Unusual Ear Noise When Clenching Teeth: Is It TMJ Related? - Dentistry

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Abnormal sounds in the left ear when biting down?


One day, I woke up and noticed that when my teeth are clenched, I hear a sound in my left ear similar to the noise of hitting an empty barrel.
I have never experienced this before, and it has been 4 days.
After researching online, I found that it might be related to temporomandibular joint (TMJ) issues caused by long-term malocclusion.
I have a cavity in my right-side teeth, so I have been chewing on the left side for over a month.
However, my hearing is normal, and I do not experience any pain.
Sometimes, when I open my mouth, my lower lip tends to tilt slightly to the left, but I can open my mouth wide without any issues.
I would like to ask: 1.
Is this symptom really related to the temporomandibular joint? 2.
Will this symptom resolve on its own, or does it require treatments like heat therapy? 3.
Would eating smaller bites and avoiding hard chewing help improve the symptoms? Thank you, doctor.

A De, 20~29 year old female. Ask Date: 2018/05/03

Dr. Huang Tingfang reply Dentistry


Dear Mr.
Ad: Hello! Based on what you described, it is possible that you are experiencing internal derangement of the temporomandibular joint (TMJ), which involves changes in the position of the articular fossa, condyle, and meniscus.
Please do not worry; maintaining a regular lifestyle and engaging in more physical activity should help improve your condition.
Be sure to communicate frequently with your physician.
Thank you! Wishing you peace and safety! Sincerely, Dr.
Huang Ting-Fang, Dentistry.

Reply Date: 2018/05/03

More Info


The unusual ear noise you are experiencing when clenching your teeth could indeed be related to the temporomandibular joint (TMJ). The TMJ connects your jawbone to your skull and is responsible for the movements of your jaw. When there are issues with this joint, such as misalignment or dysfunction, it can lead to various symptoms, including sounds in the ear, pain, and changes in jaw movement.

1. Is this symptom really related to TMJ?
Yes, the sound you hear in your ear when clenching your teeth could be indicative of TMJ dysfunction. This condition can arise from several factors, including prolonged poor dental alignment, excessive teeth grinding (bruxism), or even changes in chewing habits due to dental issues, such as cavities or missing teeth. Since you mentioned that you have been favoring your left side for chewing due to a cavity on the right side, this change in your chewing pattern could contribute to the stress on the TMJ, leading to the sounds you are hearing. The "empty bucket" sound you describe may be related to the movement of the joint or the surrounding structures, such as the ligaments or the articular disc within the joint.

2. Will this symptom resolve on its own, or do I need treatment like heat therapy?
Symptoms related to TMJ dysfunction can sometimes resolve on their own, especially if the underlying cause (like the dental issue you mentioned) is addressed. However, if the symptoms persist, it is advisable to seek treatment. Heat therapy, such as applying a warm compress to the jaw area, can help relax the muscles around the TMJ and alleviate discomfort. Additionally, gentle stretching exercises for the jaw may also be beneficial. If the symptoms do not improve or worsen, it would be wise to consult a dentist or a specialist in TMJ disorders for a thorough evaluation and tailored treatment plan.

3. Will eating smaller bites and avoiding hard chewing help improve the symptoms?
Yes, modifying your eating habits can be beneficial. Eating smaller bites and avoiding hard or chewy foods can reduce the strain on your TMJ and surrounding muscles. This approach can help minimize discomfort and may prevent further aggravation of the joint. Additionally, practicing good posture while eating and avoiding clenching your jaw during the day can also contribute to symptom relief.

In summary, the unusual ear noise you are experiencing when clenching your teeth is likely related to TMJ dysfunction, especially given your recent changes in chewing habits due to dental issues. While the symptoms may resolve on their own, incorporating heat therapy and modifying your eating habits can be helpful. If the symptoms persist, seeking professional evaluation and treatment is recommended to ensure proper management of your condition.

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