Functions of Temporomandibular Joint Dislocation

Mechanism of Temporomandibular Joint Dislocaiton

- Opening mouth too far

- Accidentally tripping or falling
- After a dental or medical procedure
- Work accident
- Car accident
- Sports or recreational injury
- Trauma
- em;tkH? em;&if;? yg;ESifh ar;½dk;wpf0dkufxdcdkuf'Pfjzpfjcif; (Oyrm-
ar;aph? ar;½ddk;tm; xdk; ½dkufrdjcif;)
- tvGeftrif;oef;a0jcif;? yg;pyf[jcif;
- rmaMumtpm;tpmrsm;udk tHoGm;jzifh udkufjzwfjcif;? 0g;jcif;
ponfwdkYaMumifh ar;½dk;qpf vGJacsmf wwfygonf/

Signs and Symptoms of Temporomandibular Joint Dislocation

- Pain in the face or jaw, located in front of the ear or on the affected side that
gets worse with movement
- Bite that feels 'off ' or crooked
- Difficulty in speak and dropping of salivary
- Inability to close the mouth
- Drooling because of inability to close the mouth
- Locked jaw or jaw that protrudes forward

Look – ¤if;tqpftqufESifh qufpyfvQuf&Sdaom ta&jym; ta&mif tqif;?

tzktBudwf? temrsm;ESifh odomxif&Sm;aom ykHo@ef? vGJacsmfjcif;rsm;
&Sdr&Sd ppfaq;

1
Feel – ta&jym;\ tyl? tat;? <uufom;ESifh taMumrsm;\ tzktBudwf wif;rmrI?
aysmhaysmif;rI t½dk;tquf tajctaewkdYudk ppfaq;

Move – yg;pyf[jcif;? tpm;0g;jcif;? yg;pyfydwfjcif;? a&SUaemufESifh

ab;wdkuf vIyf&Sm;EdkifrIrsm; ppfaq;

X-ray – Lateral, AP View

X-ray of jaw to exclude fracture in dislocation

jyefvnfwnfhrwfjcif;

For Backward dislocation

- yxrOD;pGmvGJacsmfaeaom ar;½dk;qpfwpf0dkuf wif;rmrIESifh

emusifrIrsm; oufomatmif jyKvkyfay;&rnf/
- q&monf vlem\ rsufESmcsif;qdkif taetxm;jzihf jyKjyifay;&rnf/
- vlem\ atmufar;½dk;axmifhcsdK; jrifharmufaomae&m (tHoGm;\ tqkH;)udk
q&m\ vufrjzifh zdESdyfcsNyD; vlem\ar;aphudk atmufbufrS tay:odkY
usefvufacsmif;rsm;jzifh yifhwifyg/

For Forward dislocation

- q&monf vlem\ rsufESmcsif;qdkif taetxm;jzihf jyKjyifay;&rnf/

- q&m\ vufrudk vlem\yg;pyftwGif; tHqkH;ae&mwGifxm;NyD; atmufodkY
ar;&dk;udk zdESdyfcsum usefvufacsmif;rsm;jzifh vlem\
ar;½dk;axmifhcsdK;ae&m\ aemufrS a&SUodkY qGJ,lyg/

aq;ESifhywfwD;pnf;jcif;

- t½dk;qpfvGJNyD; (24)em&DrS (48)em&DtwGif; ta&mifusap&ef

at;yGifhNyD; tmayg? tmumo &aprnfh aq;trSwf (43) tuif;q,fyg;aq;udk
&Sm;apmif;vufywf*s,fjzifh azsmfí ywfwD;pwGif aq;txl 2.5 rDvDrDwm txd
okwfvdrf;um ywfwD;pnf;ay;&rnf/

2
- t½dk;qpfvGJNyD; (48)em&Daemufydkif;wGif
aoG;vSnfywfrItm;aumif;ap&ef? aoG;cJrsm;ydwfqdkYrIrS umuG,f&ef?
ref;rsm;udkaMuap&efESifh t½dk; qufjrefapaom OPStmumo&Sdonfh
aq;trSwf (29) ESifh aq;trSwf (43) 1;2 qudk a&aEG;jzifh azsmfí
ywfwD;pwGif aq;txl 2.5 rDvDrDwm txd okwfvdrf;um ywfwD;pnf;ay;&rnf/

