Management of Temporomandibular Joint Dislocation
Post-Reduction Management
- The American College of Oral and Maxillofacial Surgeons recommends applying intermaxillary elastics to stabilize the joint for at least one week 1, 2, 3
- The American Dental Association advises jaw rest and avoidance of wide mouth opening or aggravating activities, and recommends a soft diet to minimize jaw movement and reduce stress on the TMJ 4
- The American Academy of Oral Medicine suggests applying heat and/or cold therapy to reduce pain and inflammation, and prescribing NSAIDs for pain relief and to reduce inflammation 4
Management of Failed Reduction
- The American Society of Anesthesiologists considers using muscle relaxants to overcome muscle spasm if initial attempts at reduction fail 4
Prevention of Recurrence
- The American Physical Therapy Association recommends jaw exercises and stretching to improve range of motion and strengthen muscles, and trigger point therapy to release tension in specific muscle points 4, 5, 6
- The American Academy of Physical Medicine and Rehabilitation suggests postural exercises to improve head and neck alignment 6
Common Pitfalls to Avoid
- The American College of Physicians advises against proceeding to invasive procedures before exhausting conservative options 6