You will need
- - towel or gauze;
- - chair;
Sit the patient on a chair with his back to the wall to the back of his head touched the wall, or ask an assistant to stand behind the patient and hold his head stationary. The patient's head should be 10 cm above your hands your hands.
Wrap the thumbs of his hands with a towel or gauze to protect from prokusyvanie teeth of the patient during repositioning.
Stand in front of the sitting patient and ask him to open his mouth wider. Place wrapped thumbs on molars of the lower jaw. Other fingers grasp the lower jaw from the outside and from below.
Push on lower molars down and back, and fingers grasping the jaw outside, at the same time lift the chin up.
Quickly move the thumbs from the teeth towards the gums of the upper or lower jaw. The reduction will occur with a distinctive click, and the jaws will close.
If you are not able to set bilateral dislocation at the same time, first try to straighten one side, then the other.
If the dislocation is unilateral, then push on the jaw with only a sore hand.
If you are unable to reduce the dislocation, the force on molars only downwards, lifting the chin upwards, in a few minutes. Chewing muscles relax and will not interfere with the reduction.
After reposition instruct the patient that for 6 weeks it is impossible to open your mouth wide, to yawn, placing a fist under his chin as a limiter. Food must be cut into small pieces.
If you cannot reduce the dislocation, refer to the emergency Department of the hospital, dental clinic or to the emergency room. The doctor will reduce the dislocation manually under anesthesia.
If the dislocation of the lower jaw chronic or habitual, they refer to the surgeon to decide on surgical reposition.