Dislocated jaw: how to fix
Dislocated jaws often occurs in everyday life. Affected by this pathology, only the lower jaw. Occurs pathology in trauma, a wide opening of mouth while yawning, talking, eating, bad habits, diseases of the body when a violation of congruence joint acts as a single symptom. At the core of the temporomandibular joint (TMJ) is the displacement of the lower jaw head relative to the fossa of the temporal bone frequently forward, at least sideways or backwards. Reduction of dislocation of deals dentist orthopedic traumatologist. Independently conduct manipulation is not recommended as it may exacerbate the clinical picture in the oral cavity.
There are reasons when a traumatic dislocation of the jaw and other way effects. Trauma can be inflicted from the outside or carried out independently in the process of life. The physical factors from the outside are: bruises, blows to the mandible or as a result of the fall. The man himself may contribute to the pathology of TMJ with jurisdiction corresponding to this lifestyle. This is possible when simultaneously a sharp and strong movement of the jaw while eating, especially solid consistency. Yawning and a strong opening your mouth when talking also promotes the development of pathology.
Have an impact and bad habits. It is celebrated in the predisposition to the attachment of bulky items in the mouth or opening of the teeth of the housing, the disclosure of nuts. Increased chewing stress on the muscles that hold the joint in the required ratio likely contributes to the development of pain in the muscles and contribute to the dislocation of the jaw.
Sometimes the presence of a dislocation of the jaw indicates a somatic illness of the body when the conditions for pre-relaxation of the ligaments of the apparatus, fixing the joint.
It is observed in the following diseases:
- Diabetes mellitus;
- Osteoarthritis, rheumatism and gout of the joints;
- Osteomyelitis of the mandible
- Diseases of the nervous system: encephalitis, epilepsy;
There is a large presence of dislocation of the mandible in females. It occurs on the background of joint anatomy: fossa in the temporal bone is not deep and therefore with much putting pressure with a high likelihood of imbalance. Are indicated by dislocations in the elderly. People of pre — retirement age periods are usually weakened muscles that hold the joint. Because excessive tension in the mouth contributes to the development of dislocation.
Systematization of dislocations is in the parameters: the position of the lower jaw head relative to the glenoid cavity degree of displacement, frequency of occurrence, the severity of the lesion. It is necessary to record the patient’s violation of the ratio of both sides of TMJ. Types of sprains in the lower jaw, in the ratio of head position of the mandible and the glenoid fossa:
- Back: move backward;
- Front: a common variant of the disease. Location head front;
- Side: output side.
According to the degree of movement of the surfaces relative to each other:
- Complete dislocation: no contact;
- Subluxation of the jaw: a local violation of congruency.
To receive the pathology in the joint in the form of dislocation may be one time only, or repeatedly. The primary appearance is usually due to an injury. If reposition of the jaw within 1 to several weeks was not met, then diagnosed a chronic sprain.
After reposition most often there is a predisposition to recurrence of the dislocation. This is especially true in the presence of the anatomical features of the structure of the joint: shallow depth of holes and mismatched her head size.
Yawning or considerable opening of the mouth contribute to the rapid exit of the head from the pit. As a result, the dislocation becomes a regular phenomenon in daily life and can sometimes occur multiple times a day. Sometimes, dislocation of the jaw favors the extraction (removal) of the tooth.
The severity of the injury is assessed by the amount of violation of the joints and tissues. When you exit just head from the cavity of the pits talking about mild pathology. If the background of the violation of the congruency of the component parts of TMJ torn ligament or muscle holding the joint, note the heavy degree of defeat. At the reception it is also necessary to assess the condition of the TMJ on both sides. In pathology on the one hand, the dislocation is considered to be one-sided (right or left). Log for the two sides said the present bilateral dislocation of the mandible.
The patient’s symptoms
Not always immediately clear that a man had dislocated the jaw. The patient may feel discomfort, pain, the external signs of disease will not be diagnosed. Maybe another situation: the pain strongly pronounced asymmetry of the face. The face will be twisted in the opposite direction from the lesion side.
Each offset is characterized by the presence of its features, but despite this, there are also common symptoms. Symptoms of a sprain: pain with the desire to move the lower jaw, limitation of movement in all directions, increased salivation. Hypersalivation occurs in the background of the fact that creates difficulty for swallowing in time and in full, of saliva. Process difficult enough that the background restriction of mobility, but also cause soreness.
Bilateral dislocation of the mandible anteriorly are typical symptomatic manifestations:
- The opening of the mouth for a long time: the upper and lower jaw is not possible to close;
- Region of the cerebral skull in the ears sore, marked swelling;
- Speech becomes slurred.
