DISLOCATED JAW JOINT, DISC DISPLACED
The treatment of choice for
a patient with a dislocated jaw due to the
lower jaw (condyle) being positioned too far
back would be to use a lower splint, orthotic
or functional jaw orthopedic appliance to
reposition the lower jaw forward.
Unbalanced muscles can be a
result of clenching or grinding of the teeth.
If a muscle is overworked or becomes fatigued
due to a structural imbalance, other muscles
must compensate. This compensation causes the
body to adjust to an abnormal postural state.
Compensation means the body adapts to a state
that is unhealthy. The body will start to
experience symptoms on a mild level, such as
occasional headaches. Slowly the symptoms
start to occur on a more frequent level until
eventually you are experiencing pain on a
Whether you have a slightly
displaced disc, a dislocated disc, unfavorable
head posture or body posture, the abnormal
forces and strain produced by tired, spastic
muscles can refer pain into the neck, face or
head. These muscle tension headaches can be so
severe that they are confused with migraine
headaches. Unfortunately, patients are often
not examined for TMJ disorder and the
"migraine" treatment works poorly.
The treatment for patients
with migraine headaches is often the
prescribing of pain medications such as
Imitrex. This medication is ineffective in
solving problems relating to dislocated jaw
joints (TM dysfunction). Patients are advised
to contact a dentist who utilizes appliances
designed to reposition the lower jaw forward
or to control parafunctional habits to try and
solve the problem as early as it is diagnosed.
An overwhelming majority of
patients who sustain whiplash injuries in
motor vehicle accidents (MVA) also dislocated
one or both temporomandibular joints at the
same time without having impacted their face
or head against the steering wheel, door
column, windshield or other parts of the car.
Whiplash typically occurs
if the head is thrown backward and forward
while riding in a car that is hit from behind
or the side. Extensive research has well
documented the fact that most
flexion-extension injuries occur following
what is called "minor head injuries." This
means that it is not necessary to suffer a
fracture or even a direct head impact. In
fact, most patients report that their head was
simply snapped backward and forward or side to
side. This motion causes damage to the muscles
and ligaments which support the jaw joint.
When these muscles and ligaments are injured,
this can cause an anterior displacement of the
protective disc and result in a dislocated jaw
joint on one or both sides.
Patients that undergo
surgical procedures with general anesthetic
are usually intubated through the mouth.
Intubation is the procedure by which a tube is
placed down the throat to keep the airway open
during surgical procedures. Occasionally, the
jaw can be dislocated during this procedure
due to the forced opening of the mouth and the
hyperextension of the ligaments and tissues in
order to insert the tube. Some patients may
experience clicking in the jaw, limited
opening of the mouth, facial pain, and
headaches post surgically. Those patients who
have already been diagnosed with a TM disorder
should advise the anesthetist that they wish
to be intubated through the nose during any
surgical procedure to prevent further damage
to the joint and its surrounding structures.
TRAUMA TO THE HEAD AND JAW
A severe blow the head or
the jaw can cause the disc to be dislocated
due to the force of the impact on the jaw.
Patients may experience swelling, limited
opening and clicking in the joint. Patients
with this acute injury should seek emergency
treatment immediately to avoid further damage
to the joint.
FOODS AND DRINKS KNOWN TO AGGRAVATE
HEADACHES FOR SOME PATIENTS
- Caffeine Coffee,tea, soft drinks,
- M.S.G. Flavor enhancer user to preserve
- Artificial Sweeteners Aspartame,
- Vegetable Oil Fried or greasy foods
should be avoided
- Milk and Cheese
- Raw Beans