The masseter muscle on the right side of the cheek is more prominent during occlusion?
About a month ago, I noticed that when I clench my jaw, the masseter muscle on the right side of my face is particularly prominent.
When I'm not clenching, it returns to normal.
Is this normal, doctor? Could this be masseter muscle hypertrophy? I visited an ENT specialist who referred me to a dentist.
Thank you for your response, doctor.
Luo Kairen, 20~29 year old female. Ask Date: 2017/12/07
Dr. Zhu Guanyu reply Dentistry
Hello: Yes, it is normal muscle and mucosa; some individuals naturally have thicker soft tissue.
If you have concerns, please visit a dentist for further examination.
Thank you for your message.
Wishing you peace and health.
Sincerely, Dr.
Kuan-Yu Chu, Director of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2017/12/07
More Info
When you notice that your cheek muscle appears swollen or particularly prominent on one side while chewing, it can be concerning and may lead you to question whether this is normal or indicative of an underlying issue. From a dental perspective, this phenomenon can indeed be related to the muscles involved in chewing, specifically the masseter muscle, which is one of the primary muscles responsible for the movement of the jaw during chewing.
The masseter muscle can become hypertrophied (enlarged) due to various factors, including excessive chewing, grinding of teeth (bruxism), or even certain dietary habits that require more vigorous chewing. In your case, if you observe that the swelling occurs specifically during chewing and returns to normal when at rest, it suggests that the muscle is responding to the activity of chewing. This is a common occurrence and can be considered a normal physiological response to increased muscle use.
However, if the muscle enlargement is significant or accompanied by discomfort, pain, or other symptoms such as jaw clicking or difficulty in opening the mouth, it may indicate an underlying issue such as temporomandibular joint (TMJ) dysfunction or bruxism. TMJ disorders can lead to muscle tension and pain, and they often manifest with symptoms like jaw clicking, popping, or even headaches. Bruxism, which is the involuntary grinding or clenching of teeth, can also lead to muscle hypertrophy and may require intervention.
In your situation, since you have already consulted an ENT specialist who recommended seeing a dentist, it would be prudent to follow up with a dental professional. A dentist can perform a thorough examination to assess the condition of your teeth, jaw alignment, and the function of your temporomandibular joint. They may also evaluate for signs of bruxism or other dental issues that could be contributing to the muscle prominence.
If it is determined that your cheek muscle swelling is due to muscle hypertrophy from overuse, your dentist may suggest several management strategies. These could include:
1. Behavioral Modifications: Reducing habits that contribute to excessive muscle use, such as chewing gum or eating hard foods.
2. Mouthguards: If bruxism is suspected, a custom-fitted mouthguard can help protect your teeth and reduce muscle strain during sleep.
3. Physical Therapy: Exercises to relax and strengthen the jaw muscles may be beneficial.
4. Stress Management: Since stress can contribute to teeth grinding and muscle tension, techniques such as mindfulness, meditation, or counseling may be recommended.
5. Medication: In some cases, muscle relaxants or anti-inflammatory medications may be prescribed to alleviate discomfort.
In summary, while some degree of muscle prominence during chewing can be normal, especially if it resolves at rest, it is essential to monitor for any additional symptoms that may indicate a more significant issue. Consulting with a dentist will provide you with a clearer understanding of your condition and appropriate treatment options. Remember, maintaining good oral health and addressing any concerns early on can prevent more serious complications in the future.
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