and Treating Cheekbone Discomfort: A Dental Perspective - Dentistry

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Zygomatic bone crepitus?


I have a clicking sensation on both sides of my cheekbones, and sometimes it feels sore.
This has been ongoing for several years.
What should I do to resolve this?

Cha Ye, 20~29 year old female. Ask Date: 2014/01/15

Dr. Zhuang Suhui reply Dentistry


Please find an oral and maxillofacial surgeon or a temporomandibular joint (TMJ) specialist.

Reply Date: 2014/01/15

More Info


Cheekbone discomfort, particularly the sensation of tightness or soreness that you describe, can be indicative of several underlying dental or jaw-related issues. Given that this discomfort has persisted for several years, it is essential to approach the problem systematically to identify the root cause and determine the best course of treatment.


Possible Causes of Cheekbone Discomfort
1. Temporomandibular Joint Disorder (TMJ/TMD): One of the most common causes of discomfort in the cheekbone area is a disorder related to the temporomandibular joint (TMJ). This joint connects your jawbone to your skull and is responsible for the movement of your jaw. Symptoms of TMD can include pain in the jaw, face, neck, and even the ears, as well as clicking or popping sounds when moving the jaw. The discomfort you feel in your cheekbones could be a referred pain from the TMJ.

2. Dental Issues: Problems such as tooth decay, gum disease, or issues related to previous dental work (like root canals or crowns) can also lead to discomfort in the surrounding areas, including the cheeks. If there are any unresolved dental issues, they could contribute to the discomfort you are experiencing.

3. Sinus Problems: The maxillary sinuses are located near the cheekbones, and sinusitis or other sinus-related issues can cause pressure and discomfort in the cheek area. If you have a history of allergies or respiratory issues, this could be a contributing factor.

4. Muscle Tension: Chronic muscle tension in the jaw and facial muscles, often exacerbated by stress or bruxism (teeth grinding), can lead to discomfort in the cheeks. This tension can create a sensation of tightness or soreness that may feel like it is coming from the cheekbones.


Steps to Address Cheekbone Discomfort
1. Consult a Dental Professional: The first step in addressing your discomfort should be to consult with a dentist or an oral and maxillofacial specialist. They can perform a thorough examination, including X-rays, to assess the health of your teeth, gums, and jaw joints.
2. Evaluate for TMJ Disorders: If TMD is suspected, your dentist may recommend treatments such as a custom night guard to prevent teeth grinding, physical therapy, or even medications to relieve pain and inflammation.

3. Dental Treatment: If dental issues are identified, appropriate treatments such as fillings, crowns, or root canal therapy may be necessary to resolve the underlying problems.

4. Manage Sinus Health: If sinus issues are suspected, your healthcare provider may recommend treatments such as nasal decongestants, saline rinses, or other medications to alleviate sinus pressure.

5. Stress Management and Muscle Relaxation: Techniques such as stress management, relaxation exercises, or physical therapy can help alleviate muscle tension in the jaw and face.
6. Follow-Up Care: Regular follow-up appointments with your dentist or specialist will be essential to monitor your condition and make any necessary adjustments to your treatment plan.


Conclusion
Cheekbone discomfort can stem from various dental and medical issues, and it is crucial to identify the underlying cause to determine the appropriate treatment. By consulting with a dental professional and possibly other healthcare providers, you can develop a comprehensive plan to address your symptoms effectively. Remember, early intervention can often prevent more severe complications, so seeking help sooner rather than later is advisable.

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