Temporomandibular luxations present variable aspects, from blocked anterior luxations to those with a tendency for recurrence: luxations associated with condylar fractures from a particular entity, an epiphenomenon within the context of a fracture. Blocked dynamic anterior luxations are rare accidents requiring early reduction, usually possible by employing Nelson's classical manoeuvre under a local anaesthetic. Therapy of recurrent and typical luxations raises more complex therapeutic problems, opposing those conducting early systematic surgery and those performing occlusal re-equilibration. The latter appears to be the most reliable method, surgery being a last resort if properly conducted re-equilibration fails.