Temporomandibular Joint Reduction
Most commonly, reduction of a temporomandibular joint (TMJ) dislocation is performed via the intraoral route. [8] To prevent trauma, the practitioner’s fingers should be gloved with thick gauze taped securely on both thumbs. To ensure adequate leverage, the patient should be positioned so that so that the mandible is below the level of the practicitioner's elbows.
Place your thumbs upon the lower molars or on the ridge of the mandible intraorally, posterior to the molars, with your fingers wrapped externally around the mandibles. Apply firm, slow, and steady pressure in a downward and posterior direction. If bilateral reduction is not possible, reduction may be done one side at a time. (See the images below.) Reduction attempts that require excessive force should be aborted because they may cause iatrogenic fracture of the mandibular condyles.
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