Jaw and facial bone fractures treatment in Amman: Doctors and Clinics

Facial and jaw fractures are injuries to the lower jaw, upper jaw, cheekbone, eye socket or nose, most often caused by road traffic collisions, falls, sport and assault. They are an emergency. Early assessment and imaging before any intervention determine the correct treatment, and delay allows bone to unite in the wrong position, altering the bite and facial shape and making later correction far harder because the bone must be cut again.

Signs that suggest a fracture include teeth that no longer meet as they used to, inability to close or open the mouth, abnormal mobility of part of the jaw, numbness of the lip, cheek or teeth, double vision, a sunken eye or eyes at different levels, a flattened cheekbone, or nasal bleeding with rapid swelling.

Before reaching hospital, do not try to push bone or teeth back into place yourself, and do not force your mouth open. Support a mobile lower jaw with a gentle bandage, remove any loose foreign object from the mouth if you can do so without pushing it inwards, keep any completely avulsed tooth in milk or saline without scrubbing the root, and go to an emergency department straight away.

Treatment ranges from observation with a soft diet for stable, undisplaced fractures, to fixing the teeth with arch bars and elastics, to open surgery that repositions the bone and secures it with plates and screws. Orbital and cheekbone fractures are treated according to their effect on vision and facial contour, not on the image alone.

The limits are explicit. Surgery restores form and function within limits. It cannot guarantee that all numbness will resolve, since some sensory loss may persist. It cannot prevent every scar or minor asymmetry, and it cannot repair optic nerve damage if that has occurred. Damaged teeth need separate treatment once the bone is stable.