Jaw Pain: Is It TMJ Disorder or Something Else? - Dentistry

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Temporomandibular joint disorder can cause pain when pressing on the teeth?


A few days ago, I experienced severe pain in my left ear and jaw that kept me awake at night.
I then visited a dental clinic, where I was diagnosed with temporomandibular joint (TMJ) disorder.
The doctor prescribed muscle relaxants and pain relievers for three days.
After finishing the medication, I noticed significant improvement, but there is still some dull pain in the joint area and my lower cheek.
However, pressing on the last tooth on the left side causes pain, and eating also hurts.
Could this be related to the TMJ disorder? The pain was not present during the dental examination.
Additionally, since I have finished the medication, do I need to return for a follow-up to get more medication, or will it gradually improve on its own? Thank you.

Weiwei, 20~29 year old female. Ask Date: 2022/06/16

Dr. Lin Jiayong reply Dentistry


Hello: If the primary diagnosis is temporomandibular joint disorder (TMJ), it is recommended to focus treatment in this direction and purpose.
TMJ disorder is a chronic condition, and long-term use of low-dose muscle relaxants and anti-inflammatory analgesics is advised.
Additionally, a Michigan occlusal splint can be fabricated for adjunctive therapy, or injections of PRP (platelet-rich plasma) and botulinum toxin may be considered to inhibit the progression of the arthritis.
Thank you! Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2022/06/16

More Info


Jaw pain, particularly when associated with the temporomandibular joint (TMJ), can be quite distressing and may significantly impact your quality of life. Based on your description, it seems you have been diagnosed with TMJ disorder, specifically temporomandibular joint arthritis. This condition can lead to pain in the jaw joint, as well as discomfort in the surrounding areas, including the face and ears.

TMJ disorders can manifest in various ways, including pain during jaw movement, clicking or popping sounds when opening or closing the mouth, and even headaches. The pain you experience when pressing on your lower left molar could be related to the inflammation in the joint, which can sometimes cause referred pain to the teeth or vice versa. It’s also possible that the pain in your teeth is due to muscle tension or bruxism (teeth grinding), which often accompanies TMJ disorders.

Regarding your treatment, muscle relaxants and pain relievers are commonly prescribed to alleviate the discomfort associated with TMJ disorders. These medications can help reduce muscle tension and inflammation, allowing for better jaw function. Since you have noticed improvement after taking the medication, it suggests that the treatment is effective. However, the lingering discomfort in your jaw and the pain when pressing on your last lower tooth indicate that the condition may not be fully resolved.

As for whether you need to return to the dentist for more medication, it largely depends on your symptoms. If the pain persists or worsens, it would be wise to schedule a follow-up appointment. Your dentist may want to reassess your condition, possibly considering additional treatments such as physical therapy, a bite guard, or further medication.
Recovery from TMJ disorders can vary significantly from person to person. Some individuals may experience a complete resolution of symptoms with conservative treatment, while others may require ongoing management. It’s essential to monitor your symptoms closely. If you notice any changes, such as increased pain, difficulty in jaw movement, or new symptoms, make sure to communicate these to your healthcare provider.

In addition to medication, there are several self-care strategies you can employ to help manage your symptoms. These include:
1. Applying Heat or Cold: Using a warm compress on the jaw can help relax the muscles, while ice packs can reduce inflammation.

2. Gentle Jaw Exercises: Once the acute pain subsides, gentle stretching and strengthening exercises for the jaw can improve mobility and reduce stiffness.

3. Avoiding Hard Foods: Stick to softer foods that require less chewing to minimize strain on the jaw.

4. Stress Management: Since stress can exacerbate TMJ symptoms, consider relaxation techniques such as deep breathing, meditation, or yoga.

5. Good Posture: Maintaining good posture, especially while sitting at a desk or using a computer, can help reduce tension in the jaw and neck.

In conclusion, while your symptoms may improve over time, it is crucial to remain vigilant and proactive in managing your TMJ disorder. If you have any concerns or if your symptoms do not improve, do not hesitate to reach out to your dentist or healthcare provider for further evaluation and treatment options. Your comfort and well-being are paramount, and effective management of TMJ disorders is essential for restoring your quality of life.

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