Facial Asymmetry: When to See a Dentist for Concerns - Dentistry

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Hello doctor, today I noticed that when I open my mouth wide, the left side of my cheek seems to shift slightly, and I can't tell if it's bone or nerve.
There is no sound and no pain.
When I close my mouth, it tilts to one side before returning to its normal position; it doesn't close directly.
That shifting area moves again.
I've tried this several times, and it feels strange because I didn't have this issue before.
Should I see a doctor? Will it resolve on its own? Could this gradually affect my facial structure and dental alignment?

H, 20~29 year old female. Ask Date: 2004/11/16

Dr. Wang Cunzhen reply Dentistry


Hello: This issue you mentioned is likely not something you just discovered; rather, it may not have been something you paid attention to.
Generally speaking, if there is no pain or difficulty in opening the mouth, it is advisable to observe the situation first, as it may not be related.
If there are any further changes, you can visit the outpatient clinic for an examination.
Dr.
Wang Cunzhen, Oral Surgery Department, Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2004/11/16

More Info


Facial asymmetry can be a concerning issue, especially when it manifests suddenly or changes over time. Your description of the left side of your face feeling different when you open your mouth, along with the movement of your jaw, suggests that there may be an underlying issue that needs to be addressed. Here’s a comprehensive understanding of your situation and guidance on when to seek dental care.


Understanding Facial Asymmetry
Facial asymmetry can arise from various factors, including dental issues, skeletal discrepancies, muscle imbalances, or even neurological conditions. In your case, the movement you described when opening your mouth could indicate a problem with the temporomandibular joint (TMJ), which connects your jawbone to your skull. TMJ disorders can cause symptoms such as jaw clicking, popping, or shifting, and may lead to facial asymmetry if left untreated.


Potential Causes
1. TMJ Disorders: These disorders can result from teeth grinding (bruxism), jaw clenching, or misalignment of the jaw. Symptoms often include pain, discomfort, and changes in jaw movement, which could explain the sensation you’re experiencing.

2. Dental Misalignment: If your teeth or jaw are misaligned, it can lead to uneven muscle use, which may cause one side of your face to appear fuller or more pronounced than the other.

3. Muscle Imbalance: Overuse of certain facial muscles, often due to habits like grinding your teeth or clenching your jaw, can lead to asymmetry.

4. Nerve Issues: Although less common, nerve problems can also cause changes in muscle function and facial appearance.


When to See a Dentist
Given your symptoms, it is advisable to consult a dentist, particularly one who specializes in TMJ disorders or orthodontics. Here are some signs that indicate you should seek professional help:
- Persistent Symptoms: If the movement or sensation in your jaw continues or worsens, it’s important to get it evaluated.

- Pain or Discomfort: While you mentioned there is no pain, any discomfort or changes in sensation should be taken seriously.

- Changes in Facial Appearance: If you notice any changes in your facial symmetry or if it begins to affect your self-esteem or quality of life.

- Difficulty in Jaw Movement: If you experience difficulty opening or closing your mouth, or if your jaw locks.


Potential Treatments
Once you see a dentist, they may recommend several approaches based on their findings:
1. Orthodontic Evaluation: If misalignment is suspected, braces or other orthodontic treatments may be necessary to correct the issue.

2. TMJ Treatment: This could include physical therapy, bite guards, or medications to relieve muscle tension and inflammation.

3. Surgical Options: In severe cases, surgical intervention may be required to correct structural issues.

4. Lifestyle Modifications: Reducing stress, avoiding hard foods, and practicing relaxation techniques can help alleviate symptoms.


Conclusion
In summary, while it’s possible that your symptoms may resolve on their own, it’s crucial to monitor the situation closely. Given the potential for facial asymmetry to impact your dental health and overall appearance, seeking a professional evaluation is the best course of action. A dentist can provide a thorough examination, determine the underlying cause of your symptoms, and recommend appropriate treatment to prevent further complications. Don’t hesitate to reach out to a dental professional to discuss your concerns; early intervention can often lead to better outcomes.

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