Jaw Pain: Ear and Dental Joint Issues Explained

Q: Jaw Pain: Ear and Dental Joint Issues Explained

Hello, Yuzu： Generally, when addressing a symptom, we first try to identify the underlying cause. <br>For instance, some patients may be experiencing stress or have suffered an injury, among other reasons. <br>Treatment is then based on the identified cause. <br>Initially, medica

I have a lot of pain in the joint near my ear and teeth!

Hello Doctor: I have been experiencing pain in the joint near my ear when pressure is applied, and I also hear a clicking sound when I yawn.
This has been going on for several months.
Initially, I thought it was a toothache, but after seeing several doctors, it still hasn't improved.
I visited an ENT specialist multiple times, but there was no resolution.
The ENT doctor suggested that I might have arthritis in the joint near my ear and teeth, and recommended that I see an oral surgeon.

1.
I checked your hospital's outpatient information, but I couldn't find the oral surgery department.

2.
Which specialist should I consult?
3.
Are there any hospitals in Hualien that have an oral surgery department? (I know Tzu Chi Hospital has one, but the wait for a doctor is very long.
I initially saw the dental department head, who mentioned "oral surgery," but after that, I was told to wait for a doctor from National Taiwan University, and it's been almost a month.) Should I seek treatment in another city?
I would appreciate your response.
Thank you! I have been in pain for quite a while.

Youzi, 20~29 year old female. Ask Date: 2005/11/28

Dr. Yang Hui reply Dentistry

Hello, Yuzu: Generally, when addressing a symptom, we first try to identify the underlying cause.
For instance, some patients may be experiencing stress or have suffered an injury, among other reasons.
Treatment is then based on the identified cause.
Initially, medication may be prescribed, and if there is no improvement, we might consider creating an occlusal splint for the patient to wear, which helps relax the facial muscles.
It is not always necessary to see an oral surgeon.
Any of the three dentists at the clinic can be consulted.
If you are looking for a specialist in temporomandibular joint disorders, I recommend Dr.
Chou Sun-lung from Taipei Medical University or Dr.
Hsiao Yu-yuan from National Taiwan University, both of whom are excellent choices.

Reply Date: 2005/11/28

More Info

Understanding jaw pain, particularly when it radiates to the ear and involves dental issues, can be quite complex. Your symptoms suggest a potential connection between temporomandibular joint (TMJ) disorders, dental problems, and possibly referred pain from other areas.
The temporomandibular joint connects your jawbone to your skull and is located just in front of your ears. When this joint is not functioning properly, it can lead to pain that may be felt in the jaw, ear, and even the surrounding facial areas. Common symptoms of TMJ disorders include:
1. Jaw Pain: This can manifest as a dull ache or sharp pain, particularly when chewing or yawning.

2. Clicking or Popping Sounds: As you mentioned, you may hear a clicking or popping sound when you open your mouth wide, such as when yawning. This can indicate that the joint is not moving smoothly.

3. Ear Pain: Pain in the ear area can occur due to the proximity of the TMJ to the ear canal. Inflammation or dysfunction in the joint can lead to discomfort that feels like ear pain.

4. Headaches: TMJ disorders can also lead to tension headaches, which may be mistaken for migraines or other types of headaches.

5. Limited Jaw Movement: Difficulty in opening your mouth fully can be a sign of TMJ dysfunction.

Given that you have experienced these symptoms for several months and have seen multiple specialists without resolution, it is crucial to pursue a comprehensive evaluation. Here are some steps you can take:
1. Consult a Dentist Specializing in TMJ Disorders: A dentist with experience in TMJ disorders can provide a thorough examination and may recommend imaging studies, such as X-rays or MRIs, to assess the joint's condition.

2. Consider Physical Therapy: Physical therapy can help improve jaw function and reduce pain. Techniques may include exercises to strengthen the jaw muscles, manual therapy, and modalities like ultrasound or heat.

3. Evaluate Your Bite: Misalignment of teeth can contribute to TMJ issues. A dentist may suggest orthodontic treatment or the use of a night guard to help alleviate pressure on the joint.

4. Pain Management: Over-the-counter pain relievers or anti-inflammatory medications may provide temporary relief. In some cases, a dentist may prescribe muscle relaxants or recommend corticosteroid injections for inflammation.

5. Explore Alternative Therapies: Some patients find relief through acupuncture, chiropractic care, or stress management techniques, as stress can exacerbate TMJ symptoms.

Regarding your specific questions about finding an oral surgeon or a dental specialist in Hualien, it would be advisable to contact local hospitals or dental clinics directly. If Tzu Chi Hospital has long wait times, consider looking into other hospitals in the area or even neighboring cities that may have oral and maxillofacial surgery departments.
In conclusion, your symptoms are indicative of a potential TMJ disorder, which can be multifactorial, involving dental health, joint function, and possibly even systemic issues like arthritis. A multidisciplinary approach involving dental specialists, physical therapists, and possibly pain management experts will likely yield the best results in diagnosing and treating your condition. Don’t hesitate to advocate for yourself and seek out the care you need to alleviate your pain.

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