Jaw Pain: Is It TMJ or Wisdom Teeth Issues? - Dentistry

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Inability to open the mouth wide?


Hello, doctor.
Recently, I've noticed that when I eat, especially burgers or steamed buns, if I open my mouth too wide, the joint on the right side at the back hurts.
Some people say it might be related to my wisdom teeth or a temporomandibular joint (TMJ) issue.
Personally, I don't think it's a wisdom tooth problem since I had orthodontic treatment before, and my dentist said there was no need to remove my wisdom teeth.
If it is indeed TMJ pain, does it require treatment, or will it heal on its own? Is there anything specific I should pay attention to?

Ting, 20~29 year old female. Ask Date: 2015/09/01

Dr. Huang Zhicheng reply Dentistry


Dear Ting,
Hello.
Temporomandibular joint (TMJ) disorders can present with symptoms such as clicking or popping sounds during jaw opening and closing, as well as jaw deviation upon opening.
In contrast, wisdom teeth issues typically manifest as swelling and pain in the posterior mandible, without associated clicking sounds from the joint.
Treatment is necessary to prevent long-term damage to the articular disc within the joint.
It is advisable to consume softer foods to avoid exacerbating the condition.
Wishing you peace and health.
Sincerely,
Dr.
Huang Chih-Cheng
Director, Department of Dentistry
Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2015/09/01

More Info


Jaw pain can be a complex issue, often stemming from various sources, including temporomandibular joint (TMJ) disorders or wisdom teeth complications. Based on your description, it seems you are experiencing discomfort primarily when opening your mouth wide, particularly on the right side. This could indeed indicate a TMJ issue, especially if you have a history of orthodontic treatment and extractions, which can sometimes lead to changes in bite alignment and jaw function.

TMJ disorders are characterized by pain in the jaw joint and surrounding muscles, often exacerbated by activities that require jaw movement, such as chewing or speaking. Symptoms can include clicking or popping sounds when opening or closing the mouth, limited jaw movement, and pain that may radiate to the neck or ears. In your case, the pain occurring specifically when you open your mouth wide could suggest that the joint is under stress, possibly due to muscle tension or misalignment.

On the other hand, wisdom teeth can also contribute to jaw pain, particularly if they are impacted or if they exert pressure on adjacent teeth. However, since your dentist has indicated that your wisdom teeth do not require intervention, it is less likely that they are the primary cause of your discomfort.
If your pain is indeed related to TMJ dysfunction, there are several approaches you can consider. First, it is essential to practice good jaw habits. Avoiding hard or chewy foods, as well as minimizing wide mouth movements (like yawning or eating large bites), can help reduce strain on the joint. Additionally, stress management techniques, such as relaxation exercises or mindfulness, may alleviate muscle tension that contributes to TMJ pain.

Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. Applying heat or cold packs to the affected area may also provide relief. If the pain persists or worsens, it would be advisable to consult with a dentist or a specialist in orofacial pain. They may recommend further evaluation, including imaging studies, to assess the joint and surrounding structures.

In some cases, a dentist may suggest a bite guard or splint to help stabilize the jaw and prevent teeth grinding, which can exacerbate TMJ issues. Physical therapy may also be beneficial, focusing on exercises to strengthen the jaw muscles and improve flexibility.

In summary, while your symptoms could be related to TMJ dysfunction, it is essential to monitor your condition closely. If the pain does not improve with conservative measures or if it significantly impacts your daily life, seeking professional evaluation and treatment is crucial. Remember, early intervention can often lead to better outcomes and help prevent chronic issues from developing.

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