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Author: admin | 13.09.2013 | Category: Treatment For Ear Ringing

It's not just a punch to the face that can cause jaw dislocation, Ehlers-Danlos syndrome and othe conditions can affect the jaw.
Neck and jaw pain are often connected, be it through teeth grinding, bone abnormalities or worn discs in the jaw and subsequent pinched nerves. Mandible dislocation is where the mandibular condyle moves out of the articular groove in the temporal bone. Not all dislocated jaws are a result of trauma, however, with some patients experiencing repeated dislocations due to a bone or tissue abnormality or degeneration in the jaw. In addition to the ligaments and bones making up the temporamandibular joint, there is also a blood supply from the superficial temporal branch of the external carotid artery. The muscles controlling the movement of the jaw are also a possible cause of jaw and neck pain and dislocation. The jaw may dislocate in a variety of ways; anteriorly, posteriorly, laterally or superiorly. Jaw dislocation and neck pain may both be due to the degeneration of muscles, ligaments and bone, or through congenital abnormalities in the joint such as shallow mandibular fossa. Mandible dislocations are not a common cause of trips to the ED but where they do occur it is often the case that they are accompanied by fractures of the jawbone or other bones in the face.
There are a variety of ways in which a dislocated jaw can be reduced (restored to its correct position). Repeated jaw dislocations should prompt a proper investigation into the underlying cause as it may be that tissue degeneration or an unrecognized hypermobility issue is manifesting for the first time. Sometimes, neck and jaw pain is due to a dislocation of the mandible and, while most such dislocations can be remedied in the emergency department, some are more complicated.
Think of the jawbone as being hinged at the temple, with a disc (much like a spinal disc) cushioning movement of the hinge in its groove.

The temporomandibular joint (TMJ) is lined with synovial membranes that keep the bones movements, whether sliding or hinged, fluid and cushioned.The temporomandibular ligament, sphenomandibular ligament and capsular ligament keep the joint supported. Nerves branching off from the auriculotemporal and masseteric divisions of the mandibular nerve are responsible for providing sensation and signals for movement in the joint. Extreme cramp in the muscles may pull the joint out of position or weak muscles may result in slippage of the joint if combined with ligament problems.
The description of the type of dislocation is based on where the condyle ends up in relation to the groove in which it should sit. Disorders which result in hypermobility, such as Ehlers-Danlos syndrome may also lead to patients experiencing multiple jaw dislocations and, over time, repeated damage to the bones, ligaments, synovia and discs in the jaw.
A blow to the face or some kind of extreme mouth opening is the usual trigger for jaw dislocation, although patients may have injury to the TMJ, hypermobility problems, or previous dislocations that require investigation. The choice of manoeuver will depend on the type of dislocation and the physician carrying out the reduction. Most cases of jaw pain and neck pain are not due to jaw dislocation but to such things as teeth grinding (bruxism) or temporomandibular joint syndrome but anyone suspecting a jaw dislocation should seek medical attention as, untreated, the jaw and surrounding tissues can incur damage leading to more neck and jaw pain.
A dislocated jaw means that the bone has popped out of the groove and is hanging by just one hinge, giving the face a lopsided look and putting extreme stress on the other bones, nerves, disc and tissues in the face. Should these ligaments be stretched, become calcified, or suffer in some other way, the TMJ will not move as freely and fluidly as it should and it may even increase the likelihood of jaw dislocation and neck pain.
Neck and jaw pain may result from damage to these nerves and blood vessels, perhaps from spinal stenosis in the neck, or from another spinal abnormality, growth, ischaemic condition or nerve damage. The masseter, temporalis and medial pterygoid muscle are in action when the jaw is closed whereas the lateral pterygoid muscle is responsible for opening the jaw. Dislocations where the condyle is forward of the articular groove are most common, resulting in the jawbone jutting forward.

Untreated temporomandibular joint syndrome may also result in degeneration of the jaw and a higher propensity for jaw dislocation and neck pain. Dystonic reactions, along with Marfan syndrome and Ehlers-Danlos syndrome predispose patients to jaw dislocation and such problems may also result in neck pain with jaw pain due to general connective tissue difficulties.
After a dislocation has been remedied it is recommended that a soft diet be consumed for the first few days to reduce stress on the joint and that wide jaw-opening be avoided for one to two weeks at least. Where a dislocated jaw is the result of an altercation it may be that there is considerable bruising and swelling, creating neck and jaw pain in itself. Yawning can result in such dislocations, with some people experiencing chronic, or recurrent jaw dislocations and others an acute episode. Surgery may be required to alter the shape and size of the jawbone so as to reduce the risk of dislocation. NSAIDs can be helpful in relieving jaw and neck pain after a dislocation as the tissues heal. Try These Five Foods That Can Help You SleepNatural Neck Pain Relief Within 30 Minutes – How Effective is Celadrin Cream for Arthritis and Myofascial Neck Pain Syndrome?
Anaesthesia, vomiting, seizures and dental work may also lead to such a dislocation as it is the extreme opening of the mouth that triggers an acute occurrence. A blow to the chin will most likely lead to a posterior dislocation of the jaw with the mandibular condyle forced back and up in the direction of the mastoid. Those experiencing this type of facial trauma may also incur an injury to the external auditory canal as the head of the condyle impacts it.

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