Managing Cheek Biting: Dental Care for TMJ and Oral Wounds - Dentistry

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Biting the inside of the cheek?


Hello, Dentist.
I previously inquired about my temporomandibular joint issues.
I am trying to be mindful of not clenching my teeth, so I consciously keep my mouth slightly open.
However, I often accidentally bite my cheek while talking or eating, and I tend to bite the same spot repeatedly.

1.
Can this issue be treated alongside my temporomandibular joint disorder?
2.
There is a piece of skin hanging from the wound where I bit myself.
Does this need to be treated, or can I just leave it and apply medication?
3.
I have frequently experienced mouth sores, and my ENT doctor diagnosed them as recurrent aphthous ulcers without any specific recommendations, and prescribed an oral gel.
Can I use the same oral gel (Ningkang Oral Gel) on these bite wounds?
Thank you.

Miao Mi, 20~29 year old female. Ask Date: 2021/08/26

Dr. Lin Jiayong reply Dentistry


Hello: 1.
Yes.
2.
It is recommended to apply the medication and avoid scratching or peeling to prevent infection.
3.
Yes, but apply a maximum of three times a day; do not use in excess.
Regards, Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/08/26

More Info


Managing cheek biting and associated dental care, especially in relation to temporomandibular joint (TMJ) issues, requires a comprehensive approach. It’s important to understand that the act of biting your cheek can be both a physical and psychological issue, often exacerbated by stress or anxiety, which can lead to teeth grinding or clenching. Here’s a detailed response to your questions:
1. Can TMJ and cheek biting be treated together?
Yes, TMJ disorders and cheek biting can be treated concurrently. TMJ disorders often lead to muscle tension and discomfort, which can cause individuals to unconsciously clench their teeth or bite their cheeks. A dentist specializing in TMJ disorders can provide a comprehensive treatment plan that may include physical therapy, stress management techniques, and possibly the use of a night guard to prevent teeth grinding during sleep. Addressing the underlying TMJ issue may help reduce the frequency of cheek biting.

2. What should be done about the wound on the cheek?
If you have a wound on your cheek from biting, it’s essential to keep the area clean to prevent infection. You can rinse your mouth gently with warm salt water to help keep the wound clean. If there is a flap of skin hanging, it’s generally best to leave it alone unless it is causing significant discomfort or is at risk of being further injured. Applying a topical antibiotic ointment can help, but avoid using it inside the mouth unless specifically formulated for oral use. If the wound does not heal or shows signs of infection (increased redness, swelling, or pus), you should consult a healthcare professional.

3. Can the same oral ointment be used for cheek wounds?
Yes, if your healthcare provider has prescribed an oral ointment like Ningkang Oral Gel for recurrent mouth sores, it can also be applied to the cheek wound, provided it is safe for use on mucosal surfaces. These types of gels typically contain ingredients that promote healing and provide a protective barrier over the wound. However, it’s crucial to follow the instructions provided by your healthcare provider regarding the application and frequency of use.


Additional Recommendations:
- Behavioral Modifications: Since you mentioned that you are aware of your tendency to bite your cheek, it may be beneficial to practice mindfulness techniques to help reduce stress and anxiety. Techniques such as deep breathing, meditation, or even cognitive behavioral therapy can be effective in managing stress-related habits.


- Dietary Considerations: Avoiding hard, crunchy, or spicy foods can help minimize irritation to the cheek while it heals. Soft foods are generally easier to eat and less likely to cause further injury.

- Regular Dental Check-ups: Regular visits to your dentist are crucial, especially if you have ongoing TMJ issues or cheek biting. Your dentist can monitor your oral health, provide guidance on managing TMJ symptoms, and suggest interventions to prevent cheek biting.

- Oral Hygiene: Maintaining good oral hygiene is vital, especially when dealing with wounds in the mouth. Brush your teeth gently and consider using a non-alcoholic mouthwash to avoid further irritation.

In summary, managing cheek biting in the context of TMJ issues involves a multifaceted approach that includes dental care, wound management, and behavioral strategies. If you continue to experience problems, it’s advisable to seek further evaluation from a dental professional who can tailor a treatment plan to your specific needs.

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