- vlem\ touft&G,f? a&m*gjyif;xefrI? &moDOwk tajctaeESifh aq;\

tmedoifudk csdefqum 'PfjzpfNyD; 24 em&D (1)&uf pnf;ay;Edkifygonf/
xdkYaemufwGif vuftxdef;jzifh ykHrSefvIyf&Sm;rIrsm;udk
avhusifhay;&rnf/

Oral Medication

eHeuf - aq;trSwf(6)2yJ+uGrf;&GufjyKwf&nf
(emusifudkufcJjcif;oufom ap&ef)

aeYv,f - aq;trSwf (27)2yJ+a&aEG; (ta&mifustudkuftcJaysmufap&ef)

nae - aq;trSwf (23)2yJ + a&aEG; (ta&mifustudkuftcJaysmufap&ef)

n - aq;trSwf (10)^(11)^(12) 2yJ + a&at; (tyltykyfrsm;udk qD;0rf;rS

wqifh xkwfaqmif&efESifh emusifudkufcJjcif; oufomap&ef)

tu,fí vlemonf aoG;wdk;a&m*g&Sdygu pu©K (2) aq; 2yJ udk a&at;jzifh

wdkufauR;&rnf/

aqmif&ef

- EdkYtrsdK;rsdK;? MuufO? yJpif;ikH (protein collagen)? omega – 3 ?

MuufajcaxmufpGyfjyKwff? iSufaysmoD; ESifh aMuusufvG,faom
tpmaysmhaysmhrsm; pm;ay;oifhonf/

- oef;a0jcif;? pum;ajymjcif;? &,farmjcif;rsm;wGif yg;pyf(odkY)

atmufar;½dk;udk vufESiffh xdef;xm;oifhonf/

a&Smif&ef

3
- vufzuf? aumfzD? t&uf? aq;vdyf? vufzuf&nfcsdK? yJykyf? qDwdkY[l;?
tmvl;? tifO? rId? rQpf? uefpGef;O? ig;yd? ig;ajcmufpaom tpmrsm;udk
a&Smif&ygrnf/

- txl;ojzifh yJavSmftrsdK;rsdK;ESifh vufzuftpdkudk rpm;rdap&ef

owdjyK&rnf/ ¤if;wdkYonf ref;ukdrsm;pGmjzpfapNyD; aq;tmedoif ukd
jy,fapEdkifygonf/

- yg;pyf[í vGefrif;pGm oef;a0jcif;? pum;ajymjcif;? &,farmjcif;ESifh

rmaomtpm;tpmrsm; yJavSmf ponfwdkYudk 0g;pm;jcif;
a&SmifusOfoifhonf/

Additional Treatment

- taMumjyKjyifjcif;taejzifh em;xifaMum (HN-7)? em;oD;aMum (HN-8)?

em;aMum (HN-9)? yg;aMum (HN-10)? yg;½dk;ar;pyfaMum (HN-11)?
ar;½dk;aoG;vTwfaMum (HN-12)? yg;csdwfaMum (HN-13) ponfh taMum
axmufuGuf rsm;udk oifhawmfovdk jyKjyifay;&rnf/

- Panchakarma Therapy taejzifh vif;ae? Muufql½dk;eD? aMumifyef;?

ouf&if;BuD; aq;tqDcsufwdkYjzifh Abhyanga (tb,E¾) jyKvkyfay;Edkifonf/
xdkYjyif a&aEG;Muyfxkyf? qDMuyfxkyf? aq;Muyfxkyf wdkYudkvnf;
tokH;jyKí oifhawmfovdk aqmif&Gufay;&rnf/

Rehabilitation

- yg;pyfydwfjcif;

- yg;pyf[jcif;

- aemufbufokdYa&GUvsm;jcif;

- a&SUbufokdYa&GUvsm;jcif;

- ab;wdkufvIyf&Sm;jcif; ponfwkdYudk vufxdef;jzifh aqmif&Gufay;Edkifonf/

4
Complications

- Chronic pain

- muscle complications

- dental issues

- arthritis

- Numbness of part of the jaw or face

- Difficulty eating (temporary)

- Difficulty talking (temporary)