dental disorders
How To Reduce a Mandibular Dislocation
Equipment
Nonsterile gloves Dental chair or straight chair with head support Gauze pads or thumb wraps to prevent biting of the operator's hands TMJ dislocations can typically be reduced without procedural sedation or local anesthetic injection of the TMJ, but such measures may be necessary for uncooperative patients or when dislocation has been present for more than a few hours. Additional material needed includes: Procedural sedation supplies: Injectablediazepamormidazolamand an opioid such asfentanyl; equipment for peripheral venous catheterization Injectable local anesthesia supplies:Lidocaine2%withoutepinephrine; 27-gauge, 2-cm long needle; 3-mL syringe, topical antiseptic (eg,chlorhexidine, povidone iodine) 