Well....that stinks!! I hope she didn't mess up her face...and that once the jaw is healed that will be the end of it...
Unless she likes pureed lettuce, forget salads! LOL!
But perhaps now would be the time to invest in a juicer so she could have fresh veggie and fruit juices.
But things like vischoisse and cold cucumber soup and cold carrot soup and smoothies will become her staples. She will lose weight.....and she may learn to crave pizza in a blender!
Glad the accident wasn't any worse than it is!
Linda C

Juicer! Good idea, Linda, and one I had totally not considered.

bbstx:
I just helped a friend that had an eating problem.
There are Creamed Soups and other foods that are available.

I had to do that with my wife also. Plus bought " Ensure "
and other drinks for Nutrition.

Here is an Article that may help. It is a lot of reading but there is good advice,
from someone who has went thru the ordeal.

Wish DD fast healing,
LOU

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Broken jaw tips:
This article is about dealing with a broken jaw, so if you are looking for our normal real estate articles, stop reading now. For a basic version of this article, see http://www.dsaa.com/BrokenJaw.htm

Part of my normal exercise routine includes riding a bike. Even though I do it regularly, that did not prevent me from having an accident in early June. I flew over the handlebars and hit the pavement, landing on my chin. I was wearing a bike helmet, which didnt even get scratched. I broke my jaw in two places (the middle break needed a plate to hold it together) and came out of surgery with my jaw wired shut. I am 55, female, and was in decent shape before the accident.

Here are some things that helped me get through the ordeal. IÂm writing this because I couldnÂt find much information on a broken jaw. I hope you never need this, but in case you do, here is what I learned. I am not a doctor, so this is not medical advice. Maybe some of what IÂm doing is wrong, but it seems to be working for me.

One of the keys things that helped me get through this ordeal was having my husband take incredible care of me. He made virtually every meal, encouraged me to exercise, and was there whenever I needed him. I am fortunate to have such a wonderful care giver, and hope you are too.

I would be pleased to hear from you. Correct any mistakes, add your own advice, and I will repost this article. [ contact me ]

Food
Nutrition is critical to the healing process. And since you canÂt chew, itÂs difficult to get the proper amount of protein, fiber, calcium, and nutrients. I found drinking everything out of a glass worked best, rather than using a spoon (which I found difficult) or a straw.

Here are some suggestions:

Find out how many calories you need each day to maintain your weight. Go to the web site http://www.cancer.org and search for calories. A link will take you to a section called Calculate Your Daily Calorie Needs.

Determine the amount of protein and fiber you need. To calculate the amount of protein you need, take your weight in pounds divided by 2.2 = weight in kilograms (kg). You need between 1 and 1.8 grams of protein daily for every kilogram you weigh. The upper end of the range is recommended for people with illnesses. Example for a 154 lb person: 154 lbs/2.2 = 70kg x 1 = 70 grams of protein daily, or times 1.8 = 126 gm protein/day.

The amount of fiber you need each day depends on age and sex.

Age 50 and younger Age 51 and older
Men 38 grams 30 grams
Women 25 grams 21 grams

Keep track of everything
Keep track of what you eat every day. Write it down. I mean keep track of everything that's important for a healthy diet and a successful recovery. Most packaged drinks and foods show the amount of calories, fiber, protein, calcium, vitamins, and more. For things like fresh fruits and vegetables, get a book that lists the amount of calories and other important nutrients.

The Institute of Medicine advises that men consume roughly 3.0 liters (about 13 cups) of total beverages a day and women consume 2.2 liters (about 9 cups) a day, more if you exercise.

Calcium is great for bones, so choose food sources high in calcium (like milk or yogurt) when possible.

By keeping track of what you consume, you can easily see what youÂre lacking and remedy it.

Sample worksheet
Here are sample column headings for a daily food sheet. I just prepared a bunch of these sheets and put them in a binder.

