Abstract: When normal functioning of the temporomandibular joint is disrupted by a trauma, a pathological process, or excessive intraarticular pressure, perforations of the disc may occur. Surgery, repositional appliances or splints and using the patient`s adaptive response are the main choices of treatment. The patient`s age, general health and the extent of discomfort are the main factors in selecting the treatment. Since surgery is a relatively aggressive procedure, other treatment procedures should be attempted first. In this case report, presented a conservative application and the outcome of treatment.