Mandibular dislocation
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 often find that it dislocates again when I yawn.
After going to the hospital to have it realigned several times, I feel that the symptoms are becoming increasingly severe.
At first, when it dislocated, my bite was not painful, but after dislocating multiple times, it now hurts whenever it dislocates.
Although I can open and close my mouth without issues, I sometimes feel discomfort while chewing, as if it might dislocate again at any moment.
This problem has been seriously bothering me for several years, and I am even afraid to open my mouth to see a dentist, fearing that my jaw might dislocate during dental treatment.
What should I do? Should I go to the hospital to see a doctor? If so, which specialty should I consult? Is there a way to help it heal?
wing, 20~29 year old female. Ask Date: 2005/10/28
Dr. Lin Qingye reply Dentistry
Hello Miss Wing: 1.
A dislocated jaw can indeed be very troublesome.
When opening your mouth, be sure not to open it too wide or for too long.
2.
When visiting the dentist, please remind the dentist of your condition and consider seeking treatment from a specialist in temporomandibular joint (TMJ) disorders, which should improve your quality of life.
Consultation phone number: (06) 6351131-2208.
Reply Date: 2005/10/28
More Info
Jaw dislocation, also known as temporomandibular joint (TMJ) dislocation, can be a frustrating and painful condition. It occurs when the lower jaw (mandible) becomes displaced from its normal position in the joint that connects it to the skull. This can happen due to various reasons, including trauma, excessive yawning, or even grinding your teeth.
Causes of Jaw Dislocation
1. Trauma: A direct blow to the jaw or face can lead to dislocation.
2. Excessive Yawning or Chewing: Opening your mouth too wide can cause the jaw to slip out of place.
3. TMJ Disorders: Conditions affecting the temporomandibular joint can predispose individuals to dislocations.
4. Genetic Factors: Some people may have a predisposition to joint issues, making dislocation more likely.
Symptoms
The symptoms of jaw dislocation can vary but often include:
- Pain: Dislocation can cause significant pain in the jaw, face, or neck.
- Inability to Close the Mouth: When the jaw is dislocated, it may be difficult or impossible to close your mouth completely.
- Clicking or Popping Sounds: You may hear sounds when moving your jaw.
- Swelling: The area around the jaw may become swollen.
- Difficulty Chewing: Eating can become uncomfortable or painful.
Treatment Options
1. Reduction: The first step in treating a dislocated jaw is to reposition it back into place, a process known as reduction. This is typically done by a healthcare professional.
2. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation.
3. Physical Therapy: Once the jaw is back in place, physical therapy may be recommended to strengthen the muscles around the jaw and improve range of motion.
4. Avoiding Certain Movements: Patients are often advised to avoid wide yawning, chewing gum, or eating hard foods that could exacerbate the condition.
5. Surgery: In cases of recurrent dislocation or severe TMJ disorders, surgical intervention may be necessary to stabilize the joint.
When to See a Doctor
Given your history of recurrent jaw dislocation and the increasing severity of your symptoms, it is important to seek medical attention. You should consult with a healthcare provider who specializes in TMJ disorders or an oral and maxillofacial surgeon. They can assess your condition and recommend appropriate treatment options.
Preventive Measures
To prevent further dislocations, consider the following:
- Jaw Exercises: Gentle stretching and strengthening exercises can help stabilize the jaw.
- Avoiding Stress: Stress can lead to teeth grinding, which may contribute to dislocation.
- Using a Mouthguard: If you grind your teeth at night, a mouthguard can protect your jaw from excessive force.
Conclusion
Your situation is concerning, especially since you have experienced multiple dislocations and increasing pain. It is crucial to address this issue with a qualified healthcare professional who can provide a thorough evaluation and develop a tailored treatment plan. Early intervention can help prevent further complications and improve your quality of life. Don't hesitate to seek help; managing jaw dislocation effectively can lead to significant relief and restore your ability to eat and speak comfortably.
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