Sunday, 25 May 2014

TMJ Dislocation

Identification
- 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.


Preparation
- 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.

Procedure
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

References
http://academiclifeinem.com/trick-of-the-trade-massaging-a-mandibular-dislocation-back-in/
http://academiclifeinem.com/trick-of-the-trade-protecting-your-thumbs-in-mandible-relocations/
http://academiclifeinem.com/trick-of-the-trade-stabilizing-mandibular-relocations/
http://crashingpatient.com/medical-surgical/oral-medicine-and-dentistry.htm/
http://academiclifeinem.com/trick-of-the-trade-temperomandibular-tmj-dislocation/
http://www.enlightenme.org/knowledge-bank/cempaedia/mandibular-and-temporomandibular-joint-injuries
http://emedicine.medscape.com/article/149318-overview

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