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What is Phossy Jaw?

Mary McMahon
By
Updated: Mar 03, 2024

Phossy jaw was a disfiguring ailment caused by poor working conditions in the 19th century. The condition was most frequently caused by exposure to white phosphorus, hence the name, although other chemicals have been known to cause similar conditions. Because this condition was such a visible and obviously painful disease, it became a rallying point for advocates for workers' rights and better regulation of working conditions, ultimately leading to increased labor regulation and the formation of government agencies to enforce these regulations.

More formally, phossy jaw is known as phosphorus necrosis of the jaw. It was caused by prolonged exposure to white phosphorus fumes, which were particularly associated with the match matching trade in the 19th century. At the time, other forms of phosphorus had been discovered and proved equally effective, but white phosphorus was cheap and readily available, so match companies continued using it despite the obvious health risks.

As the patient was exposed to the fumes, phosphorus accumulated in the jawbone and brain. The first signs of phossy jaw were often painful swellings along the side of the jaw, but it would quickly develop into a condition of open abscesses as the phosphorus essentially ate the jawbone away. A foul smelling discharge accompanied the condition, making victims unwelcome in social situations both because of the hideous malformation of their jaws and the stench. As the condition progressed, the patient's jaw would start to glow in the dark, due to a chemical reaction between the phosphorus and the air.

The only cure for phossy jaw was surgical removal of the jawbone. In an era of dicey anesthetics and before antibiotics, this procedure could potentially be very dangerous, in addition to being permanently disfiguring. Given that the match industry often employed very young children, the issue became a major source of public comment as labor activists published pamphlets about it and introduced people to young victims of phossy jaw.

The publicization of the problems with white phosphorus ultimately led to a ban on the substance in many nations, along with a general increase in labor regulations which was designed to address poor working conditions. Phossy jaw is now extremely rare, although unfortunately some developing nations appear to be experiencing an increase in industrial illnesses as they struggle to modernize their economies and manufacturing systems without corresponding regulations.

The Health Board is dedicated to providing accurate and trustworthy information. We carefully select reputable sources and employ a rigorous fact-checking process to maintain the highest standards. To learn more about our commitment to accuracy, read our editorial process.
Mary McMahon
By Mary McMahon

Ever since she began contributing to the site several years ago, Mary has embraced the exciting challenge of being a The Health Board researcher and writer. Mary has a liberal arts degree from Goddard College and spends her free time reading, cooking, and exploring the great outdoors.

Discussion Comments
By anon997494 — On Jan 16, 2017

What old products might an antique dealer run into that would contain white phosphorus, I wonder? I swear I read that on a label once.

By anon79669 — On Apr 23, 2010

I couldn't agree more. People nowadays should remember the abuses of yesteryear were not solved by the altruism of the industrialists, but by ordinary workers standing up and banding together to win the rights to safety.

By anon38598 — On Jul 27, 2009

It shows the disgraceful lack of compassion and morals of the industrial giants of the nineteenth century. Making huge amounts of money, they let people suffer terrible pain and disfigurement rather than use a more expensive method of production, fearing it would eat into their disgusting profits. When people criticized the excesses of the trade unions during the Thatcher years, they would do well to spare a thought for the poor people's suffering at the hands of the ruling classes!

Mary McMahon
Mary McMahon

Ever since she began contributing to the site several years ago, Mary has embraced the exciting challenge of being a...

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