Should I See a Dentist or Neurologist for Jaw and Ear Pain? - Neurology

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When experiencing simultaneous jaw and ear pain, it can be challenging to determine whether to consult a dentist or a neurologist. Based on your symptoms, it is essential to consider both dental and neurological factors, as they can be interconnected.

Your description of pain in the right posterior area of your gums, particularly around the wisdom tooth, suggests a potential dental issue, such as an infection or inflammation of the gums (gingivitis) or even an impacted wisdom tooth. Wisdom teeth often cause discomfort as they emerge, and if they are partially erupted, they can create a breeding ground for bacteria, leading to infection and swelling. This could explain the localized pain in your gums.

On the other hand, the irregular shooting pain in the area corresponding to the trigeminal nerve (cranial nerve V) indicates that there might be a neurological component to your symptoms. Trigeminal neuralgia is characterized by sudden, severe facial pain that can be triggered by various stimuli, including touch or even changes in temperature. The fact that you experience this pain in conjunction with ear discomfort suggests that the issue may not be purely dental.

Given your symptoms, it would be prudent to start with a visit to a dentist. They can evaluate your oral health, check for any signs of infection, and determine if your wisdom tooth is causing the pain. If the dentist finds that your dental health is satisfactory and there are no issues with your teeth or gums, they may then refer you to a neurologist for further evaluation of the trigeminal nerve pain.

Regarding your question about whether the absence of pain when opening your mouth rules out temporomandibular joint (TMJ) disorders, it is not definitive. TMJ disorders can present with various symptoms, including jaw pain, clicking sounds, and headaches, but not all patients will experience pain when opening their mouths. Some individuals may have a TMJ disorder without significant pain during jaw movement, especially if the joint is not currently inflamed or if there is no acute episode occurring at the time of examination.

In summary, I recommend starting with a dental appointment to address the gum pain and evaluate the wisdom tooth. If the dentist finds no dental issues, or if your symptoms persist despite dental treatment, then a referral to a neurologist would be the next logical step. They can assess for any neurological conditions, including trigeminal neuralgia or other nerve-related issues.

In the meantime, managing your pain with over-the-counter anti-inflammatory medications, such as ibuprofen, may provide some relief. Additionally, applying a warm compress to the affected area can help alleviate discomfort. If you experience any worsening symptoms, such as fever, swelling, or increased pain, seek medical attention promptly.