Food. Write the name of the food and how many ounces served. By tracking the ounces, you can easily adjust the nutrition information on future days if the serving size changes. So, yes, dust off those measuring cups.
Calories. Total calories in the serving. Watch those labels as often a container is more than 1 serving.
Protein. List the grams of protein in the serving.
Fiber. Grams of fiber.
Calcium. I listed the percent of the recommended daily amount, which is listed on milk, yogurt, ice cream cartons, and so on.
Water. Keep track of how many ounces of water you drink each day. When you don't feel well and your jaw is wired shut, it's easy to get dehydrated.
Exercise. Keep track of what you are doing for exercise. That helps keep it on your priority list.
My eating case study
I started each day with a smoothie containing 2 tablespoons of BrewerÂs Yeast, which is an excellent source of protein and nutrients. Get the debittered kind, which is typically available at health food stores. The smoothie also had 1 cup of plain non-fat yogurt (high in calcium and protein), one banana, 1 tablespoon of honey and almost a cup of frozen berries.

Actually, come to think of it, I started each day with two latte's. I am a Seattleite after all. Okay, the coffee's not great for you, but I'd have 8-10 ounces of steamed milk (measure it before steaming), so I got a good start on protein and calcium.

Note: It was hard for me to consume much of anything for the first few days after surgery. As a result, I wasn't getting anywhere close to enough calories. I felt I needed to get calories any way I could, regardless of nutritional value, so for a few days I used whole milk and regular yogurt. Once I got my calorie count up, I backed off these for the non-fat products.

For lunch, I got a lot of fiber and protein by pureeing a can of beans (white beans, black-eyed peas, chili with beans, etc.), with 2 tbsp of flaxseed oil (great source of omega 3 and other nutrients) and chicken broth to thin it and for flavor. Some articles say to puree any food, or to eat baby food, but that didn't sit well with me. I preferred to eat wholesome foods and vegetables wherever possible for better nutrition.

During the day I would have other drinks, like Gatorade and Odwalla, and plenty of water.

Then I could eat whatever I wanted for dinner, like mashed potatoes and a milk shake. Even though they have less than ideal nutritional value, since I was able to get the proper amount of nutrients earlier in the day, I looked forward to dinner as treat time. You gotta do what you gotta do to get through six weeks of nothing but liquids.

Also, take a liquid multi-vitamin, like Centrum, every day. If you canÂt find it on the shelf, ask a pharmacist. They can easily order it in for you, itÂs non-prescription.

Things like Boost and Ensure are loaded with calories, protein and nutrients. I found them very sweet, too sweet really, but they tasted a lot better when I would put it in a blender with ice cubes, creating a smoothie-type of drink. These are great for mid-morning or afternoon snacks.

YouÂll need a good blender and/or Cuisinart to grind up everything so there are no particles. If you can afford it (about $400), or can borrow one, a Vita-Mix (http://www.vitamix.com) is an excellent choice. That's what I ended up buying. (Please note that although I am mentioning products by name, this is not a commercial article. I'm just sharing what I did.)

For me, drinking my meal with others at a table who were eating wonderful meals did not work. It was hard looking at real food and other people chewing. Instead I typically drank my meal in front of my computer or while watching television or reading. Naturally this was my choice and will be different for others.

Exercise
It helps the healing process enormously if youÂre strong. Force yourself as soon as possible after your surgery to start exercising. Walking or bike riding each day, and then building up to more vigorous exercise, will help your recovery.

Try to exercise a minimum of an hour each day. But listen to your body. If youÂre tired, rest, as thatÂs just as important for healing.

If you broke your jaw, thereÂs a good chance you injured other parts of your body. Using free weights helps to rebuild strength and muscle tissue, and are wonderful tools that donÂt take up a lot of room.

Yoga and other types of stretching exercises help you both mentally and physically recover from your injuries. Try to do these at least 20 minutes each day. Doing it at the end of the day will help you relax and aid in sleeping.

I also treated myself to a weekly massage to help relieve sore muscles. It was wonderful. A few visits to a chiropractor also helped relieve some of my sore joints.

Pain
I found that my jaw hurt very little after the surgery. It was the other body parts I injured that really caused pain. The soreness from my jaw only happened after it was unwired, and I could finally open it.

