Sunday, 25 May 2014

TMJ Dislocation

- 90% of cases are bilateral
- Most common cause is excessive mouth opening
- Anterior dislocations are most common.
- Posterior, lateral and superior dislocations are associated with a fracture.

- Protect your thumbs with gauze rolls around each thumb.

- Adequate analgesia
- Consider intra-articular lignocaine
- X-ray to confirm reducation and no fracture. May not be necessary if pain settled completely.

Massage masseter muscles
Apply rotational force on the mandibular ramus

After Relocation Advice
- Keep jaw closed for next 24hours
- Head bandage if chronic
- Soft diet


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