Jaw Pain When Opening Mouth: Which Specialist to Consult? - Neurology

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If you are experiencing jaw pain when opening your mouth, particularly in the area just in front of your ears, it is advisable to consult a specialist in oral and maxillofacial surgery or a dentist who specializes in temporomandibular joint (TMJ) disorders. The symptoms you describe, including pain when opening your mouth and discomfort in the jaw area, may indicate a problem with the temporomandibular joint, which connects your jawbone to your skull.

The TMJ can be affected by various factors, including jaw misalignment, arthritis, or injury. In your case, the history of having difficulty closing your mouth after crying loudly may suggest a previous episode of jaw dislocation or strain, which could have contributed to your current symptoms. It’s also possible that you may be experiencing muscle tension or spasms in the muscles surrounding the jaw, which can lead to pain when opening the mouth.

When you visit a specialist, they will likely conduct a thorough examination, which may include assessing your jaw movement, checking for tenderness in the jaw muscles, and possibly taking X-rays to evaluate the joint's condition. They may also inquire about your medical history, including any previous jaw injuries, dental work, or habits such as teeth grinding or jaw clenching, which can exacerbate TMJ disorders.

In terms of treatment, options may vary based on the underlying cause of your pain. Conservative treatments often include:
1. Physical Therapy: Exercises to strengthen the jaw muscles and improve flexibility can be beneficial.

2. Pain Management: Over-the-counter pain relievers or anti-inflammatory medications can help alleviate discomfort.

3. Mouthguards or Splints: These can be prescribed to prevent teeth grinding and reduce strain on the jaw.

4. Stress Management Techniques: Since stress can contribute to muscle tension, techniques such as relaxation exercises or counseling may be recommended.

If conservative treatments do not provide relief, further interventions may be necessary, including injections or, in rare cases, surgical options to correct structural issues within the joint.

It’s important to address these symptoms promptly, as untreated TMJ disorders can lead to chronic pain and further complications. Therefore, I recommend scheduling an appointment with a dentist or oral surgeon who has experience in treating TMJ disorders to get a proper diagnosis and treatment plan tailored to your needs.