For some people, grinding up pills and putting them in some milk or juice is fine. I found it to be very bitter. Liquid aspirin or ibuprofen was much better for me to help with pain, if you donÂt have a prescription for something stronger.

ChildrenÂs medicines are often liquid. Just take roughly twice the dose if youÂre an adult. It will typically say on the package the proper dosage for adults, or ask your pharmacist.

Teeth Cleaning
YouÂll want to make certain to brush your teeth and gums at least after every meal and snack, and to use mouthwash. Warm salt water rinses also help. I also used plastic toothpicks to get out anything stuck between my teeth. I used a mouth rinse called PerioGard for several weeks to help with my gums since you canÂt floss. But it turned my teeth grey (which will come off when you get your teeth cleaned), so I stopped. But I think it was very helpful in keeping my gums healthy.

One week after the "braces" (I think my doctor called these "arch bars") are off your teeth, youÂll want to get your teeth thoroughly cleaned by a hygienist and have a dentist check for any tooth damage. Your gums will be very sore when they initially come off, so it's best to wait a week so they can heal.

Mental Exercises
Naturally, thereÂs nothing you can do to unwire your jaw, so why fight it. Just feel lucky you didnÂt do more serious injury to yourself that could have resulted in far worse consequences. And focus on other important things like getting stronger by eating nutritious foods, and setting good exercising goals to help in your recovery.

Remember it takes time for bones to heal. If you broke your arm, youÂd likely be in a cast for at least 4-6 weeks. I tried to keep talking to a minimum, as your jaw moves when you talk. And naturally the whole point is to try to move your jaw as little as possible so it will heal properly.

Many people are also nervous that they might vomit with their teeth wired shut. It worried me. This happens to very few people. And if you are nauseous, you can go to a clinic to get a shot or I.V. There are suppositories you can purchase that will help if you donÂt want to take anything orally. Just make sure you have your wire cutters with you to ease the anxiety.

If sleeping is difficult, go for a long walk or read until youÂre very tired right before bed. Listening to yoga or meditation CDs, and/or using scented candles or aromatherapy can help as well. If youÂre having major anxiety problems, talk to your doctor about getting a prescription.

Time Line
HereÂs how it went for me. Naturally it will be different based on the severity of your injury, your doctor, and how youÂre healing. I injured my right arm badly in my fall, which prevented me from doing more vigorous exercises like riding my bike and doing weights in the first few weeks. I was able to go back to work after the first week. It helped to keep my mind off of my jaw.

Week 1ÂReally weak from surgery and other injuries. Difficult to eat at first, so having a lot of Ensure (or similar products), whole milk and high calorie items helped get the calories and nutrients in my body. Started walking each day 3rd day after surgery. Slept a lot and felt very weak.

Weeks 2-3ÂBetter at eating, so ramped up to more nutritious items. Started doing yoga, and taking longer walks. Much stronger physically and mentally. But still get tired frequently, so lots of rest. Force yourself to massage and brush your gums with a soft brush to keep them healthy.

Week 4ÂStitches taken out of my lower gums, on the outside of my teeth. I was not given anything prior, and this hurt a little. Finally able to get on my bike again, and to start using weights. I noticed my gums were growing between a couple of teeth--my doctor said that's normal--it completely went away when the wires from my teeth were removed.

Week 5ÂWires holding my teeth together were replaced with tight elastic bands. Still on a liquid diet, and couldnÂt open my mouth.

Week 6Â The elastics came off, and I can finally open my mouth! But it's hard to open very wide (sore when I do) and difficult to chew. That's ok, I'll take anything I can get. Started a soft food diet (scrambled eggs, baked potato--stuff that requires little chewing and sort of "melts" in your mouth). My bite was off (right rear teeth hit before left), making chewing awkward.

Week 7ÂBraces (arch bars) off! (I think these are left on to make sure the elastics don't need to be put back on. I had an i.v. sedative for this so I would not feel any pain.) My gums were very sore afterwards. But can now eat more "firm" foods. You'll want to floss your teeth religiously and continue massaging your gums so they'll heal better. Bite still off and lower teeth where I had the plate put in were very sore when chewing and opening my mouth. But I exercise my mouth by opening wide and concentrate on using the muscles on the left side of my mouth to correct my bite.

