A broken or dislocated jaw is an injury in which the jaw is cracked, broken, or moved out of position.
A dislocated jaw can occur when the mandible, the lower bone of the jaw, is displaced from the temporomandibular joint, or TMJ. The TMJ is the joint between the jaw and the skull. When the jaw is broken, it usually breaks in 2 areas: at the site of injury and on the opposite side of the jaw. Another bone of the jaw is the maxilla, which contains the upper teeth. When this bone is broken, there are usually other fractures in the face.
The most common causes of a broken or dislocated jaw are sports injuries, industrial accidents, and motor vehicle accidents. A person can also get a dislocated or broken jaw by being punched in the face.
The signs and symptoms of a broken or dislocated jaw include:
The healthcare provider will often suspect a broken or dislocated jaw during the physical examination of the person. An X-ray can be done to identify the broken bone or dislocation.
Most injuries occur when the proper protective gear is not worn. Sports safety guidelines should be followed for children, adolescents, and adults.
It is also important to stay alert and attentive during high-risk sports, while driving a motor vehicle, and while at work. Medications that slow reflexes or cause drowsiness increase the risk of accidents during these activities. Illegal drugs and alcohol should be also be avoided.
A broken or dislocated jaw requires immediate medical attention. Some people with jaw fractures will have bleeding and difficulty breathing. Other first aid steps include the following:
Treatment for a dislocated or broken jaw is often painful. If wiring is done, a person could vomit and choke on the vomited material. For this reason, people are nearly always given wire cutters.
Infection of the gums and bone where the wires are placed is also possible. A lesser concern is weight loss and lack of nutrition because of the difficulty of chewing food while the jaws are wired shut. High-calorie shakes and foods that do not require chewing can be used.
After the jaw has been repaired, the person should be particularly careful when yawning and sneezing. If the jaw is broken, soft foods should be eaten.
It is important to make sure that risky situations are avoided to prevent the injury from happening again. Once the jaw has healed and the wires have been removed, some people will experience pain in their temporomandibular joint, or TMJ. A healthcare professional can prescribe pain medications and exercises to help reduce pain.
Author:James Broomfield, MD
Date Written:
Editor:Ballenberg, Sally, BS
Edit Date:12/31/00
Reviewer:Eileen McLaughlin, RN, BSN
Date Reviewed:07/09/01