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Broken jaw, unable to open mouth, gap between teeth, pain on left side of face. Suggestions?

After a nasty attack 18 months ago, I was left with a broken jaw in 3 places. After two ops it was fixed to the best they can with 5 plates. Since then I ve not been able to open my mouth properly, would say there s a gap of 1.5 cm between teeth when fully open. During the last few wks I m suffering constant pain all down the left side of my face, hurts more when I move head up and down. Any ideas...thanks
Asked On : Thu, 27 Sep 2012
Answers:  3 Views:  97
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Dentist 's  Response
Hello and thank you for your question.
You need to have your jaw rebroken clinically and realigned correctly. Your bite is now off and this is affecting how your jaw moves around the jaw joint. Surgery would be the best option for you and possible orthodontic intervention to help get your teeth to touch correctly.

Best wishes to you.

Dr. Ward
Answered: Sat, 13 Oct 2012
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Dentist Dr. Bibhu Dutt Nanda's  Response
hello and welcome to HCM forum,
i would be glad to answer your query, first of all, i would like to inform you that post surgical pain usually subsides within 10-15 days, but in your case, it is persisting, therefore i would suggest you to see your oral surgeon, sometimes, the plates apply pressure on the nerves which results in constant pain.
There are certain mouth exercises which will help in increasing the mouth opening as well, your dentist will guide you for the same.
kindly see your dentist soon,
i hope i answered your query,
i wish you good health,
take care.
Answered: Tue, 2 Oct 2012
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Dentist Dr. Bindiya Bhaskar's  Response
hello and welcome,
usually bone plating ensures sufficient rigidity across the fracture site to obviate the need for intermaxillary fixation.
according to your quiery,its clear that the plating has not done properly.
in such cases,compression plates are used,which will provide extremely rigid fixation and the bone healing takes place without the formation of intermediate callus.
whenever the compression plates are applied to the convex surface of mandible at its lower border,there is tendency for the upper border and lingual plate to open up with the final tightening of the screw.
this leads to distortion of occlusion as well as opening of fracture line.on the other side,in case of bilateral fractures.
to avoid this,a tension band in the form of arch bar or miniplates is applied at the upper border.
take great care not to open mouth so it can cause tempormandibular joint cnn also do certain mouth exercises and physiotherapy as well.
Answered: Tue, 2 Oct 2012
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