Alternative Names Dislocated jaw; Fractured jaw; Broken jaw; TMJ dislocation Symptoms Symptoms of a dislocated jaw include: Bite that feels "off" or crooked Difficulty speaking Drooling because of inability to close the mouth Inability to close the mouth Jaw that may protrude forward Pain in the face or jaw, located in front of the ear on the affected side, and gets worse with movement Teeth that do not line up properly Symptoms of a fractured (broken) jaw include: Bleeding from the mouth Difficulty opening the mouth widely Facial bruising Facial swelling Jaw stiffness Jaw tenderness or pain, worse with biting or chewing Loose or damaged teeth Lump or abnormal appearance of the cheek or jaw Numbness of the face (particularly the lower lip) Very limited movement of the jaw (with severe fracture)
Recently, an article appeared in the Journal of the National Cancer Institute , suggesting that patients treated with intravenous bisphosphonates are at greater risk of jaw or facial bone deterioration or infection. But the authors were not sure whether the bisphosphonates caused the bone problem, or whether these patients whose immune systems are suppressed were naturally more prone to such complications. In fact, there are those who question whether some of the jaw abnormalities found in this study which were not infections were osteonecrosis. A few months ago, there was quite a bit of media attention regarding an association between bisphosphonates and osteonecrosis of the jaw and facial bones. The drugs used in this study were pamidronate and zoledronic acid.
Osteonecrosis refers to bone death; and the bone involved cannot repair itself because it lacks the normal blood supply. There have been hundreds of cases reported of osteonecrosis of the ...
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