How to reduce a jaw dislocation
Once you’ve diagnosed a dislocated jaw, you’ll have to decide if it’s safe to reduce the dislocation. The only contraindication to reduction is the presence of a fracture. If this is the case, you’ll need to consult a specialist.
What tools do you need to reduce a jaw dislocation?
There are a few tools you will need to reduce a jaw dislocation:
- Gauze
- A set of gloves
- An assistant
Procedure for reducing a jaw dislocation
Fortunately, you will not need sedatives or medication for this procedure:
- Have the patient sit on the ground with their head against the wall.
- Have your assistant steadily massage the masseter muscles (located at the back of the jaw bone). This is an important step for relaxing these muscle groups.
- Stand in front of your patient with your gloves on. Gently place a pad of gauze onto the patient’s lower molars to protect your fingers against sharp teeth.
- Push down and then forward on the lower teeth to place the jaw back into the temporomandibular joint. You will feel a pop when the jaw is back in place.
After reduction of the jaw, tell the patient to avoid extreme mouth opening and stick to soft foods for a week. Patients with chronic recurrent dislocations may need follow up with an oral surgeon for surgical repair.
Fantastic work! You’re well on your way to perfecting a jaw reduction.
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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.