What is the most likely diagnosis? 
              
                - 29 year-old unable to close mouth
 
              
                
                Lateral Mandible Radiograph
              
                -  Maxillary Sinusitis
 
                - Dislocation of Mandible
 
                -  Fracture of Mandible
 
                - Dentigerous Cyst
 
                -  Enlarged Adenoids
 
              
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                  Answer:
               
              
                2. Dislocation of Mandible
                 
              
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              Dislocation of Mandible
                
              General Considerations
              
                - Dislocations       of the mandible tend to be uncomfortable but not severely painful for the       patient
 
              
              
                
                  - The  presence of a fracture increases the pain
 
                
              
              
                - Patients       are unable to close mouth completely
 
                - Difficulty       speaking and, possibly, swallowing
 
                - Dislocations       may be unilateral or bilateral