Subluxation [2] of the temporomandibular joint may be defined as that condition of derangement of the joint short of disIocation and unassociated with organic disease, aIthough it may occasionaIIy be due to an extra-articuIar factor. The aetioIogica1 factors of subIuxation are stiI1 IargeIy a matter of conjecture. In many instances there is no apparent causative factor; in a second group there may appear to be a questionabIe one; and in a third group a delinite injury, with continuity of compIaint from injury to diagnosis, appears to be the factor. In the second group we may pIace patients who date their troubIe from a proIonged dental treatment, a tonsillar operation or from a change in their occIusion. CIinicaIIy, the commonest first compIaint is cIicking or snapping in the region of the affected joint. The next compIaint in point of frequency is that of pain or aching about the joint. These two are folIowed by a story of locking, restricted mandibuIar movement and, very rareIy, true disIocation inthat order of frequency. We11 over haIf of the patients who come for treatment are femaIes. The average age of both femaIes and maIes in my records is twentyseven. It wouId appear that this disease is one of young females. This in itself raises an interesting point. If, as a11 writers [r,3,6,8,9] on the subject agree, the Iesion is a very common one, what happens to it as the years advance? Does it cure itseIf? Is it a serf-Iimiting disease? It is obvious that we do not know the fuI1 story of subIuxation of the temporomandibuIar joint. In those patients in whom cIicking or snapping is the onIy compIaint a very carefu1 attempt should be made to assess accurately the severity of their cIinica1 condition. UnIess the trouble is too distressing to the patients or their immediate reIatives, it would seem wise to postpone surgica1 intervention. Many of these patients may be reIieved of their compIaint by adjustment of their occIusion. They are therefore referred to their dentists. If the compIaint is of considerabIe severity, if movement is restricted or abnorma1, or if there is a story of locking, then operative treatment is indicated. Examination in this Iatter group usually reveals Iimitation of opening of the mouth; the presence of mandibuIar deviation, generaIIy to the affected side, on opening the mouth; reIative fixation of the mandibuIar head on the abnormal side; tenderness over the joint, and, rareIy, crepitus on auscultation over the joint. Radiological examination shouId incIude both joints, stereoscopic films being taken with the mouth open and with the mouth closed. It has not proved necessary to take pIanigrams on every patient, but in some cases they have proved of definite vaIue. StimuIated by Norgaard’s [IO] work we took a series of arthrograms of the temporomandibular joint in patients suffering from subIuxation. However, because of the diffrcuIty of injection, discomfort to the patient and troubIe with interpretation of the resuhing fiIms we have Iong since discontinued use of this diagnostic technic. In studying fiIms, the range of motion of the head of the mandibIe on each side is compared, as we11 as the comparative position in the joint. The most wideIy advocated sur&caI treatment of subIuxation of the temporomandibuIar joint is excision of the intra-articuIar disc [7]. WhiIe it is undoubtedIy true that the earIy resuIts are very satisfactory, very IittIe, if anything, is known of the Iate resuIts. RemovaI of the meniscus obviousIy must Iessen the