.co/apl/a.4194>
11. , A. B., Vasconcelos, B. C., Oliveira, D. M. (2005) Comparative study of eminectomy and use of bone miniplate in the articular eminence for the treatment of recurrent temporomandibular joint dislocation. Braz. J. Otorhinolaryngol. 71(1), 32–37.
<https://doi.org/10.1016/S1808-8694(15)31282-9>
12. Cecílio, J. S. (2019) Quais métodos de tratamento de disfunção temporomandibular são utilizados na prática clínica? Dissertação, Universidade Federal do Rio Grande do Norte.
13. , N. H. Y., Ip, C. K., Li, D. T. S., Leung, Y. Y. (2022) Diagnosis and treatment of myogenous temporomandibular disorders: A clinical update. Diagnostics (Basel) 12(12), 2914.
<https://doi.org/10.3390/diagnostics12122914>
14. , C. D., Valesan, L. F., Nascimento, L. P. D., Denardin, A. C. S., Januzzi, E., Fernandes, G., Stuginski-Barbosa, J., Mendes de Souza, B. D. M. (2024) Risk factors for temporomandibular disorders: A systematic review of cohort studies. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. 138(4), 502–515.
<https://doi.org/10.1016/j.oooo.2024.06.007>
15. , S. C., Kotrashetti, S. M., Halli, R., Baliga, S. (2006) Bilateral vertical-oblique osteotomy of ramus (external approach) for treatment of a long-standing dislocation of the temporomandibular joint: A case report. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 101(6), e79–e82.
<https://doi.org/10.1016/j.tripleo.2005.10.046>
16. de Leeuw, R., Klasser, G. D. (2018) Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management. Quintessence Publishing, New Malden.
17. , G. S., Bhowate, R. R. (2022) Cone-beam computed tomography for temporomandibular joint imaging. Cureus 14(11), e31515.
18. , L. A., Grossmann, E., Januzzi, E., de Paula, M. V., Carvalho, A. C. (2016) Diagnosis of temporomandibular joint disorders: Indication of imaging exams. Braz. J. Otorhinolaryngol. 82(3), 341–352.
<https://doi.org/10.1016/j.bjorl.2015.06.010>
19. , J. J., Kienle, G., Altman, D. G., Moher, D., Sox, H., Riley, D.; CARE Group (2013) The CARE guidelines: Consensus-based clinical case reporting guideline development. Headache 53(10), 1541–1547.
<https://doi.org/10.1111/head.12246>
20. , G. R., Souza, N. A., Santos, Y. N., Gonçalves, P. F., Oliveira, D. W. D., Flecha, O. D. (2018) Uso temporário do Front Plateau em disfunção temporomandibular – Relato de caso. Full Dent. Sci. 10(38), 86–89.
<https://doi.org/10.24077/2019;1038-8689>
21. Hillam, J., Isom, B. (2023) Mandible Dislocation. StatPearls (Internet), StatPearls Publishing, Treasure Island.
22. , N. J., Bernstein, J. M. (2014) Bell’s palsy. BMJ Clin. Evid. 2014, 1204.
23. , I. Y., Chen, C. M., Kao, Y. H., Chen, C. M., Wu, C. W. (2011) Management of long-standing mandibular dislocation. Int. J. Oral Maxillofac. Surg. 40(8), 810–814.
<https://doi.org/10.1016/j.ijom.2011.02.031>
24. Hungria, H. (2000) Otorrinolaringologia. Guanabara Koogan, Rio de Janeiro.
25. , B., de Souza Teodoro Junior, R., de Paula, B. M., Ribeiro, M. C. L., Colombecky, M., Meireles, M. R., Santana, I. C., de Oliveira, S. S., de Almeida e Silva, L. D., Flecha, O. D. (2025) The use of Front Plateau in the treatment of temporomandibular disorders: A case series and literature review. Prague Med. Rep. 126(1), 17–25.
<https://doi.org/10.14712/23362936.2025.3>
26. , A., Perez, D. E. (2015) Temporomandibular joint dislocation. Oral Maxillofac. Surg. Clin. North Am. 27(1), 125–136.
<https://doi.org/10.1016/j.coms.2014.09.009>
27. , T., Jensen, R. H. (2017) Temporomandibular disorders: Old ideas and new concepts. Cephalalgia 37(7), 692–704.
<https://doi.org/10.1177/0333102416686302>
28. , P., Małgorzata, K. M., Karolina, C., Gala, A. (2020) Diagnostic of temporomandibular disorders and other facial pain conditions – Narrative review and personal experience. Medicina (Kaunas) 56(9), 472.
<https://doi.org/10.3390/medicina56090472>
29. , C., Zhu, S. S., Chen, S., Jiang, L., Hu, J. (2011) Dislocation of the intact mandibular condyle into the middle cranial fossa: A case report. Int. J. Oral Maxillofac. Surg. 40(1), 118–120.
<https://doi.org/10.1016/j.ijom.2010.02.028>
30. , W. D., Ribas, M. de O., Bisinelli, J., França, B. H., Martins, G. (2014) Recurrent dislocation of the temporomandibular joint: A literature review and two case reports treated with eminectomy. Cranio 32(2), 110–117.
