**Figure 6.**

*a. A diagram showing design of Kummoona fascial temporal flap inferiorly based for reconstruction of lateral and anterior walls of the capsule of TMJ and site of ostectomy anterior to articular eminence of the joint. b. diagram showing temporal fascial flap rotated and used for reconstruction of the capsule and bone graft impacted in the site of ostectomy. c. photo showing temporal fascial flap mobilized to reconstruct the capsule. d. CT scan showing dislocation of the condyle. e. CT scan showing bone graft anterior to articular eminence and working as obstacle for forward movement of the condyle.*

raising appliance at night. The night bite appliance was very unsuccessful method for management of TMJ dysfunction. Correction of occlusion by orthodontic treatment should be done before construction of the bite raising appliance or at the same time.

The patient should be advised not to chew hard food or gum, to avoid yawning, and not to open their mouth more than.

We prescribe an anti-inflammatory medication and muscle relaxant to relieve muscle spasm and pain in the joint for one week.

Botulinum toxin A (Botox-A) has been used to relieve the hyperactivity of lower fibers of the lateral pterygoid muscle. It has shown some efficacy in clinical studies involving female patients. We do not recommend blood injection to the joint because it can cause damage to the cartilaginous part of the TMJ (**Figures 1**–**7**).

*Surgical Reconstruction of the Temporomandibular Joint DOI: http://dx.doi.org/10.5772/intechopen.108713*

#### **Figure 7.**

*a. Young woman with acute dislocation of the condyle. b. X-ray OPG showing dislocation of the condyle. c. photograph showing normal face after immediate reduction of dislocated condyle by Kummoona manual technique. d. X-ray OPG showing the condyle in the glenoid fossa after reduction.*
