Persistent Jaw Pain: Seeking the Right Dental Specialist - Dentistry

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Pain in the left lower jaw during occlusion?


About two years ago, I started experiencing sounds when biting or yawning on the left side of my cheek near the back molars.
Eventually, I began to feel pain, so I visited a doctor.
The doctor advised me not to open my mouth too wide, and I have been careful not to force my mouth open.
However, since the beginning of this year, even though I am careful while eating and yawning, I still experience pain.
I am unable to eat harder nuts or meat.
I want to consult a specialist, but I am unsure which type of doctor to see.
I would appreciate your guidance.

Xu, 20~29 year old female. Ask Date: 2002/08/12

Dr. Wang Cunzhen reply Dentistry


Hello Ms.
Hsu: Based on your description, it seems to be a temporomandibular joint (TMJ) issue.
Treatment for this condition requires patience, and it is essential to avoid harder foods.
If necessary, a period of wearing an occlusal splint may be recommended, and in some cases, surgery might be considered.
You can consult a specialist in temporomandibular joint disorders (occlusion) or oral and maxillofacial surgery, which should be available in many larger hospitals.

Reply Date: 2002/08/12

More Info


It sounds like you are experiencing persistent jaw pain that has been affecting your daily life for quite some time. This type of discomfort can be quite debilitating, especially when it interferes with basic activities such as eating and yawning. Given your symptoms, it is essential to seek the right dental specialist to address your concerns effectively.

Based on the information you've provided, it seems that you may be dealing with a condition related to the temporomandibular joint (TMJ), which connects your jawbone to your skull. TMJ disorders can cause pain in the jaw joint and in the muscles that control jaw movement. Symptoms can include jaw pain, clicking or popping sounds when moving the jaw, and difficulty in fully opening or closing the mouth.
To address your situation, I recommend that you consult with a dentist who specializes in TMJ disorders or orofacial pain. These specialists have the training and experience to diagnose and treat conditions related to the jaw and facial pain. They can conduct a thorough evaluation, which may include a physical examination, imaging studies like X-rays or MRIs, and a review of your medical history to determine the underlying cause of your pain.

In addition to a TMJ specialist, you might also consider seeing an orthodontist if your jaw pain is related to bite issues or misalignment. An orthodontist can assess your bite and jaw alignment and recommend treatments that may alleviate your symptoms, such as braces or other orthodontic appliances.

While waiting for your appointment, there are some self-care strategies you can try to help manage your pain. These include:
1. Applying Heat or Cold: Use a warm compress on your jaw to help relax the muscles, or apply a cold pack to reduce inflammation.

2. Gentle Jaw Exercises: Your dentist or specialist may recommend specific exercises to help improve jaw mobility and reduce pain.

3. Soft Diet: Stick to softer foods that require less chewing, avoiding hard or chewy items that may exacerbate your pain.

4. Stress Management: Since stress can contribute to muscle tension and exacerbate TMJ symptoms, consider relaxation techniques such as deep breathing, meditation, or yoga.

5. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation, but consult with your healthcare provider before starting any medication.

6. Avoiding Extreme Jaw Movements: Be mindful of activities that require wide jaw movements, such as yawning or chewing gum, as these can aggravate your symptoms.

If your symptoms persist or worsen, it is crucial to follow up with your dental specialist for further evaluation and treatment options. They may suggest treatments such as physical therapy, dental splints, or, in some cases, surgical interventions if conservative measures do not provide relief.

In summary, seeking the right dental specialist, such as a TMJ specialist or orthodontist, is essential for addressing your persistent jaw pain. With the appropriate diagnosis and treatment plan, you can work towards alleviating your discomfort and improving your quality of life. Remember to take care of yourself and seek help as needed.

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