How to Handle Recurrent Jaw Dislocation: When to See a Doctor? - Orthopedics

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What should I do for a dislocated finger?


I would like to ask a question.
I previously dislocated my jaw, and after having it realigned by a chiropractor, it seemed to be fine.
However, I still often hear a clicking sound, and my jaw dislocates again.
After repeating this several times, I feel that the symptoms are becoming more severe.
At first, when it dislocated, there was no pain when I opened and closed my mouth, but after dislocating multiple times, it now hurts whenever my jaw dislocates, even though I can still open and close it without issues.
What should I do about this? Should I go to the hospital to see a doctor? If so, which specialty should I consult?

Xiao Qing, 10~19 year old female. Ask Date: 2005/01/11

Dr. Ye Qingnian reply Orthopedics


Habitual jaw dislocation falls under the category of oral and maxillofacial surgery (dentistry), while orthopedics is less specialized in jaw dislocations.

Reply Date: 2005/01/11

More Info


Recurrent jaw dislocation, also known as temporomandibular joint (TMJ) dislocation, can be a frustrating and painful condition. It is essential to understand the underlying causes and the appropriate steps to take when experiencing this issue. Given your history of recurrent dislocations and the increasing severity of your symptoms, it is advisable to seek medical attention.


Understanding Jaw Dislocation
The temporomandibular joint connects your jawbone to your skull, allowing for movements necessary for chewing, speaking, and other functions. Dislocation occurs when the ball of the joint slips out of its socket, which can happen due to trauma, hypermobility, or even habitual behaviors such as excessive yawning or teeth grinding.

Symptoms and Progression
Initially, you may not experience significant pain or discomfort when your jaw dislocates, but as the dislocations become more frequent, pain can develop. This pain may be due to strain on the muscles and ligaments surrounding the joint, inflammation, or damage to the joint itself. The "clicking" sound you hear is often a sign of joint instability, which can worsen over time if not addressed.


When to See a Doctor
Given that your symptoms are worsening, it is crucial to consult a healthcare professional. You should seek medical attention if you experience:
1. Increased Frequency of Dislocations: If your jaw dislocates more frequently than before, this indicates a worsening condition.

2. Pain During Dislocation: If you begin to feel pain when your jaw dislocates, it is a sign that the joint may be sustaining damage.

3. Difficulty in Repositioning: If you find it increasingly difficult to reposition your jaw or if it requires more force to do so, this is a cause for concern.

4. Swelling or Inflammation: Any swelling around the jaw or difficulty in moving it should prompt a visit to a doctor.


Which Specialist to See
For jaw dislocation, the most appropriate specialist to consult is an oral and maxillofacial surgeon or a dentist specializing in TMJ disorders. These professionals have the expertise to evaluate your condition, provide a proper diagnosis, and recommend treatment options.

Treatment Options
Upon visiting a specialist, they may recommend several treatment options based on the severity of your condition:
1. Physical Therapy: This can help strengthen the muscles around the jaw and improve its stability.

2. Splints or Mouthguards: These devices can help prevent dislocation by stabilizing the jaw and reducing strain on the joint.

3. Medications: Anti-inflammatory medications can help manage pain and swelling.

4. Surgical Options: In severe cases, surgical intervention may be necessary to repair or stabilize the joint.


Conclusion
In summary, recurrent jaw dislocation is a condition that should not be ignored, especially as symptoms worsen. Seeking medical advice from an oral and maxillofacial surgeon or a dentist specializing in TMJ disorders is crucial for proper diagnosis and treatment. Early intervention can help prevent further complications and improve your quality of life. Remember, it is always better to address these issues sooner rather than later to avoid more severe problems down the line.

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