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I have been experiencing pain in the bone beneath my gums at the back of my mouth whenever I open my mouth wide or chew, and the pain radiates to my ear.
Should I schedule an appointment with a dentist or another specialist? Thank you!
Lin, 20~29 year old female. Ask Date: 2003/06/24
Dr. Gao Zhijian reply Dentistry
1.
Dental outpatient consultation.
2.
Considering your age, the first step is to take an X-ray to determine if the issue is caused by the third molar.
Next, we should consider whether there are any occlusal discrepancies that could lead to temporomandibular joint injury.
Dr.
Yuan Tzu-Ming, Dentistry, June 26, 3:00 PM.
Reply Date: 2003/06/24
More Info
If you are experiencing pain in your jaw that extends to your ear, it is advisable to see a dentist first. The symptoms you describe could be indicative of several dental or jaw-related issues, such as temporomandibular joint (TMJ) disorders, dental infections, or issues related to your wisdom teeth.
The temporomandibular joint connects your jawbone to your skull, and problems in this area can lead to pain that radiates to the ear. This is because the nerves that supply the jaw and the ear are closely related. TMJ disorders can be caused by various factors, including jaw misalignment, teeth grinding, or arthritis. Symptoms often include pain in the jaw, difficulty chewing, clicking or popping sounds when moving the jaw, and ear pain or ringing in the ears (tinnitus).
Additionally, if your pain is associated with the area where your wisdom teeth are located, it could indicate an issue such as impaction or infection. Wisdom teeth can sometimes become impacted, meaning they do not have enough room to emerge properly, which can lead to pain and swelling in the surrounding tissues. If there is an infection, it can also cause pain that radiates to the ear.
When you visit a dentist, they will conduct a thorough examination, which may include X-rays, to determine the underlying cause of your pain. They will assess your dental health, check for signs of infection, and evaluate the condition of your jaw joint. Based on their findings, they may recommend treatments such as dental work, a bite guard to prevent teeth grinding, or even referral to a specialist if necessary.
If the dentist rules out dental issues and suspects that the pain is related to a non-dental cause, they may refer you to an ear, nose, and throat (ENT) specialist. ENT specialists can evaluate conditions that may affect the ear, such as infections or Eustachian tube dysfunction, which can also cause ear pain.
In summary, it is best to start with a visit to the dentist. They are equipped to handle issues related to your jaw and teeth, and they can guide you on the next steps if further evaluation is needed. Ignoring these symptoms could lead to worsening pain or complications, so seeking professional advice is essential.
In the meantime, you might find some relief by applying a warm compress to the jaw area, practicing relaxation techniques to reduce tension in the jaw, and avoiding hard or chewy foods that may exacerbate the pain. However, these are temporary measures, and a professional evaluation is crucial for a long-term solution.
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