Jaw Dislocation: Causes, Symptoms, and Treatment Options - Orthopedics

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When opening the mouth wide, there is a clicking sound in the jaw?


Hello, sometimes when I open my mouth too wide, such as when yawning or biting something, the bones on both sides of my jaw get stuck, and sometimes I can't close my mouth temporarily (as we say in Taiwanese, "dropping the jaw").
I can also feel a slight clicking in my jaw when I move it side to side.
What disease could this be, and how should it be treated?

Allen, 20~29 year old female. Ask Date: 2012/01/16

Dr. Wang Shouji reply Orthopedics


Allen: This should be a temporomandibular joint issue.
Pay attention to whether you frequently engage in chewing activities, such as chewing gum, betel nut, or hard objects.
If reducing these activities still results in symptoms, it is advisable to visit an oral surgeon to check for any malocclusion issues.

Reply Date: 2012/01/16

More Info


Jaw dislocation, also known as temporomandibular joint (TMJ) dislocation, occurs when the lower jaw (mandible) becomes displaced from its normal position in relation to the skull. This condition can be quite uncomfortable and may lead to various symptoms that can significantly affect daily activities, such as eating and speaking.


Causes of Jaw Dislocation
Jaw dislocation can occur for several reasons, including:
1. Excessive Mouth Opening: Activities that require wide mouth opening, such as yawning, singing, or dental procedures, can lead to dislocation.

2. Trauma: A direct blow to the jaw or face can cause dislocation.

3. Underlying TMJ Disorders: Conditions affecting the TMJ can predispose individuals to dislocation.

4. Genetic Factors: Some people may have a predisposition to joint dislocations due to their anatomical structure or connective tissue disorders.


Symptoms of Jaw Dislocation
Individuals experiencing jaw dislocation may present with the following symptoms:
- Inability to Close the Mouth: The most common symptom is the inability to close the mouth completely, often described as the jaw being "stuck" in an open position.

- Pain and Discomfort: Pain may be felt in the jaw, face, or neck, especially when attempting to move the jaw.

- Swelling: The area around the jaw may become swollen.

- Clicking or Popping Sounds: Some individuals may hear or feel a clicking or popping sensation when moving the jaw.

- Difficulty Speaking or Eating: Due to the pain and inability to close the mouth, speaking and eating can become challenging.


Treatment Options
Treatment for jaw dislocation typically involves both immediate and long-term management strategies:
1. Reduction: The first step in treating a dislocated jaw is to reposition the jaw back into its normal alignment. This procedure, known as reduction, is usually performed by a healthcare professional. It may involve manual manipulation of the jaw.

2. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort. In some cases, a doctor may prescribe stronger pain medications.

3. Ice Application: Applying ice packs to the affected area can help reduce swelling and numb the pain.

4. Soft Diet: Following a dislocation, it is advisable to consume a soft diet to minimize strain on the jaw while it heals.

5. Physical Therapy: Once the jaw is back in place, physical therapy may be recommended to strengthen the jaw muscles and improve range of motion.

6. Avoiding Risk Factors: Individuals who have experienced jaw dislocation may benefit from avoiding activities that require excessive mouth opening or jaw strain.

7. Surgery: In rare cases, if dislocations are recurrent or if there is significant damage to the joint, surgical intervention may be necessary to repair or stabilize the joint.


Conclusion
If you are experiencing symptoms of jaw dislocation, it is essential to consult with a healthcare professional for a proper diagnosis and treatment plan. They may recommend imaging studies, such as X-rays or MRIs, to assess the condition of the TMJ and surrounding structures. Early intervention can help prevent complications and improve your quality of life. If you find that your symptoms persist or worsen, seeking immediate medical attention is crucial to avoid further complications.

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