Clicking Sound Near Right Ear When Opening Mouth: Possible Causes - Dentistry

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There is a clicking sound below the right ear when opening the mouth?


Hello Doctor, I have recently noticed that when I open my mouth wide, there is a "clicking" sound on the right side below my ear, and there is also a sound when I close my mouth.
At the same time, I can feel a sensation of bone movement in that area.
The sound is loud enough that someone sitting next to me can hear it in a quiet room.
However, there has never been any pain in the area of the sound or my jaw.
Could you please explain why this is happening? Thank you.

P.S.
1.
I have been undergoing root canal treatment for the past three months.
2.
I have a habit of sleeping on my right side (with my right cheek against the pillow).
3.
I tend to chew on the right side of my mouth.

Xīnnián kuàilè, 20~29 year old female. Ask Date: 2016/01/01

Dr. Huang Zhicheng reply Dentistry


Hello, you have a dislocation of the right temporomandibular joint (TMJ) and the articular disc.
When you habitually chew on one side, it can lead to bruxism at night and increased tension in the masticatory muscles due to stress and busyness, which can pull the articular disc out of place.
As the condyle moves, it may click over the displaced disc, causing a popping sound.
It is important to identify the underlying cause and seek treatment; otherwise, prolonged issues may lead to pain, surgical difficulties, or even degeneration into osteoarthritis.
Wishing you peace and good health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/01/01

More Info


The clicking sound you experience near your right ear when opening your mouth could be attributed to several factors, primarily related to the temporomandibular joint (TMJ) and the surrounding structures. The TMJ is the joint that connects your jawbone to your skull, and it plays a crucial role in the movement of your jaw during activities such as chewing, speaking, and swallowing.
When you open your mouth widely, the TMJ undergoes significant movement, and any irregularities in the joint or the surrounding muscles can lead to sounds such as clicking or popping. This phenomenon is often associated with TMJ dysfunction, which can occur due to various reasons, including:
1. Jaw Misalignment: If your jaw is not properly aligned, it can cause the joint to move unevenly, leading to clicking sounds. This misalignment can be exacerbated by habits such as grinding your teeth (bruxism) or clenching your jaw, which may occur unconsciously, especially during sleep.

2. Cartilage Displacement: The TMJ contains a disc made of cartilage that acts as a cushion between the bones. If this disc becomes displaced or damaged, it can cause the joint to make noise when you move your jaw.

3. Muscle Tension: The muscles surrounding the TMJ can become tense due to stress, overuse, or poor posture, particularly if you habitually chew on one side of your mouth. This tension can affect the movement of the joint and contribute to the clicking sound.

4. Previous Dental Work: You mentioned undergoing root canal treatment recently. Dental procedures can sometimes lead to changes in your bite or jaw alignment, which may contribute to TMJ issues.

5. Sleeping Position: Sleeping on your side, particularly with your head resting on a pillow, can place additional pressure on the jaw and TMJ, potentially leading to discomfort or clicking sounds.

To address this issue, there are several approaches you can consider:
- Jaw Exercises: Gentle stretching and strengthening exercises for the jaw can help improve mobility and reduce tension in the muscles surrounding the TMJ. A physical therapist or dentist specializing in TMJ disorders can provide guidance on appropriate exercises.

- Heat and Cold Therapy: Applying a warm compress to the jaw area can help relax tense muscles, while cold packs can reduce inflammation if there is any swelling.

- Stress Management: Since stress can contribute to muscle tension and jaw clenching, practicing relaxation techniques such as deep breathing, meditation, or yoga may be beneficial.

- Dental Evaluation: It may be worthwhile to consult with your dentist or an oral and maxillofacial specialist to evaluate your bite and jaw alignment. They can determine if any adjustments or treatments, such as a night guard, are necessary to alleviate the symptoms.

- Avoiding Certain Habits: Try to avoid chewing gum or hard foods that may exacerbate the clicking sound. Additionally, being mindful of your jaw position and avoiding clenching can help reduce symptoms.

If the clicking sound persists or is accompanied by pain, it is essential to seek further evaluation from a healthcare professional. They can conduct a thorough examination and recommend appropriate treatment options tailored to your specific situation. Remember, while clicking sounds in the TMJ are common and often benign, persistent symptoms should not be ignored, as they may indicate underlying issues that require attention.

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