The narrowness of the temporomandibular joint (TMJ) can cause difficul
ty in open reduction and fixation of condylar fracture. The authors de
signed a silicone block that acts as a fulcrum to create more space ar
ound the TMJ. The block is made of high-quality silicone that is firm,
elastic, nontoxic, autoclave tolerant, and harmless to dental tissue.
This block has been used successfully in facilitating reduction and f
ixation of condylar fractures in 27 patients, and for releasing spasti
c muscles during closed reduction in 2 patients with prolonged TMJ dis
location, In edentulous patients, the silicone molar block can be used
as a mouth opener to facilitate most intraoral procedures without inj
ury to the gum.