Symptoms after a car accident?
Hello, Doctor.
1.
I would like to ask about the temporomandibular joint (TMJ) issue caused by a car accident.
Sometimes when I open my mouth, I hear a clicking sound on the right side, and there is pain when I massage the area between my ear and temple.
The dentist I consulted previously mentioned that it would gradually heal, but it has been 5 months since the accident.
Although there has been some improvement, I still experience symptoms.
How long does it typically take for these symptoms to heal, or do I need treatment?
2.
Additionally, I want to ask about a small front tooth on the lower jaw that broke off a little during the accident.
The dentist recommended using desensitizing toothpaste and advised against filling it due to the risk of it falling out.
However, every time I brush that tooth, it feels strange—not painful or sensitive, but rather weak.
If I maintain good oral hygiene and avoid biting hard foods, can I prolong the lifespan of that broken tooth, or will I eventually need to invest in a veneer?
Yin ge, 30~39 year old female. Ask Date: 2024/02/16
Dr. Lin Jiayong reply Dentistry
Hello: If the pain between the joint and the temple persists, it is recommended to consult a neurologist or an oral surgeon and undergo a CT scan for confirmation.
If there are no abnormalities, it is advisable to relax.
For the small fracture of the front tooth, it is suggested to follow the treatment plan provided by the treating physician for monitoring.
Reply Date: 2024/02/16
More Info
Dear Patient,
Thank you for your inquiry regarding the dental issues you are experiencing following your car accident. It’s understandable to have concerns about your oral health, especially after such a traumatic event. Let’s address your questions one by one.
1. TMJ Pain and Recovery Time: The temporomandibular joint (TMJ) can be quite sensitive after trauma, and it’s not uncommon for patients to experience clicking sounds or pain in the area surrounding the joint, especially when opening the mouth. The duration of recovery can vary significantly from person to person. While some individuals may see improvement within a few weeks, others may take several months to fully recover. Since you mentioned that it has been five months since the accident and you are still experiencing symptoms, it may be beneficial to seek further evaluation from a specialist, such as an oral and maxillofacial surgeon or a dentist who specializes in TMJ disorders. They can provide a more comprehensive assessment and may recommend treatments such as physical therapy, splints, or even medications to help alleviate your symptoms. In some cases, if conservative treatments do not yield improvement, more invasive options may be considered.
2. Treatment Options for the Fractured Tooth: Regarding your fractured lower front tooth, it’s important to understand that while maintaining good oral hygiene is crucial, the structural integrity of the tooth is also essential for its longevity. Using a desensitizing toothpaste can help manage sensitivity, but if the tooth feels weak or unstable, it may be at risk for further damage. If the fracture is significant, it could lead to complications such as decay or infection, which would necessitate more extensive treatment.
While your dentist has advised against filling the tooth due to the risk of it falling out, it’s worth discussing the option of a dental crown or veneer with them. These options can provide additional support and protection for the tooth, potentially extending its lifespan. A dental crown would cover the entire tooth, while a veneer would only cover the front surface. Both options can improve the tooth's appearance and function.
In summary, while you can take measures to protect your fractured tooth by avoiding hard foods and maintaining excellent oral hygiene, it’s advisable to consult with your dentist about the possibility of restorative treatments. This proactive approach can help prevent further complications and ensure that your dental health is preserved.
In conclusion, I recommend scheduling an appointment with a dental specialist for both your TMJ pain and the fractured tooth. They can provide tailored advice and treatment options based on a thorough examination of your specific situation. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek the care you need.
Wishing you a smooth recovery and improved dental health.
Best regards,
Doctor Q&A Teams
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