Jaw Clicking and Tension: When to Seek Dental Care - Dentistry

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The temporomandibular joint (TMJ) is experiencing sounds and tension?


Hello Dr.
Lin, I have recently been practicing using dental floss and have been using it three times a day, but I'm not doing it well.
I keep opening my mouth forcefully, and I've been experiencing increased pressure lately, which has affected my sleep.
A few days ago, I suddenly noticed a crackling sound on the left side of my mouth when eating, but it’s not painful.
Could this be a sign of temporomandibular joint (TMJ) inflammation? I also feel some tightness in the chewing muscles on both sides, and it seems to be affecting the reflex pain in my teeth, which I wonder if it's normal.
After applying a warm compress before bed, I felt a bit less tight the next day.
I visited a nearby rehabilitation clinic, and they prescribed me a topical medication called "Sishuh" to apply.
Since there is no oral surgery department nearby, I went to the rehabilitation clinic first.
Do you think I need to see an oral surgeon immediately for these symptoms, or can I observe for a while longer? This has been ongoing for about nine days, and then one day the crackling sound suddenly stopped, but it reappeared the next day.

nan, 30~39 year old female. Ask Date: 2022/06/09

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to visit the oral surgery department of a hospital as soon as possible.
There are many ways to alleviate symptoms, including occlusal splints, muscle relaxants, infrared heat therapy, PRP (platelet-rich plasma) injections, or Botox injections, among others.
If left untreated, there is indeed a possibility of worsening! Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2022/06/09

More Info


Hello! It sounds like you're experiencing some discomfort and unusual sounds in your jaw, which can indeed be concerning. Based on your description, it seems you may be dealing with symptoms related to temporomandibular joint (TMJ) dysfunction, which can manifest as clicking or popping sounds, tension in the jaw muscles, and sometimes pain or discomfort when chewing.

TMJ dysfunction can arise from various factors, including teeth grinding (bruxism), jaw clenching, poor bite alignment, or even stress. The fact that you've been practicing using dental floss and have noticed increased tension in your jaw suggests that you might be unconsciously clenching your jaw or putting extra pressure on it, especially if you're feeling stressed or anxious.

The clicking sound you hear when chewing could be due to the displacement of the articular disc within the TMJ. This disc acts as a cushion between the bones of the joint, and if it becomes misaligned, it can cause the joint to make noise when you move your jaw. While this clicking is often not painful, it can be accompanied by discomfort or a feeling of tightness in the jaw muscles, as you've described.

It's good to hear that you've been proactive about your oral health by practicing flossing. However, if you're experiencing persistent symptoms like the clicking sound and muscle tightness, it may be wise to consult with a dental professional, particularly one who specializes in TMJ disorders or orofacial pain. They can perform a thorough examination to determine the underlying cause of your symptoms and recommend appropriate treatment options.

In the meantime, here are some self-care strategies you can consider to help alleviate your symptoms:
1. Heat Therapy: Applying a warm compress to the jaw area can help relax the muscles and reduce tension. You mentioned that heat helped a bit, so continuing this practice may be beneficial.

2. Gentle Jaw Exercises: Performing gentle stretching exercises for your jaw can help improve mobility and reduce tension. For instance, you can slowly open and close your mouth, or move your jaw side to side.

3. Stress Management: Since stress can exacerbate TMJ symptoms, incorporating relaxation techniques such as deep breathing, meditation, or yoga may help reduce overall tension in your body.

4. Avoid Hard Foods: Try to avoid chewing hard or chewy foods that may put additional strain on your jaw.

5. Mindful Jaw Positioning: Be conscious of your jaw position throughout the day. Try to keep your teeth slightly apart and your lips closed without clenching your teeth.

If your symptoms persist or worsen, or if you begin to experience pain, it would be advisable to seek dental care sooner rather than later. A dental professional can provide you with a more accurate diagnosis and tailor a treatment plan to your specific needs. This may include options such as a custom night guard to prevent teeth grinding, physical therapy, or other interventions.

In summary, while your symptoms may not require immediate attention, monitoring them closely and seeking professional advice if they persist is a prudent approach. Your oral health is important, and addressing these concerns early can help prevent more serious issues down the line. Take care!

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