Abstract
Dislocation of the temporomandibular joint is not an uncommon condition. It may be unilateral or bilateral and can be acute, recurrent and rarely chronic. The pathogenesis of chronic dislocation is diverse. Manual reduction may be difficult to reduce after certain period because of fibrosis. Surgical reduction is than indicated. This paper reports a case of chronic TMJ dislocation in a dentulous patient in which conventional manual reduction with local anaesthesia, sedation or general anaesthesia with muscle relaxants failed .Than elastic traction was tried which initially failed . But it was than successfully reduced when elastic traction was applied along with a specialy designed bite plate. Hence, with properly selected chronic cases for elastic traction ; where path of displacement of the condyle is in a favourable path with the resultant force vector retraction path of traction ; this non surgical procedure can be successfully tried for tmj reduction.
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