OS, a 65-year-old female trader presented\nwith a one year history of clicking sounds in the right\ntemporomandibular joint area on mastication. There\nwas no history of trauma, pain, swelling or any other\nsymptoms. Background medical history revealed that\nshe was a known hypertensive on medications. On\nexamination, it was discovered that the patient had\nbilateral TMJ clicking sounds on mandibular excursion.\nThere were no areas of swelling/depression or\ntenderness. Plain X-ray (TMJ views) showed anterior\ndislocation of the right mandibular condyle on opening.\nA diagnosis of chronic recurrent right TMJ dislocation\nwas made. She was treated with intraarticular injection\nof triamsinolone 40mg weekly for six weeks alongside\nphysiotherapy. There was improvement of symptoms\nand she did not present for follow up or with\nreoccurrence.
OO was a 40-year-old female fashion\ndesigner who presented with a 1 day history of inability\nto close her mouth following a fall during an epileptic\nfit during which she hit her face on the floor. This was\nthe seventh episode, the first episode having occurred\n13 years prior to presentation. She is known epileptic\nof twenty eight years on Epanutin and Phenobarbitone.\nOn examination, patient had obvious facial asymmetry,\nwith flattening of the left side of the face, elongation\nof the face and a depressed hollow in the preauricular\nareas bilaterally. There was also enamel fracture of 11.\nDiagnosis made was that of bilateral anterior TMJ\ndislocation. The dislocation was successfully treated\nusing the Hippocrates manouvre. No complication\nwas recorded.