Anthony,
I agree that any damage to the front of a mosasaur skull would be painful... maybe that's why they were so nasty toward one another.... lots of mosasaur one-on-one damage out there.
I collected a partial skull of a very large
Tylosaurus kansasensis years ago that had the tips of three
Cretoxyrhina mantelli teeth embedded.... one each in the lateral sides of both dentarys.. and one on the dorsal surface of the premaxilla. The skull had weathered out and was much worse for wear, so I wasn't too curious about what caused some damage to the end of the premaxilla.... years later I finally realized that the tip of the rostrum had been bitten off... probably by the same shark that left teeth embedded elsewhere.... There is also a large bite mark going across the premaxilla, roughly on the same track as the tooth/teeth that severed the bone.

Here's a top/down view:

There is no evidence of healing around any of the bite marks... Most likely the sharks were scavenging the long dead carcass of a big ol'
Tylosaurus...
"Question about the Japanese housed specimen: looking at the lack of both paleotopography and large rocks in Logan County, what did it break it's face on?"
GOOD question........It probably wasn't any thing within several hundred miles of where it hit the sea bottom... The map below shows some possibilities...
"X" marks the spot where the mosasaur was collected.... 1) The most likely (nearest) hard rocks are in the Arbuckle and Washita mountains of southeastern Oklahoma and southwestern Arkansas... they would have been exposed on the eastern edge of the seaway. 2) There is a source of "red quartzite" in northwest Iowa that Williston mentions as a possible area where plesiosaurs went to get stones they used as gastroliths (he also mentions the Black Hills, but I don't think they were exposed during the Late Cretaceous); 3) A large amount of granite is quarried in southeastern South Dakota... it was exposed at sometime during the Cretaceous because they find sharks teeth and reptile bones in the seams between the granite boulders in the quarry... deposited in the Carlile Shale; (4).... There is some sub-surface indications that there was a chain of volcanoes running from west to east between the Western Interior Sea and the Gulf of Mexico during the Late Cretaceous. Apparently they were eroded away fairly quickly and there's nothing left on the surface.

That all being said, the whole Western Interior Sea sat on limestones, sandstones and shales that had been deposited as sea floor over the previous 300 or so million years. We have no idea whether some of those formations may have been exposed during the Late Cretaceous... They certainly would be hard enough to have caused the observed damage...
Regards,
Mike