About the temporomandibular joint (TMJ)
Hello, doctor! I would like to ask a question.
My bite is normal, but I often experience joint pain when eating, to the point where I can hardly open my mouth wide enough to eat something as small as a quail egg.
Is this a serious condition? Additionally, I have been treated at National Cheng Kung University in Tainan.
Do you think I need surgery for a quicker recovery? Thank you!
Roly, 20~29 year old female. Ask Date: 2002/04/02
Dr. Wang Cunzhen reply Dentistry
Hello! In fact, for the issue of temporomandibular joint (TMJ) pain, conservative treatment is generally recommended.
This is because invasive surgical treatments often lead to postoperative bony adhesions, which can be worse than not having surgery at all.
Therefore, a detailed assessment of your current condition is necessary, and surgery should only be considered as a last resort if conservative treatments prove ineffective.
Since you have already sought treatment from Dr.
Ming-Cheng Chen at National Cheng Kung University in Tainan, I suggest that you patiently follow his instructions for treatment.
If necessary, he will refer you to an oral surgeon for surgical evaluation.
Please remember that TMJ issues do not develop overnight, and it is not possible to see immediate results from treatment!
Reply Date: 2002/04/02
More Info
Jaw pain, particularly related to the temporomandibular joint (TMJ), can be a significant concern for many individuals. The TMJ connects your jawbone to your skull and is responsible for the movement of your jaw. When issues arise in this area, they can lead to pain, discomfort, and restricted movement, as you've described.
From your description, it sounds like you're experiencing considerable pain when chewing, along with a limitation in your jaw's range of motion. This could indicate a few potential issues, including TMJ dysfunction, arthritis, or even a disc displacement within the joint. The fact that you are unable to open your mouth wide enough to eat certain foods, like a boiled egg, suggests that the condition may be more advanced and could require further evaluation and treatment.
When to Seek Treatment
It's essential to seek treatment for TMJ issues when you experience:
1. Persistent Pain: If the pain is consistent and affects your daily activities, it's time to consult a healthcare professional.
2. Limited Jaw Movement: Difficulty opening your mouth or chewing can indicate a more serious underlying issue.
3. Clicking or Popping Sounds: If you hear sounds when moving your jaw, this could signify joint problems.
4. Swelling or Tenderness: Any visible swelling or tenderness around the jaw area should be evaluated.
5. Headaches or Ear Pain: TMJ disorders can often lead to headaches or pain around the ears.
Treatment Options
1. Conservative Treatments: Most TMJ disorders are treated conservatively. This includes:
- Physical Therapy: Exercises to strengthen jaw muscles and improve flexibility.
- Medications: Over-the-counter pain relievers or anti-inflammatory medications can help reduce pain and swelling.
- Heat or Ice Therapy: Applying heat or ice packs can alleviate discomfort.
- Dietary Changes: Soft foods can reduce strain on the jaw.
2. Dental Appliances: A dentist may recommend a splint or night guard to help reduce teeth grinding or jaw clenching, which can exacerbate TMJ issues.
3. Injections: In some cases, corticosteroid injections into the joint can provide relief.
4. Surgery: Surgical options are typically considered only after conservative treatments have failed. This could involve arthroscopy or open joint surgery, depending on the severity of the condition.
Your Situation
Given that you have already consulted with a specialist at Cheng Kung University in Tainan, it would be beneficial to follow up with them regarding your current symptoms. If your pain is severe and affecting your quality of life, they may recommend imaging studies, such as an MRI, to assess the condition of your TMJ and surrounding structures.
If surgery is suggested, it is usually based on the severity of the joint damage and the failure of other treatments. It's crucial to weigh the risks and benefits of surgery with your healthcare provider.
In summary, while your symptoms may indicate a significant TMJ issue, there are various treatment options available. It is advisable to continue seeking professional guidance, especially if conservative measures do not provide relief. Your health and comfort are paramount, and addressing TMJ issues early can prevent further complications.
Similar Q&A
Understanding Jaw Pain: When to Seek Help for TMJ Issues
Hello, doctor: I have pain in the right temporomandibular joint, and my chewing muscles are somewhat painful. Speaking is very painful, and eating also causes pain. Pain relievers and anti-inflammatory medications, as well as muscle relaxants, have not been effective. I'm st...
Dr. Lin Jiayong reply Dentistry
Hello: It is recommended to first visit the oral surgery department of a medical center for a CT scan to confirm.[Read More] Understanding Jaw Pain: When to Seek Help for TMJ Issues
Understanding Jaw Pain: When to Seek Dental Care for TMJ Issues
Sometimes when I open my mouth wide, I experience pain in the joint below my ear, or when I move my jaw side to side. However, it usually resolves on its own after a while, and it only happens occasionally. What could this symptom be, and should I see a doctor?
Dr. Wang Cunzhen reply Dentistry
Hello: It may be temporomandibular joint pain; it is best to consult a physician for an examination to determine the cause and treatment options. Dr. Wu Jin-jun, Director of Dentistry, Hsinchu Hospital, Department of Health, Executive Yuan.[Read More] Understanding Jaw Pain: When to Seek Dental Care for TMJ Issues
Understanding Jaw Joint Pain: Seeking the Right Specialist for Relief
In recent years, I have been experiencing pain in my jaw joint after eating. I have undergone occlusal splint therapy, but it has not improved, and the situation has even worsened. I have consulted various hospitals and doctors, but there have been no results. I would like to ask...
Dr. Cai Jueren reply Family Medicine
Hello, this issue is not difficult to resolve. The pain in the temporomandibular joint (TMJ) is mostly caused by occlusal abnormalities, with a few cases resulting from trauma. Occlusal issues are commonly seen in patients who grind their teeth during sleep, and these individuals...[Read More] Understanding Jaw Joint Pain: Seeking the Right Specialist for Relief
Jaw Pain When Chewing: Which Specialist to See for Relief?
I have been experiencing pain in my jaw joint recently, and I have difficulty opening my mouth. It hurts when I bite down on things. Which specialist should I see? Is physical therapy effective?
Dr. Chen Xianchang reply Rehabilitation
Hello, thank you for your question. I would like to address your concerns and provide the following suggestions: 1. There are generally two possibilities. If there is gum inflammation, you should consider seeing a dentist for treatment of periodontal disease. 2. If there are n...[Read More] Jaw Pain When Chewing: Which Specialist to See for Relief?
Related FAQ
(Dentistry)
Pain In The Temporomandibular Joint(Dentistry)
Occlusal Pain(Dentistry)
Tongue Pain(Dentistry)
Bruxism(Dentistry)
Upper Jaw(Dentistry)
Facial Swelling(Dentistry)
Gum Recession(Dentistry)
Temporomandibular Joint(Otolaryngology)
Oral Blister(Dentistry)