Jaw Locking: When to See an Orthopedic Specialist - Orthopedics

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Occlusal issues


If you experience a sensation of your lower jaw being stuck and unable to move on both sides while eating, which has persisted for six months, you should consider seeing an oral and maxillofacial surgeon or a dentist specializing in temporomandibular joint (TMJ) disorders.

judy, 40~49 year old female. Ask Date: 2009/02/24

Dr. Shi Qiming reply Orthopedics


We kindly request that you visit the dental clinic for an appointment.

Reply Date: 2009/02/24

More Info


Jaw locking, or the sensation of the jaw getting stuck when opening or closing the mouth, can be a distressing experience. This condition is often associated with temporomandibular joint (TMJ) disorders, which can arise from various causes, including jaw misalignment, arthritis, or muscle tension. Given that you have been experiencing this sensation for six months, it is advisable to seek professional evaluation and treatment.

The first step is to consult with a dentist who specializes in TMJ disorders or orofacial pain. These specialists are trained to diagnose and treat conditions related to the jaw and facial structures. They can perform a thorough examination, which may include assessing your jaw's range of motion, evaluating your bite, and possibly taking imaging studies like X-rays or MRIs to visualize the joint and surrounding tissues.

In some cases, if the dentist determines that your condition may require further intervention, they might refer you to an orthopedic specialist or an oral and maxillofacial surgeon. These specialists can provide more advanced treatment options, including surgical interventions if necessary. However, surgery is typically considered a last resort after conservative treatments have been explored.

Conservative treatments for jaw locking may include:
1. Physical Therapy: A physical therapist can guide you through exercises to improve jaw mobility and reduce muscle tension.

2. Medications: Over-the-counter pain relievers or anti-inflammatory medications can help alleviate discomfort. In some cases, muscle relaxants may be prescribed.

3. Splints or Night Guards: These devices can help reduce teeth grinding and jaw clenching, which may contribute to TMJ disorders.

4. Heat or Cold Therapy: Applying heat or cold packs to the jaw can help relieve pain and reduce inflammation.

5. Stress Management Techniques: Since stress can exacerbate jaw tension, techniques such as mindfulness, meditation, or yoga may be beneficial.

If you notice any of the following symptoms, it is crucial to seek immediate medical attention:
- Severe pain that does not improve with over-the-counter medications.

- Inability to open or close your mouth completely.

- Swelling around the jaw or face.

- Persistent clicking or popping sounds in the jaw joint.

- Symptoms that worsen over time.

In summary, given the duration and nature of your symptoms, it is essential to consult with a dentist specializing in TMJ disorders as your first step. They can provide a comprehensive evaluation and guide you toward the appropriate treatment, whether that involves conservative management or referral to an orthopedic specialist if necessary. Addressing jaw locking early can help prevent further complications and improve your quality of life.

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