If the dislocation occurs on the one hand, such signs are recorded only in the site of pathology, while the mouth can partially cover.
Bilateral dislocation with fixation of the head posteriorly relative to the fossa is characterized by the following features:
- The mouth is closed, access is not possible;
- When raising the lips and the doctor’s evaluation of the occlusion (occlusion) is not moving the lower jaw relative to the upper posterior;
- It patient difficult to understand;
- When the location of the patient’s body horizontally to the floor, there are attacks of suffocation;
- Pain and swelling in the ears: swelling of tissue, often under the ears appear over time.
In unilateral lesions the symptoms are the same, the mouth is partially open, there is a chiasm in occlusion.
Dislocation of the jaw side type is characterized by:
- Facial asymmetry to the right or to the left;
- Pain and swelling in the affected area;
- Unintelligible speech.
Subluxation of the mandible, in light of the fact that the partial contact of the articular surfaces remain not so rich as the severity of the symptoms. The patient noted pain, limitation of jaw movement, clicking in the joint when making chewing movements or conversation, felt in the region of the TMJ. All subluxations, with the exception of the front on both sides, characterized by the presence of the ability to close the mouth. If attempts to reduce the jaw alone is not in harmony, then quickly there is increase salivation, especially when nervous stress.
Question on how to straighten the jaw should be resolved only by a physician based on clinical examination and x-rays. The affected jaw treatment is based on returning the starting position of the head in the articular cavity, reducing the symptomatic manifestations. To perform have the skills trained dentist or trauma.
Because by itself, the dislocation causes pain in a patient, before carrying out the intervention need to supply pain relief. Often fix local anesthesia. Less often, the ineffectiveness of local anesthesia or a number of diseases and conditions of the body used General anesthesia.
Method Of Hippocrates
Perform techniques in anterior dislocation:
- Washing hands with doctor, donning PPE (gloves, mask, goggles, cap);
- Wrapping large fingers of both hands the fabric of the dense material: towel, several layers of bandage or gauze;
- The patient is on the chair in front relative to face upravlyayuschego;
- Upravlaushiy captures your thumbs on the occlusal side of the molar, the remaining on the skin of the lower jaw from below;
- Smooth pressure on the molars and the skin upwards relative to the chin will relax the chewing muscles;
- The moving jaw up and back: measure the correct position of the head in the cavity of the joint is the occurrence of clicking, no pain and relaxed interdigitation;
- Simultaneously with the establishment of important to quickly shift your thumbs to the buccal mucosa.
After the jaw doesn’t need further to reduce a, the doctor places a sling bandage for 7-10 days. During the period from 2 weeks to 1 month is recommended to limit the food and verbal load. With the aim of preventing recurrent dislocation, you cannot open your mouth wide to eat solid food. It is recommended to avoid any stress on the jaw and injuries.
Method Of Brahmana-Gertrude
To straighten the jaw in two ways: from inside and outside. When the working procedure inside the oral cavity the doctor should test the offset of the coronoid processes of the mandible and to squeeze them down and back. The completion of manual movement of the joint is set to the starting position, corresponding to the norm.
When access to the successor of the position of the joint on the outside, the doctor reveals the coronal appendages located near the zygomatic arch and jaw.
Then presses down and backwards. The head of the mandible is set in place. Method of reposition is carried out quickly. Against the background of its ease of execution it can be recommended to use at home, especially when there is habitual dislocation of the jaw.
The Way Popescu
The execution technique is performed in the presence of an old lesion of the joint, or when other manipulations revealed an insignificant result. Perform anesthesia: local anesthesia or General anesthesia, in relation to the level of severity of the injury and the condition of the body. The position of the body Palena horizontal, mouth area teeth mounted rollers made of bandage, with a minimum thickness of 1.5 cm. the Doctor presses on the chin up and back. With proper implementation techniques it is noted clicking in the joint.
Not always this technique could help eliminate the pathology in the joint. In this case, surgical intervention is necessary. After the manipulation of appointed physiotherapy and the establishment in the mouth special removable structures.
The use of orthopedic constructions
Used tyre fixed or removable types in situations of repetitive sprains. This is habitual subluxation and dislocations. More common acquired design removable type: camera, Sound, petrosova, Pomaranchevy-Urban and other. The main objective of the design does not allow to open the mouth widely when speaking and eating.
Usually the treatment of the dislocation is performed without difficulty, and repositioning is implemented in a fairly short period of time. Occasionally there may be a restriction of movement in the joint and pain. In the absence of intervention in the situation of dislocation of the TMJ may develop over time, inflammatory and degenerative processes in the joint.