Which Specialist Should I See for My Ear and Jaw Pain? - Family Medicine

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Based on your description, it sounds like you are experiencing a complex interplay of symptoms involving both your ear and jaw, which can be quite distressing. Given the nature of your symptoms—ear pain, a sensation of fullness, joint noises when opening your mouth, and a history of headaches—it would be advisable to consult with a specialist who can address both the ear and jaw issues comprehensively.

1. Ear, Nose, and Throat (ENT) Specialist: Since you have already seen an ENT doctor, it is important to ensure that they have thoroughly evaluated your ear symptoms. Conditions such as Eustachian tube dysfunction, middle ear issues, or even referred pain from jaw problems can cause ear discomfort. If your symptoms persist despite treatment, a follow-up visit to the ENT may be necessary to explore further diagnostic options, such as imaging studies or audiometric tests.

2. Oral and Maxillofacial Surgeon: Given the jaw-related symptoms you described, including the popping sounds and potential joint issues, it may be beneficial to see an oral and maxillofacial surgeon. These specialists are trained to handle complex jaw disorders, including temporomandibular joint (TMJ) dysfunction, which can manifest as pain, clicking, or popping sounds when moving the jaw. They can provide a more focused evaluation of your jaw's mechanics and recommend appropriate treatments, which may include physical therapy, splints, or surgical options if necessary.

3. Dentist with TMJ Expertise: A dentist who specializes in TMJ disorders can also be a valuable resource. They can assess your bite and jaw alignment, which may contribute to your symptoms. They might suggest treatments such as occlusal splints, bite adjustments, or other dental interventions to alleviate pressure on the jaw joint.

4. Neurologist: If your symptoms include significant headaches or neurological symptoms, a neurologist may be warranted. They can evaluate for any underlying neurological conditions that could be contributing to your pain and discomfort.

5. Physical Therapist: A physical therapist with experience in treating TMJ disorders can help you with exercises and techniques to relieve tension in the jaw and neck, which may also help alleviate ear symptoms.

In summary, it would be prudent to pursue a multidisciplinary approach to your symptoms. Start with a follow-up visit to your ENT to rule out any persistent ear issues. Concurrently, consider consulting an oral and maxillofacial surgeon or a dentist specializing in TMJ disorders to address the jaw-related symptoms. If headaches or other neurological symptoms persist, a neurologist may also be beneficial.
Remember, effective communication with your healthcare providers about your symptoms and their impact on your daily life is crucial. Keeping a symptom diary can also help your doctors understand the frequency and severity of your issues, leading to a more accurate diagnosis and treatment plan. Your health and comfort are paramount, and seeking the right specialists can help you find relief.