Week 8ÂGot my teeth cleaned thoroughly and a good bill of health from the dentist (no damaged teeth, gums in great condition). My lower gum where the plate was put in is still sore, as are the lower teeth, but I can eat normally. Bite still off, and still sore to open my mouth wide, but getting better from exercising it. I feel terrific, stronger than before I had my accident.

Looking Good
Just because your mouth is wired shut is no excuse to look bad. Remember the motto, "To Look Good Is To Feel Good", and we certainly want to feel good. So wear those great outfits, make sure you have regular hair appointments and whatever else to help you look good each day. People wonÂt even notice that your jaw is not moving when you talk, and youÂll feel great.

Happy Healing!

Patty Dupre
August 6, 2006

Epilogue To My Jaw Surgery
When the bands came off, the muscles were really tight and my bite was way off. About 2 weeks later, I had one tooth filed down slightly so the bite would be better. That helped enormously.

But everything was still pulling a lot to the right, and my teeth werenÂt meeting together properly. I tried opening and closing my mouth as wide as possible, about 10 times, 4-5 times per day. But be careful not to overdo it. And your bite will likely never be the same, so don't worry about it.

About 3 weeks later, as I started to chew more, I developed TMJ on one side. TMJ is when bone is grinding against bone where your jaw is connected to your skull. This was likely caused by the disk which cushions that joint being thrown out of place when I had my accident. TMJ was a real problem for me. I sure hope it doesn't happen to you.

I was very careful about what I ate (no caramels, big sandwiches, etc. that causes you to open real wide or chew a lot). I cut my food into really small pieces, again minimizing the chewing action. And I also learned to really relax my jaw muscles by just letting it fall open naturally, and not forcing it into the correct position. I think that was an enormous help in letting the muscles figure out what to do.

I went to 9 different specialists about the fact my bite was off (orthodontists, oral surgeons, dentists, etc.). One in particular kept telling me don't do anything until at least one year after your injury, as your joint and muscles will continue to heal and change. After going to all those specialists, getting very different advice, and waiting one year, I decided to get a splint to help out the TMJ problem (which I really didn't want to do).

An orthodontist was where I ended up for the splintÂbut the splint is an artificial way (as they all are) of trying to correct the problem. Two days before I was to get the splint, the TMJ problem stopped. So I didnÂt get the splint.

It's now 6 months later (1.5 years after I broke my jaw), and the TMJ or bite problems have not come back. I still donÂt open my mouth wide, and cut everything into small pieces. So far, so good. So if something's not right, just be patient and wait. Don't get anything done, if possible, until at least one year later.

The body is truly an amazing thing.

Patty Dupre
February 7, 2008

I'm so sorry about your daughter! I hope that her jaw gets repaired and heals quickly.

I had posted last week looking for help with a soft diet as I had gum surgery. I have made broccoli and cauliflower soups and run them through the blender. I've had a ton of yogurt and bananas and yogurt smoothies (lots of dairy consumption). I've also made lentil soup and pureed it. Both oatmeal and cream of wheat have been staples (cream of wheat has quite a decent iron content).

My biggest piece of advice for her, though, is to make very sure she gets enough fiber. I realized after the first several days that my fiber intake was significantly less than normal (ask me how I realized that!), and on top of the Vicodin I was taking (narcotics cause constipation), I ended up with a miserable few days. So, be sure she keeps an eye on her fiber intake. If needed, she can add ground flaxseed to her foods or sprinkle Metamucil in - whatever it takes.

Good luck to you both!

Mandie

Over the past couple of months I've been dealing with some dental work and have had some days of eating soft foods. I hope your daughter isn't in too much pain and she heals well.

I agree with the yogurt smoothies as a staple. You can also add yogurt to Ensure since I don't care for the taste of it but it is a great source of nutrition. I like my smoothies like Mandie and Lou's article suggested, with mostly yogurt and fruit and maybe a bit of milk or juice to thin it, instead of a juice based smoothie with not much yogurt in it.

