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1st Step: Assess Temporomandibular Joint Mobility

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The first step of the test is to identify any restricted mobility of the temporomandibular joint (TMJ). Ask patients to sit up with their head in the neutral position and their mouth open as wide as possible. Note the mobility of the mandibular condyle at the TM joint. The condyle should rotate forward freely so that the width of the space created between the tragus of the ear and the mandibular condyle is approximately the breadth of one finger.

Ottawa Anesthesia Primer

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