Gol gappa Gone Wrong: UP Woman Suffers Jaw Dislocation After One Big Bite

Surat: According to the report, a woman in Utter Pradesh opened her mouth very wide while trying to eat a large golgappa in one bite. This sudden, excessive mouth opening can cause the mandibular condyle to slip out of ( glenoid fossa )its normal position in the temporomandibular joint (TMJ) — resulting in a jaw dislocation.

Jaw dislocation is a well-known emergency in maxillofacial practice, especially when the mouth is forced open beyond its natural limit.

Probable Medical Causes

1. Excessive mouth opening

   Trying to fit a large golgappa can push the mandible forward and down, displacing the condyle out of the socket.

2. Weak TMJ ligament support

   Some individuals naturally have looser joints (hypermobility) or weaker supportive ligaments, increasing dislocation risk.

3. Sudden or forceful movement

   Sudden yawning, laughing, biting, or eating can shock the joint.

4. Previous minor TMJ issues

   If the patient had prior clicking, popping, or stiffness, the joint may already be vulnerable.

5. Muscle spasm

   After dislocation, the masseter and pterygoid muscles often spasm, locking the jaw in the open position.

Symptoms That Indicate Jaw Dislocation

 Mouth stuck open and unable to close

 Severe pain near the ears

 Difficulty speaking or swallowing

 Drooling

 Jaw shifted forward

 Inability to bite or chew

1. Immediate Care

 Go to a dental/maxillofacial emergency department.

 A trained  maxillofacial surgeon performs manual reduction — gently guiding the jaw back into place, often under sedation or muscle relaxants.

 Do NOT attempt to push the jaw back forcibly at home.

2. Post-Reduction Care

 compression band around chin and TMJ area

 Soft diet for 1–2 weeks

 Avoid opening the mouth wide

 Support the chin while yawning

 Use warm compresses to relax muscles

 Painkillers and muscle relaxants as prescribed

3. Prevention of Future Episodes

Avoid large bites (golgappa, burgers, rolls, sandwiches in one bite)

Cut food into smaller pieces

 Avoid sudden wide yawning

 Avoid chewing hard food

 If TMJ is naturally loose, consider a stabilization appliance or physiotherapy exercises

Jaw dislocation from eating is uncommon but absolutely possible, especially when someone takes an oversized bite. As maxillofacial surgeons, we emphasize controlled mouth opening, small bites, and early treatment. Timely reduction prevents long-term TMJ damage, chronic pain, and repeated dislocations.