[Acute facial pain associated with mandibular motion damage: considerations on a clinical sample]

The authors present a sample of five patients, 3 women and 2 men, with history of the dislocation of the mandible. The period ranged between 7 days and 7 months and all the patients looked for medical treatment, but did not have a correct diagnostic. The initial diagnostic was tetanus, sequela for VCA, food intoxication. The younger patient was 23 years old and the older was 63 years old. The first male patient was 23 years old and his first complaint was facial pain, rigidity, difficulty in speaking, chewing and the diagnosis received was Tetan, after 7 days. The second female patient was 61 years old and her first complaint was difficulty in speaking and chewing. The diagnosis was food intoxication after 7 month. The third patient was 54 years old. The first complaint was idiopathic, after 1 month. He did'nt managed to shut up his mouth--diagnosis idiopathic cause. The fourth patient was 63 years old and his first complaint was assimetric and facial pain due a neurological remains, after 4 month. And finally the fifth patient. He was 56 years old and the first complaint was an intense difficulty in speaking and shut out his mouth--hemiplegia in the left face due neurological remain, after 3 month. The authors make a review about the criteria for a diagnosis of dislocation of mandible and the benefits of immediate treatment.