Page 411 - My FlipBook

DISLOCATION OF THE INFERIOR MAXILLA. 407

substance, between the superior and the inferior molar
teeth of both sides; and then, with the fingers of
both hands, make firm, steady pressure on the chin
upward and backward, thus forcing the condyles

downward and backward into their proper places.
If but one condyle is out, the cork should be ap-
plied only on that side, and in the manner already
directed. Another method is, to substitute the
thumbs of the operator for the corks, placing them
in the same position between the teeth, and manipu-
lating with the fingers on the chin, as before. The

patient should be placed in a recumbent position for
the operation. Another method is, to make down-
ward and backward pressure on the coronoid process,
and in this manner cause the condyles to glide into
their places. This accomplishes the reduction with-
out taking hold of the jaws, or placing a fulcrum
between them.
This accident is far more liable to occur the second
time in the same case. In extracting the lower molar

teeth for one who has suffered a dislocation, or is pre-
disposed to it, the lower jaw should be very firmly
supported with the left hand; or, the accident may
be prevented by placing a bandage under the chin,
and over the head, so that the mouth can not be
opened to its furthest extent; and this is the surest
method. In all cases after an accident of this kind.