Patient: Traumatic injury to the jaw joint caused 5 teeth to be fractured. It has been more than half a year, and now the mouth opening is limited up to 2.5CM, and the bite is unstable. It is necessary to find out the cause of the restricted mouth opening first. Patient: Sorry for not being online these days. Thank you, Dr. Gu, for answering my question in the midst of your busy schedule. About the film …. Is it better to come by express… I’m not too good at the method you mentioned …. What I’m doing now is that when I feel badly affected by the threads, if I have time, I will practice with an opener or chew gum, which is better … Patient: Please contact me by phone. Patient: Recently, there is a phenomenon that interferes with the jaw joint. When the cervical spondylosis is committed, the restriction of the jaw joint becomes more severe, and it feels tighter and more difficult to open the mouth. But they said the situation is already good… So, I’m sorry to trouble Dr. Gu Gu Zhiyuan of the Implant Center of Hangzhou Stomatological Hospital: It is recommended to do a CT or MRI scan of the temporomandibular joint area first to clarify whether there is a fracture. Patient: Good day, Dr. Gu, I have had a CT scan, there are obvious fractures, that is, you said the condylar fracture, there are obvious burrs and fragments in the condylar area, as if the mouth opening is limited, that is, you said the joint is straight and dry, we call the hook can not be hung …. Some people say my condition is called semi-dislocation. I also feel it myself. When I wake up in the morning, I open my mouth only 1-1.5cm. After practice, there is a painful pulling sensation in the jaw joint. Now I have time every day to do facial massage and hot compresses on the jaw joint or use the mouth opener to do mouth opening exercises to reach 2-2.5CM or chew gum to feel better. The problem is that there are still 5 broken teeth that need to be repaired, but now the mouth opening is limited and the jaw joint is not in place… What do you think I should do, Dr. Ku ….. In addition, I fell on the concrete step after I got dizzy and leaned forward… It seems that my cervical spine was also misaligned at that time, so now when I have pain in my cervical spine, I find it more difficult to open my mouth … Dr. Ku, I’m so confused now, I don’t know what to do next, how to treat it, and our doctor here can’t come up with anything better than this… I’m only 51 years old and I still have a long way to go … Dr. Gu, you are an expert in this field. I was introduced to you and asked around, but I found you on the internet. I hope you can give me some pointers. ….. In addition, I borrowed a computer and used someone else’s QQ, I can’t upload pictures. If necessary, I can come to see you. Please reply or contact me by phone and send a text message. The most effective method now is to do mouth opening exercises every day by hand, and try not to have joint ankylosis. If the mouth opening contact is good, and the mouth opening degree is getting bigger and bigger, there is no need for surgery. Patient: Dr. Gu, thank you for helping me out of your busy schedule. Your answer helped me to calm my heart. Thank you. Is there a difference between the opening exercise and the one I’m doing now? I’m using a d-opener and I open it to the maximum and hold it for a few minutes and then take it off… Is this the way to go on practicing or is there another way to practice? I would like to thank you again for your reply. Patient: Dr. Gu, thank you for helping me to solve my disease in your busy schedule. Your answer has calmed my heart. Thank you. Is there a difference between the opening exercise and the one I’m doing now? I’m using a d-opener and I open it to the maximum and hold it for a few minutes and then take it off… Is this the way to go on practicing or is there another way to practice? Also, I have a question about when it’s appropriate to fix my teeth.
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