Related Experiment Video
Updated: Jul 7, 2026
07:11
Treatment of Facial Deformities using 3D Planning and Printing of Patient-Specific Implants
Published on: May 23, 2020
Mandibular reduction.
Theodore C Chan1, Richard A Harrigan, Jacob Ufberg
1Department of Emergency Medicine, University of California San Diego Medical Center, San Diego, California 92103, USA.
The Journal of Emergency Medicine
|February 5, 2008
Summary
Emergency physicians can reduce anterior mandibular dislocations, the most common type, using various closed reduction techniques. This review covers their pathophysiology, presentation, and management strategies for effective patient care.
Area of Science:
- Emergency Medicine
- Oral and Maxillofacial Surgery
- Anatomy
Background:
- Mandibular dislocations frequently require emergency department visits.
- Anterior dislocations, where the condylar head moves anterior to the articular eminence, are most common.
- Muscle spasm and trismus can complicate reduction procedures.
Purpose of the Study:
- To review the pathophysiology and clinical presentation of acute mandibular dislocations.
- To discuss various closed reduction methods for emergency practitioners.
Main Methods:
- Review of existing literature on mandibular dislocation.
- Description of common and alternative closed reduction techniques.
- Discussion of management strategies including sedation and anesthesia.
Main Results:
- Anterior mandibular dislocation is the most prevalent type.
- Multiple closed reduction techniques exist, including classic, recumbent, posterior, ipsilateral, wrist pivot, and gag reflex induction methods.
- Reduction can be achieved with or without procedural sedation or local anesthesia.
Conclusions:
- Emergency physicians are equipped to manage acute mandibular dislocations.
- Understanding various reduction techniques is crucial for successful treatment.
- This review provides a comprehensive guide for practitioners.