<https://doi.org/10.1179/0886963413Z.00000000017>
31. , M., Meeder-Bella, W., Videla-Jiménez, P. J., González-Arriagada, W. A. (2019) Assessment of association between muscular diagnosis in temporomandibular disorders with mandibular kinematics. Cranio 37(6), 365–373.
<https://doi.org/10.1080/08869634.2018.1465513>
32. , M. O., Mazzetto, M. O., Magri, L. V. (2019) Relation of painful TMD with the speech function: What are the possible characteristics of mandibular movements and the main symptoms reported? Codas 32(2), e20180161.
<https://doi.org/10.1590/2317-1782/20182018161>
33. Okeson, J. (2013) Tratamento das Desordens Temporomandibulares e Oclusão, 7th Edition. Elsevier, São Paulo.
34. Okeson, J. (2019) Management of Temporomandibular Disorders and Occlusion, 8th Edition. Elsevier, São Paulo.
35. , K. I., Greene, C. S. (2013) Diagnosis and treatment of temporomandibular disorders: An ethical analysis of current practices. J. Oral Rehabil. 40(7), 546–561.
<https://doi.org/10.1111/joor.12067>
36. , A. P. N., Granda, A. M. F., Campos, M. I. C. (2009) Correlação entre paralisia facial e desordem temporomandibular: Caso clínico. Rev. Odontol. UNESP 38(2), 123–127.
37. , I. A., Nogueira, L. M., de Almeida Milani, B., de Matos, F. P. (2022) A rare case of recurrent temporomandibular joint dislocation associated with pneumatised articular eminence. Surgical treatment by eminoplasty with miniplates. J. Maxillofac. Oral Surg. 21(2), 684–687.
<https://doi.org/10.1007/s12663-022-01701-w>
38. , F. C., Silva, A. P., Santos, R. K. S., Andrade, C. R. F. (2018) Oral motor rehabilitation for temporomandibular joint disorders: A systematic review. Audiol. Commun. Res. 23, e1871.
<https://doi.org/10.1590/2317-6431-2017-1871>
39. , E., Ohrbach, R., Truelove, E., Look, J., Anderson, G., Goulet, J. P., List, T., Svensson, P., Gonzalez, Y., Lobbezoo, F., Michelotti, A., Brooks, S. L., Ceusters, W., Drangsholt, M., Ettlin, D., Gaul, C., Goldberg, L. J., Haythornthwaite, J. A., Hollender, L., Jensen, R., John, M. T., De Laat, A., de Leeuw, R., Maixner, W., van der Meulen, M., Murray, G. M., Nixdorf, D. R., Palla, S., Petersson, A., Pionchon, P., Smith, B., Visscher, C. M., Zakrzewska, J., Dworkin, S. F.; International RDC/TMD Consortium Network; International Association for Dental Research; Orofacial Pain Special Interest Group; International Association for the Study of Pain (2014) Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for clinical and research applications: Recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J. Oral Facial Pain Headache 28(1), 6–27.
<https://doi.org/10.11607/jop.1151>
40. , D., Khasgiwala, A., Maheshwari, B., Singh, C., Shakya, N. (2017) Superolateral dislocation of an intact mandibular condyle into the temporal fossa: Case report and literature review. Dent. Traumatol. 33(1), 64–70.
<https://doi.org/10.1111/edt.12282>
41. , N. K., Singh, A. K., Pandey, A., Verma, V., Singh, S. (2015) Temporomandibular joint dislocation. Natl. J. Maxillofac. Surg. 6(1), 16–20.
42. , O. S., Silva, F. C. S., Almeida, C. E. N., Tuji, F. M., Seraidarian, P. I., Manzi, F. R. (2014) Use of CT for diagnosing temporomandibular joint. Rev. CEFAC 16(6), 2053–2059.
<https://doi.org/10.1590/1982-0216201418013>
43. , C. A. S. C., da Silva, M. A. M., Magesty, R. A., Falci, S. G. M., Douglas-de-Oliveira, D. W., Gonçalves, P. F., Flecha, O. D. (2023) Counselling treatment versus counselling associated with jaw exercises in patients with disc displacement with reduction – A single-blinded, randomized, controlled clinical trial. BMC Oral Health 23(1), 389.
<https://doi.org/10.1186/s12903-023-03096-7>
44. , D., Lenghel, L. M., Bolog, N., Hedesiu, M., Buduru, S., Rotar, H., Baciut, M., Baciut, G. (2018) Imaging modalities for temporomandibular joint disorders: An update. Clujul Med. 91(3), 280–287.
45. , B. C., Porto, G. G., Lima, F. T. (2009) Treatment of chronic mandibular dislocations using miniplates: Follow-up of 8 cases and literature review. Int. J. Oral Maxillofac. Surg. 38(9), 933–936.
<https://doi.org/10.1016/j.ijom.2009.04.013>
46. , B. C. E., Nogueira, P. T. B. C., Moreira, R. T., Dias Silva, T. C., Pajeú, W. O. (2014) Conduta em luxação condilar anterior prolongada: Relato de caso. Rev. Bras. Odontol. 14(2), 75–80.
47. , J. P. H., Boering, G., Blankestijn, J. (1986) Protracted dislocation of the temporomandibular joint. Int. J. Oral Maxillofac. Surg. 15(1), 380–388.
<https://doi.org/10.1016/S0300-9785(86)80025-4>
