How to diagnose a jaw dislocation
The correct medical term for a jaw dislocation is a temporomandibular joint (TMJ) dislocation. TMJ dislocation happens when the mandibular condyle dislocates forward on one or both sides of the jaw.
How does a jaw dislocation happen?
While dislocation can result from trauma, most of the time it happens when a patient has an extreme mouth opening, such as a huge yawn!
How to diagnose a jaw dislocation
Physical signs of a jaw dislocation
Like other dislocations, muscle spasms will prevent the jaw from reducing. In the case of a TMJ dislocation, the masseter muscle is the culprit. This muscle connects the mandible (lower jaw) to the maxilla (upper jaw) and helps you chew.
Usually, a dislocated jaw is obvious! There are three signs to look for when diagnosing a jaw dislocation:
- The patient’s mouth is open.
- The patient cannot close their mouth.
- The patient cannot speak properly.
Patients who have dislocated their jaw previously are more likely to repeat it. Unless the patient has had a previous dislocation, they are generally very anxious. However, the pain is variable across patients.
Diagnostic tests for a jaw dislocation
You can confirm the diagnosis with a mandible x-ray or computed tomography (CT) scan. Usually, the main reason for imaging is to confirm that there is no fracture in the setting of trauma.
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That’s it for now. If you want to improve your understanding of key concepts in medicine, and improve your clinical skills, make sure to register for a free trial account, which will give you access to free videos and downloads. We’ll help you make the right decisions for yourself and your patients.
Recommended reading
- Roberts, J. 2019. “Management of common dislocations”. In: Roberts and Hedges’ Clinical Procedures in Emergency Medicine and Acute Care. 7th edition. Philadelphia: Elsevier.
- Roberts, J. 2019. “Otolaryngologic procedures”. In: Roberts and Hedges’ Clinical Procedures in Emergency Medicine and Acute Care. 7th edition. Philadelphia: Elsevier.