Pain Below Left Jaw After Cheek Puffing: Possible Dental Issues? - Dentistry

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Swelling in the oral cavity with pain below the left jaw near the ear?


After puffing my cheeks, I experience soreness below my left jaw near the ear, along with a sensation of something twitching, but I do not have cavities and I do not grind my teeth regularly.
I do not feel soreness while eating or opening my mouth, unless I have puffed my cheeks.
I am aware that I have an issue with malocclusion (which has not been corrected).
What could this condition be? Will treatment be very expensive? Thank you for your guidance!

Jeff, 10~19 year old female. Ask Date: 2020/11/12

Dr. Huang Tingfang reply Dentistry


Dear Mr.
Jeff,
Hello! It is possible that you have sialadenitis.
Further examination is needed! Take care!
Sincerely,
Dr.
Huang Ting-Fang, Dental Department

Reply Date: 2020/11/12

More Info


The pain you're experiencing below your left jaw after puffing out your cheeks could be attributed to several dental or muscular issues. Given that you mentioned not having cavities or a habit of grinding your teeth, the discomfort may be related to the muscles and joints involved in jaw movement, particularly the temporomandibular joint (TMJ).


Possible Causes of Pain
1. Temporomandibular Joint Dysfunction (TMD): This condition affects the jaw joint and the surrounding muscles. Symptoms can include pain in the jaw, difficulty chewing, and discomfort when opening or closing the mouth. Puffing out your cheeks may put additional strain on the muscles and joints, leading to pain.

2. Muscle Strain: The muscles responsible for moving your jaw can become strained from unusual movements, such as puffing out your cheeks. This strain can lead to localized pain and discomfort.

3. Nerve Irritation: The sensation of something "jumping" or twitching could be related to nerve irritation in the area. The facial nerve runs close to the jaw and can be affected by muscle tension or inflammation.

4. Malocclusion: Since you mentioned having an issue with your bite alignment, this could contribute to uneven pressure on your jaw muscles and joints, leading to discomfort when performing certain movements.


Treatment Options
1. Consultation with a Dentist or Oral Surgeon: The first step is to consult with a dental professional who can evaluate your jaw alignment and the function of your TMJ. They may perform a physical examination and possibly imaging studies to assess the joint and surrounding structures.

2. Physical Therapy: If muscle strain or TMD is diagnosed, physical therapy may be recommended. This can include exercises to strengthen the jaw muscles, improve flexibility, and reduce pain.

3. Occlusal Splints: If malocclusion is contributing to your symptoms, a dentist may recommend an occlusal splint or mouthguard. This device can help align your bite and reduce strain on the jaw muscles.

4. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate discomfort. In some cases, a dentist may prescribe muscle relaxants or anti-inflammatory medications.

5. Stress Management Techniques: Since stress can exacerbate jaw tension, techniques such as mindfulness, relaxation exercises, or even counseling may be beneficial.


Cost Considerations
The cost of treatment can vary widely depending on the specific diagnosis and the treatment plan recommended by your dentist. A consultation may range from $100 to $300, while physical therapy sessions can cost between $50 to $150 each, depending on your location and the provider. If dental appliances like occlusal splints are necessary, they can range from $300 to $1,000 or more, depending on the complexity of your case.


Conclusion
In summary, the pain you're experiencing below your left jaw after puffing out your cheeks could be related to TMD, muscle strain, or nerve irritation, particularly given your existing bite alignment issues. It's essential to consult with a dental professional for a thorough evaluation and tailored treatment plan. Early intervention can help prevent further complications and improve your quality of life.

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