Issues related to mandibular pain and malocclusion?
Hello, doctor.
Recently, I've been experiencing soreness in my lower jaw and temporomandibular joint (TMJ).
I've been trying hard to relax and haven't been eating very hard foods (I generally prefer soft foods).
This discomfort tends to occur more often when I'm watching TV or movies.
My ex-boyfriend mentioned that I sometimes grind my teeth while sleeping, but I'm not sure if that's still the case.
I've had a total of three wisdom teeth extracted, and now I have one left on the lower right side.
My lower teeth seem to be getting more misaligned, and I'm wondering if the difference in the number of teeth on the left and right sides could be causing issues with my bite (one tooth has already started to protrude).
Could this misalignment be contributing to the TMJ soreness? The remaining wisdom tooth is impacted and not visible; it doesn't cause me any discomfort, but I'm unsure if it needs to be extracted.
Qiao Qiao, 20~29 year old female. Ask Date: 2021/01/01
Dr. Huang Tingfang reply Dentistry
Dear Miss Qiao Qiao,
Hello! If the wisdom teeth are horizontally impacted, they need to be extracted.
If they cause pain, they should also be removed! Malocclusion is related to the temporomandibular joint (TMJ) as well.
Sometimes, grinding your teeth during sleep can significantly affect the TMJ.
It is advisable to visit a hospital for a thorough examination! Take care of yourself! Regular exercise can help improve your condition! Wishing you all the best!
Sincerely,
Dr.
Huang Ting-Fang
Director of Dentistry
Reply Date: 2021/01/01
More Info
Jaw pain and issues related to the temporomandibular joint (TMJ) can be quite complex, especially when compounded by the presence of wisdom teeth and other dental irregularities. Your symptoms of discomfort in the lower jaw and TMJ area, particularly when watching TV or movies, suggest that you may be experiencing muscle tension or strain, which can be exacerbated by habits such as teeth grinding (bruxism) or jaw clenching.
Bruxism is a common condition where individuals unconsciously grind or clench their teeth, often during sleep. This can lead to significant wear on the teeth, increased muscle tension, and pain in the jaw and surrounding areas. If you suspect that you might be grinding your teeth at night, it would be beneficial to consult with a dentist who can evaluate your dental health and possibly recommend a night guard to protect your teeth and alleviate some of the pressure on your jaw muscles.
Regarding your concerns about misalignment and the impact of your remaining wisdom tooth, it is indeed possible that the uneven number of teeth on the lower jaw could contribute to an improper bite or malocclusion. When teeth are misaligned, it can lead to uneven pressure on the jaw, which may cause discomfort in the TMJ area. The remaining wisdom tooth, especially if it is impacted or partially erupted, can also contribute to this misalignment and discomfort.
The fact that your remaining wisdom tooth is "buried" in the gum tissue and not causing immediate pain does not necessarily mean it should be left alone. Impacted wisdom teeth can lead to various complications, including infection, cyst formation, and further misalignment of adjacent teeth. If your dentist or oral surgeon determines that the tooth is likely to cause problems in the future, they may recommend extraction as a preventive measure.
In terms of managing your current symptoms, consider the following strategies:
1. Heat and Cold Therapy: Applying a warm compress to the jaw area can help relax tense muscles, while a cold pack can reduce inflammation and numb pain.
2. Gentle Jaw Exercises: Performing gentle stretching exercises for your jaw can help improve mobility and reduce tension. Open and close your mouth slowly, and move your jaw side to side to promote relaxation.
3. Stress Management: Since you mentioned that you are trying to relax, incorporating stress-reducing techniques such as mindfulness, meditation, or yoga can be beneficial. Stress often contributes to muscle tension and bruxism.
4. Dietary Adjustments: Continue to avoid hard or chewy foods that may exacerbate your jaw pain. Soft foods can help minimize strain on your jaw muscles.
5. Consultation with a Specialist: If your symptoms persist or worsen, it may be worthwhile to see a dentist who specializes in TMJ disorders. They can provide a comprehensive evaluation and recommend specific treatments, which may include physical therapy, dental splints, or other interventions.
In conclusion, your symptoms may be interconnected with your dental history, including the presence of wisdom teeth and potential misalignment. Addressing these issues holistically with the help of dental professionals can lead to improved comfort and overall oral health. If you have further concerns about your wisdom tooth or jaw pain, do not hesitate to seek a second opinion or further evaluation from a specialist.
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