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Mandibular Dislocation

Mandibular dislocation: causes, symptoms, treatment, and clinical cases.

Most common causes of mandibular dislocation

These dislocations usually occur during maximum opening, such as yawning, or sometimes without any clear cause. The mandibular condyles can no longer return into the glenoid fossa, often due to an absent or significantly worn articular eminence, so there is no anatomical stop to prevent the jaw from dislocating.

When there are lower jaw problems, patients commonly report the following symptoms:

  • Jaw clicking.
  • Jaw locking.
  • Jaw deviation when opening.
  • Fatigue when chewing.
  • Ear pain with no findings on ENT evaluation.
  • Headache.
  • Neck pain.

These symptoms are common and there are adequate treatment options, whether conservative or surgical, to correct these problems.

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Placement of the articular eminence due to an anatomic deficiency

If this eminence does not exist or is very small, mandibular dislocations are very frequent.

Articular eminence (clinical case)
Articular eminence (clinical case)
Articular eminence (clinical case)
Articular eminence (clinical case)

Jaw pain

Jaw pain may be related to temporomandibular joint (TMJ) issues, inflammation, muscle overload, or infection. A proper evaluation helps define the most appropriate treatment plan (conservative or surgical).

Jaw pain (TMJ)
Jaw pain (TMJ)
Jaw pain (TMJ)

TMJ dislocation case

Clinical case of mandibular dislocation documented with images of the procedure (mandibular dislocation reduction) and follow-up.

TMJ dislocation case
TMJ dislocation case
TMJ dislocation case

Mandibular dislocation treatment case

Mandibular dislocation case
Mandibular dislocation case
Mandibular dislocation case
Mandibular dislocation case

Full mandibular dislocation treatment (clinical cases)

Clinical case

Before
Before
Before
Before
After
After: after reduction of the dislocation

Complete bilateral mandibular dislocation

Complete bilateral mandibular dislocation
Complete bilateral mandibular dislocation
Complete bilateral mandibular dislocation

Jaw dislocation treatment in an elderly patient

Elderly patient case
Elderly patient case
Elderly patient case
Elderly patient case
Elderly patient case
Elderly patient case

Bilateral joint prosthesis

Temporomandibular joint prostheses are the last resort to reconstruct or replace a TMJ. They can be indicated in cases such as non-treatable condylar fractures, condylar resorption or absence, and severe degenerative arthrosis. In the case shown, bilateral prostheses are placed together with orthognathic surgery, since the patient presented a severe skeletal Class II pattern, mandibular retrognathia, airway obstruction, and degenerative condylar arthrosis.

Bilateral joint prosthesis
Bilateral joint prosthesis
Bilateral joint prosthesis
Mandibular prosthesis

Unilateral joint prosthesis

Before
Before
After
After

Bilateral condylar fracture trauma

Bilateral condylar fracture
Bilateral condylar fracture
Bilateral condylar fracture
Bilateral condylar fracture
Bilateral condylar fracture