Lentil soup, split pea soup, any kind of bean soup is great. Especially good to have a stick blender to grind all this stuff up with but lentils and split peas gave me no trouble as they were. We have a pasta product here called pastina but you might not have it. You can use orzo or acine de pepe and cook til soft and mix with plenty of butter. Very good. You can also mix it with some of your pureed veggies for a nice filling meal. Polenta or risotto would also work for her nicely. If she likes her scrambled eggs soft she will probably be able to eat them too. I could eat poached eggs as long as they were cut up finely. I was also able to eat things like tuna fish salad when it was made with a fair amount of mayonaisse, which happens to be how I like it. As long as she takes very small amounts of new things she tries she should be fine with more than she thinks. I dipped tuna sandwich pieces [cut it into half inch squares] in chicken noodle soup and was able to eat it. Chicken noodle soup went down pretty easily as long as the noodles were fine noodles when homemade or Campbells super soft noodles. Tomato soup went with my tuna bites too. I also made chicken salad but ground it all up in the food processor so I could eat it. I used plenty of garlic powder and onion powder to make sure it tasted good. You get tired of bland stuff pretty quick.

Of course dessert is easy with puddings, ice cream, custards, sugared fruit cut really small. Fruit gets softer after it sits in sugar or can cook it briefly. Quite a few kinds of pies. You can smash the crust edge and mix in with the filling when she eats it. A pie like pumpkin pie can serve as a vegetable with lots of fiber if you stretch the point.

Warm salt water rinses are your friend. Of course she'll be doing lots of rinsing after meals and such but the salt water also helps to keep things in good shape in her mouth.

Best of luck to her and sending healing thoughts.

Look up congee recipes.
Also, time to start liking tofu.

Good luck.

dcarch

Best of luck to your daughter.

I have nothing to add, LOU said it all~ Wow Lou great article.

Shaun:
Thanks, You would think the Doctor's, hospitals,
would have something like this, available.
I have known a few people who didn't know diddily squat,
about how or what to eat.

Hi Coconut:
Haven't talked to you for awhile. Busy helping others, haven't been in here too much.
LOU

Thanks all for the cheering words and informative posts. Lou, the article had excellent advice.

Coconut is right on about the lentil or bean soups. Any of them can be pureed and provide a high level of nutrition as well as fiber. If your daughter is at all adventurous about food, they do wonderful things with all sorts of legumes and tasty spices in India, where they are called, "Dal" and are often cooked quite soft. I make them quite frequently as a side dish, and have found that adding some extra water to the leftovers, and maybe a bit of lemon juice or chicken base before pureeing them makes excellent soup for the next night. Your daughter might do that in reverse...make them with more water or stock at first, and then leaving them thicker but still soft later as she's able to begin to chew a bit again. If this sounds like something she might like, I'd be happy to type out a few recipes for her.

A neighbor once had her jaw broken on purpose, to correct a bad receding jaw. I remember that my mother made a huge pot of chicken soup and put the whole thing through the blender for her. It was quite tasty!

For protein intake, meat can be added to just about any sort of "cream of" soup, and then simply pureed into it. Cream of chicken and broccoli is quite good. To cut down on too much fat, if that is an issue, I often make my "cream of" soups with much more vegetable (and often add a grated potato or two) than is called for, and puree it. The extra vegetables cut down on the amount of roux or other thickener needed.

Hot cereals are excellent sources of fiber as well, and can all be cooked in extra liquid and pureed to be smooth enough to drink.

If your daughter does not own a stick blender, it would be an excellent "get well soon" gift. If she isn't a "foodie", she can easily buy cans of soup or restaurant soup and just stick the blender in, puree, and dinner is served.

When I was in the restaurant biz, I had a customer come in a few times during the period he was healing from a broken jaw and ask me to puree some soup for him. He still had to work, and attend those corporate lunch meetings. The first time, he brought a stick blender in with him, but upon being assured that I'd be happy to put some soup in a blender for him he stopped bringing it!