Jaw Clicking After Wisdom Tooth Extraction: Causes and Solutions - Dentistry

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After having my wisdom teeth removed, my jaw joint feels stiff?


Last summer, I had two wisdom teeth extracted (one from the upper left and one from the lower left).
The doctor had to exert a lot of force to remove my lower left wisdom tooth, which was probably difficult to extract, and I heard a cracking sound at that moment.
I thought it was the sound of the tools against the tooth.
Later, I noticed that the bone in my left cheek felt a bit stiff, and sometimes when I talk, laugh, or eat, I hear a cracking sound.
Occasionally, it feels like it gets stuck, and I have to move my jaw around to get it back into place.
Could it be that the bone in my jaw is dislocated? It's been a year, and I still experience this cracking sound.
I previously consulted a doctor who said it was a muscle strain and recommended heat therapy, but a year seems quite long for this issue.

Teddy, 10~19 year old female. Ask Date: 2015/06/23

Dr. Huang Zhicheng reply Dentistry


Hello, the clicking sound in the temporomandibular joint (TMJ) is due to the anterior displacement of the articular disc.
Many individuals actually have underlying causes that have been present for a long time; however, during wisdom tooth extraction, the need to open the mouth wide can tighten the muscles that pull the articular disc, causing it to dislocate further anteriorly, which leads to the symptoms.
There are many potential underlying causes, such as bruxism and unilateral chewing.
A thorough analysis is necessary.
Generally, medication or the use of an occlusal splint can gradually alleviate the symptoms.
Wishing you peace and health.
Sincerely, Dr.
Huang Chih-Cheng, Chief of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/06/23

More Info


Jaw clicking or popping sounds after wisdom tooth extraction can be concerning, especially when accompanied by discomfort or a feeling of the jaw being "stuck." This phenomenon can be attributed to several factors, particularly if the extraction was difficult or if there was significant manipulation of the jaw during the procedure.


Causes of Jaw Clicking After Wisdom Tooth Extraction
1. Temporomandibular Joint (TMJ) Dysfunction: The TMJ connects your jawbone to your skull and is responsible for the movement of your jaw. If the extraction process involved excessive force or manipulation, it could lead to strain or injury to the TMJ, resulting in clicking or popping sounds. This is often accompanied by pain or discomfort in the jaw area.

2. Muscle Strain: The muscles that control jaw movement can become strained during a difficult extraction. This strain can lead to muscle spasms or tightness, which may cause the jaw to click or feel stiff.

3. Changes in Jaw Alignment: After the removal of teeth, especially wisdom teeth, the alignment of the jaw may change. This can affect how the upper and lower jaws fit together, potentially leading to clicking sounds when the jaw moves.

4. Cartilage Displacement: The TMJ contains a small disc of cartilage that can become displaced during trauma or excessive force. If this cartilage is not properly aligned, it can cause clicking or popping sounds when the jaw moves.

5. Post-Operative Inflammation: Inflammation in the area surrounding the extraction site can also lead to discomfort and changes in jaw movement, contributing to clicking sounds.


Solutions and Management
1. Consult a Specialist: If the clicking persists for over a year, it is advisable to consult a dentist or an oral and maxillofacial specialist who can conduct a thorough examination. They may recommend imaging studies, such as X-rays or an MRI, to assess the condition of the TMJ and surrounding structures.

2. Physical Therapy: A physical therapist specializing in TMJ disorders can provide exercises to strengthen the jaw muscles and improve flexibility. They may also use modalities such as ultrasound or electrical stimulation to reduce pain and inflammation.

3. Heat and Cold Therapy: Applying heat to the jaw area can help relax tense muscles, while cold packs can reduce inflammation. Alternating between heat and cold can provide relief.

4. Jaw Exercises: Gentle stretching and strengthening exercises for the jaw can help improve mobility and reduce clicking. These exercises should be performed under the guidance of a healthcare professional.

5. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. If pain persists, a healthcare provider may prescribe stronger medications or muscle relaxants.

6. Avoiding Certain Activities: Limiting activities that exacerbate the clicking, such as chewing gum or wide yawning, can help reduce symptoms.
7. Occlusal Splints: In some cases, a dentist may recommend a custom-made occlusal splint or night guard to help stabilize the jaw and prevent grinding or clenching, which can exacerbate TMJ issues.

8. Surgical Options: In rare cases, if conservative treatments do not provide relief, surgical intervention may be considered to repair or reposition the TMJ.


Conclusion
While jaw clicking after wisdom tooth extraction can be a common occurrence, especially following a difficult extraction, persistent symptoms warrant further evaluation. It is essential to address any discomfort and seek appropriate treatment to prevent long-term complications. Engaging with healthcare professionals who specialize in TMJ disorders will provide the best course of action tailored to your specific situation.

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