Our Services
Medical Information
Helpful Resources
Published on: 2/13/2026
Jaw giving out during laughter is usually from TMJ dysfunction or jaw muscle tension from clenching or bruxism, and less commonly from neurological issues like cataplexy or oromandibular dystonia. There are several factors to consider, including triggers, pain or clicking, and daytime sleepiness; see below for a fuller explanation and how each cause changes the next steps. Start by tracking patterns, easing jaw strain, and seeing a dentist or primary care clinician, with a neurologist if episodes are emotion triggered with weakness; urgent symptoms like one-sided facial droop, persistent slurred speech, severe headache, trouble swallowing, or limb weakness need immediate care. Complete guidance, red flags, and a TMJ symptom check link are detailed below.
If you've ever noticed losing control of your jaw when telling a joke, you're not alone. Many women describe a sudden jaw drop, brief "locking," shaking, or a feeling that their mouth won't move the way they expect—especially when laughing or speaking with strong emotion.
It can feel embarrassing or even scary. The good news? In many cases, it's manageable once you understand the cause. Below, we'll walk through the most common reasons this happens, what it could mean, and when it's important to speak to a doctor.
Telling a joke often involves:
All of these can stress the jaw joint, facial muscles, and even certain neurological reflexes.
When you're losing control of your jaw when telling a joke, the cause usually falls into one of three main categories:
Let's break these down.
The temporomandibular joint (TMJ) connects your jawbone to your skull. It's one of the most frequently used joints in your body. Women are more likely than men to develop TMJ disorders, especially between ages 20 and 50.
If you feel like your jaw briefly "gives out" or shifts when laughing, this could be a sign of TMJ dysfunction.
In some women, the cartilage in the jaw joint begins to wear down—a condition known as Temporomandibular Joint Osteoarthritis (TMJ). When the joint surface becomes uneven or inflamed, it may not move smoothly—especially during wide mouth opening like laughter, and understanding whether your symptoms align with this condition can be an important first step toward finding relief.
Sometimes losing control of your jaw when telling a joke is not the joint—it's the muscles.
The jaw depends on coordinated muscle activity. If these muscles are:
You may notice:
Stress plays a big role here. Many women clench their jaw unconsciously, especially during busy or emotional periods. Over time, this makes the muscles more likely to misfire during expressive moments like laughter.
If your jaw actually drops or goes weak specifically during laughter, one rare but important condition to know about is cataplexy.
Cataplexy is usually associated with narcolepsy. It involves sudden, brief muscle weakness triggered by strong emotions—especially laughter.
Cataplexy episodes typically last seconds to a couple of minutes.
This is uncommon—but if you are repeatedly losing control of your jaw when telling a joke AND also experiencing excessive daytime sleepiness, you should speak to a doctor promptly.
Another possible cause is oromandibular dystonia, a movement disorder that causes involuntary muscle contractions in the jaw and lower face.
Symptoms may include:
This condition is rare, but it is treatable. A neurologist can evaluate and manage it if suspected.
Sometimes laughter causes:
This can create a feeling of losing control, even if the jaw itself is functioning normally.
If episodes happen during social stress, performance anxiety, or high-emotion moments, your nervous system may be playing a role.
Most cases are not life-threatening—but some symptoms require medical attention.
These could signal a stroke or other serious condition and require emergency care.
If you're losing control of your jaw when telling a joke and it's happening more than once, here's a practical approach:
Write down:
Patterns help doctors make faster, more accurate diagnoses.
Ask yourself:
If yes, TMJ is a strong possibility. Consider using a free online tool to check if your symptoms match Temporomandibular Joint Osteoarthritis (TMJ) so you can have a clearer picture before your doctor's appointment.
In the meantime:
Stress directly increases jaw muscle tension.
Helpful tools:
Even small stress reductions can reduce muscle misfiring.
You should speak to:
Be honest and specific. Saying, "I'm losing control of my jaw when telling a joke" gives your provider important clues.
If you're losing control of your jaw when telling a joke, it's usually related to:
Most causes are treatable once identified.
Don't ignore repeated symptoms—but don't panic either.
Start by:
Your jaw is a complex joint that works hard every day. When it starts sending signals, it's worth listening carefully—and getting professional guidance when needed.
(References)
* Patel A, Kumar P, Gupta S. Recurrent spontaneous temporomandibular joint dislocation during laughter in a young female: a case report and review of literature. J Indian Prosthodont Soc. 2020 Jul-Sep;20(3):328-331. doi: 10.4103/jips.jips_147_20. PMID: 32908226; PMCID: PMC7460783.
* Aggarwal VR, Puri S. Sex differences in temporomandibular joint disorders: A systematic review. J Oral Rehabil. 2021 Dec 22. doi: 10.1111/joor.13289. Epub ahead of print. PMID: 34939226.
* Al-Hadlaq A, Al-Bayat R, Al-Oraibi S, Al-Turki A, Al-Muzairai A. Recurrent mandibular dislocation. J Oral Maxillofac Surg Med Pathol. 2019 Sep;31(5):378-385. doi: 10.1016/j.jomsmp.2019.06.002. Epub 2019 Jul 16. PMID: 32284996.
* Zou Z, Wang J, Shi Z, Yu B, Shi Y, Hu Y. Eminectomy for recurrent temporomandibular joint dislocation: a systematic review and meta-analysis. J Oral Maxillofac Surg. 2022 Mar;80(3):525-536. doi: 10.1016/j.joms.2021.10.022. Epub 2021 Nov 3. PMID: 34743048.
* Okeson JP. Current Concepts in the Diagnosis and Management of Temporomandibular Disorders. J Am Dent Assoc. 2020 Oct;151(10):707-717. doi: 10.1016/j.adaj.2020.07.008. Epub 2020 Aug 26. PMID: 32981504.
We would love to help them too.
For First Time Users
We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.
Was this page helpful?
Purpose and positioning of servicesUbie Doctor's Note is a service for informational purposes. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.