There is a clicking sound when biting?
Hello, doctor.
Four days ago, I suddenly noticed a clicking sound coming from the cartilage protruding in front of my ear when I bite down.
Additionally, there seems to be a tension in a muscle near my temple that appears to extend from the front of my right ear to the scalp above my ear.
When I press on the cartilage in front of my right ear while biting down, the symptoms become more pronounced, but there is no pain.
I have been massaging the area in front of my ear for the past three days, and it seems to have improved somewhat.
I would like to ask if it is necessary to visit a hospital for oral surgery, or if there are any self-treatment methods I could try, such as massage or heat therapy? Thank you.
Eva, 20~29 year old female. Ask Date: 2008/08/25
Dr. Huang Zhicheng reply Dentistry
Given your young age, it is unlikely that the issue is related to the bones of the temporomandibular joint (TMJ).
Instead, it appears to be a case of temporomandibular joint disorder (TMD), specifically involving anterior disc displacement.
When you open your mouth wide, the TMJ needs to move laterally and slide forward, which can cause friction against the displaced anterior disc, resulting in a clicking sound.
Over time, this can lead to inflammation of the synovial bursa, causing tightness in the masticatory muscles and tension in the temporalis muscle (the muscle and tendon located above the temple), which can result in pain or tightness.
Massage can be effective, as it helps relax the tense muscles (four muscles attach to the TMJ located in front of the ear).
The underlying causes are typically related to occlusal disorders or bruxism.
It would be advisable to consult with a specialist in occlusal disorders or oral surgery.
Sincerely, Dr.
Huang Chih-Cheng, Attending Physician, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2008/08/25
More Info
The clicking sound you experience when biting, particularly near the area of your ear, is likely related to the temporomandibular joint (TMJ) and its associated structures. The TMJ connects your jawbone to your skull and is responsible for the movements of your jaw, including biting and chewing. When you hear a clicking or popping sound, it may indicate that the joint or the cartilage (the disc) within the joint is not functioning properly. This condition is often referred to as temporomandibular joint disorder (TMD).
Several factors can contribute to TMD, including jaw misalignment, teeth grinding (bruxism), arthritis, or injury to the jaw. The fact that you mentioned the sound is more pronounced when you press on the area in front of your ear suggests that there may be some tension or dysfunction in the muscles or ligaments surrounding the joint. Additionally, the sensation of a muscle or tendon pulling near your temple could indicate that the muscles responsible for jaw movement are strained or overworked.
In terms of self-care, there are several methods you can try to alleviate your symptoms:
1. Heat Therapy: Applying a warm compress to the area can help relax the muscles around the TMJ, potentially reducing tension and discomfort. You can use a warm towel or a heating pad for about 15-20 minutes at a time.
2. Gentle Massage: As you've already started, gently massaging the area around your jaw and temples can help relieve muscle tension. Focus on the muscles that feel tight or sore.
3. Jaw Exercises: Performing gentle jaw exercises can help improve mobility and reduce clicking sounds. These exercises typically involve opening and closing your mouth slowly, moving your jaw side to side, and gently stretching the jaw muscles.
4. Avoid Hard Foods: Try to avoid chewing hard or chewy foods that may exacerbate the clicking sound or cause additional strain on the joint.
5. Stress Management: Since stress can contribute to muscle tension and jaw clenching, incorporating relaxation techniques such as deep breathing, meditation, or yoga may be beneficial.
While these self-care strategies can be helpful, it is essential to consult with a healthcare professional, particularly an oral surgeon or a dentist specializing in TMD, if your symptoms persist or worsen. They can provide a thorough evaluation and may recommend additional treatments such as:
- Custom Mouthguards: If bruxism is a contributing factor, a mouthguard can help protect your teeth and reduce strain on the TMJ.
- Physical Therapy: A physical therapist can guide you through specific exercises and techniques to strengthen and relax the jaw muscles.
- Medications: Over-the-counter pain relievers or muscle relaxants may be prescribed to alleviate pain and reduce muscle tension.
- Surgical Options: In severe cases where conservative treatments fail, surgical interventions may be considered to repair or replace the damaged joint.
In conclusion, while self-care measures can provide relief, it is advisable to seek professional evaluation to determine the underlying cause of your symptoms and to receive appropriate treatment. Early intervention can prevent further complications and improve your quality of life.
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