Which department should I see?
Hello Dr.
Liu: Since before the Lunar New Year, whenever I open my mouth to eat or yawn, I experience pain at the joint of my left upper and lower jaw (there is no pain while chewing food).
Which specialty should I consult for this symptom?
Amy, 20~29 year old female. Ask Date: 2004/01/28
Dr. Liu Jinyong reply Family Medicine
If you have the above conditions, please consult an orthopedic or dental specialist.
Reply Date: 2004/01/28
More Info
When experiencing jaw pain, particularly when opening the mouth or yawning, it is essential to identify the underlying cause to determine the appropriate specialist to consult. Based on your symptoms, it sounds like you may be dealing with a condition related to the temporomandibular joint (TMJ), which connects the jawbone to the skull. TMJ disorders can lead to pain and discomfort in the jaw, especially during movements that involve opening the mouth.
Given your specific symptoms of pain at the joint when yawning or eating, I would recommend seeing a dentist who specializes in TMJ disorders or an oral and maxillofacial surgeon. These specialists have the expertise to diagnose and treat conditions related to the jaw and facial structures. They can perform a thorough examination, which may include imaging studies such as X-rays or MRI, to assess the condition of your TMJ and surrounding structures.
In addition to dental specialists, you may also consider consulting with an ear, nose, and throat (ENT) doctor if you experience any associated symptoms, such as ear pain or discomfort, as these can sometimes be related to TMJ issues. Furthermore, if your jaw pain is accompanied by headaches or neck pain, a visit to a neurologist or a physical therapist specializing in craniofacial pain may also be beneficial.
It is important to note that TMJ disorders can arise from various factors, including teeth grinding (bruxism), jaw alignment issues, arthritis, or injury. Treatment options may vary depending on the cause and severity of your symptoms. Common approaches include:
1. Conservative Treatments: These may involve lifestyle modifications, such as avoiding hard or chewy foods, practicing stress management techniques, and applying heat or cold packs to the affected area.
2. Physical Therapy: A physical therapist can provide exercises to strengthen the jaw muscles and improve flexibility, which may alleviate pain and improve function.
3. Medications: Over-the-counter pain relievers or anti-inflammatory medications can help manage pain and reduce inflammation. In some cases, muscle relaxants or prescription medications may be recommended.
4. Dental Appliances: A dentist may suggest a night guard or splint to prevent teeth grinding and reduce strain on the TMJ.
5. Surgical Options: In more severe cases, surgical intervention may be necessary to repair or replace the joint.
In summary, for your jaw pain when eating or yawning, I recommend starting with a consultation with a dentist who specializes in TMJ disorders. They can provide a comprehensive evaluation and guide you toward the most appropriate treatment options based on your specific condition. If necessary, they may refer you to other specialists for further evaluation and management. Remember, early intervention can often lead to better outcomes, so seeking professional advice sooner rather than later is advisable.
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