Managing TMJ Pain and Dental Issues: Tips for Relief Before Your Appointment - Dentistry

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Temporomandibular joint (TMJ)


About a month ago, I experienced pain from a cavity in my upper left tooth, and I underwent root canal treatment.
Approximately twelve days ago, while brushing my teeth, my jaw made a popping sound and was very painful, but I didn't pay much attention to it.
The next day, while brushing again, the popping sound occurred again and was even more painful.
At that time, my lower left jaw was slightly swollen, and I couldn't open my mouth to brush my teeth.
Due to the pandemic, I couldn't get an appointment at a large hospital, so I first went to see a traditional Chinese medicine practitioner for acupuncture and took anti-inflammatory pain medication from an orthopedic doctor.
Four days ago, my lower left jaw became "swollen and hard." I have been using ice packs for pain relief.
Currently, I have tinnitus in my left ear, and the left-sided headache has worsened.
I can only consume liquid foods (like porridge and noodles) and cannot brush my teeth, only rinse my mouth.
The appointment at the large hospital is not available until July.
I would like to know how to manage my treatment during this time to avoid worsening my condition, and whether the nearly month-long wait until my appointment in July will delay the treatment of my condition.
Thank you.

ZM, 40~49 year old female. Ask Date: 2021/06/15

Dr. Lin Jiayong reply Dentistry


Hello: If you are very concerned about temporomandibular joint dislocation or malposition, or even a fracture of the mandible, it is advisable to consult an oral and maxillofacial surgeon or an orthopedic specialist for an examination and to obtain imaging confirmation.
Dental clinics in hospitals are still open (though they may have reduced hours or require a negative COVID-19 test result).
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/06/15

More Info


Managing TMJ pain and dental issues can be quite challenging, especially when you're experiencing symptoms like swelling, pain, and limited jaw movement. Based on your description, it seems like you are dealing with a combination of dental issues and temporomandibular joint (TMJ) dysfunction. Here are some tips for managing your symptoms until you can see a healthcare professional.


1. Pain Management
- Over-the-Counter Pain Relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation. Make sure to follow the dosage instructions on the label.

- Cold Compress: Applying a cold compress to the affected area can help reduce swelling and numb the pain. Use it for 15-20 minutes at a time, several times a day.

- Heat Therapy: After the initial swelling has gone down, applying heat can help relax the muscles around the jaw. A warm towel or a heating pad can be effective.


2. Dietary Adjustments
- Since you mentioned that you can only eat soft foods, continue with a diet that includes items like soups, smoothies, yogurt, and mashed potatoes. Avoid hard, chewy, or crunchy foods that can exacerbate your symptoms.

- Stay hydrated and consider using a straw for drinks if opening your mouth is painful.


3. Jaw Exercises
- Gentle jaw exercises can help maintain mobility and reduce stiffness. Try to open your mouth slowly and gently as much as you can without pain. You can also try moving your jaw side to side. However, avoid any movements that cause significant pain.


4. Avoiding Strain on the Jaw
- Be mindful of your jaw position. Try to keep your teeth slightly apart when not eating or speaking to reduce tension.

- Avoid clenching your teeth or grinding them, as this can worsen TMJ symptoms. If you notice yourself doing this, consciously relax your jaw.


5. Stress Management
- Stress can exacerbate TMJ pain and dental issues. Techniques such as deep breathing, meditation, or gentle yoga can help reduce stress levels.

- If you suspect that teeth grinding (bruxism) is a problem, consider discussing a night guard with your dentist when you have your appointment.


6. Oral Hygiene
- Since you are unable to brush your teeth properly, continue to rinse your mouth with warm salt water to help keep your mouth clean and reduce the risk of infection. This can also help soothe any inflammation in your gums.

- If you can tolerate it, try using a soft-bristled toothbrush to gently clean the areas of your mouth that are accessible.


7. Monitoring Symptoms
- Keep track of your symptoms, including any changes in pain levels, swelling, or jaw mobility. This information will be helpful for your healthcare provider when you are able to see them.


8. Follow-Up Care
- While waiting for your appointment, if your symptoms worsen significantly (e.g., increased swelling, fever, or inability to eat or drink), consider seeking emergency dental care or visiting a different healthcare facility that may have sooner availability.


Conclusion
While waiting for your appointment, it's crucial to manage your symptoms effectively to prevent further complications. TMJ disorders can be complex, and addressing them often requires a multidisciplinary approach, including dental care and possibly physical therapy. Once you are able to see a healthcare professional, they can provide a comprehensive evaluation and develop a tailored treatment plan for your specific needs. In the meantime, focus on pain management, dietary adjustments, and gentle jaw exercises to help alleviate your discomfort.

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