What is temporomandibular joint disorder. How does TMJD affect jaw movement and cause ear pain. What are the common causes and symptoms of TMJD. How is temporomandibular joint disorder diagnosed and treated. What are the key points to remember about TMJD.

Understanding Temporomandibular Joint Disorder (TMJD)

Temporomandibular joint disorder (TMJD) is a condition affecting the joints that connect the lower jaw to the skull. These joints, located on either side of the head in front of the ears, play a crucial role in enabling various jaw movements, including talking, chewing, and yawning. When inflammation or pain occurs in one or more of these joints, it results in TMJD.

Why is TMJD important to understand? This condition can significantly impact a person’s quality of life, affecting everyday activities like eating and speaking. By gaining knowledge about TMJD, individuals can better recognize symptoms and seek appropriate treatment.

The Anatomy of the Temporomandibular Joint

To fully grasp TMJD, it’s essential to understand the structure of the temporomandibular joint. The lower jaw, or mandible, has rounded ends called condyles that fit into the joint socket. These condyles are covered with cartilage and separated by a small shock-absorbing disk, which ensures smooth movement. This intricate structure allows for the complex motions required for various facial expressions and oral functions.

Common Causes of Temporomandibular Joint Disorder

TMJD can arise from various factors, often involving damage or misalignment of the joint components. Understanding these causes is crucial for both prevention and treatment. Here are some of the primary reasons TMJD may develop:

• Wear and tear on the cartilage
• Damage to tooth surfaces due to neglect or injury
• Loose or lost teeth leading to jawbone damage or misalignment
• Poor bite alignment
• Overuse of chewing muscles
• Erosion or improper movement of the joint disk
• Physical trauma to the joint
• Arthritis
• Myofascial pain syndrome
• Deep jaw infections
• Tumors

Is TMJD more prevalent in certain demographics? Interestingly, TMJD most commonly affects women between the ages of 30 and 50, though the reasons for this demographic trend are not fully understood.

Recognizing the Symptoms of TMJD

Identifying TMJD symptoms early can lead to prompt treatment and better outcomes. The manifestations of this disorder can vary from person to person, but some common signs include:

1. Pain and tenderness in the jaw
2. Aching pain in or around the ear
3. Facial pain
4. Difficulty fully opening the mouth
5. Discomfort while chewing
6. Clicking or popping sensations in the joint
7. Joint locking, making it challenging to open or close the mouth
8. Headaches
9. Uncomfortable or uneven bite

Can TMJD symptoms occur even when the jaw isn’t moving? Yes, pain and discomfort associated with TMJD can be present whether the temporomandibular joint is in motion or at rest.

Diagnosing Temporomandibular Joint Disorder

The diagnosis of TMJD primarily relies on a patient’s reported symptoms and a thorough physical examination. Healthcare providers employ various methods to assess the condition:

Medical History Assessment

Doctors inquire about the duration of symptoms, recent jaw injuries, or dental treatments. They also explore potential stress factors and coping mechanisms, as stress can exacerbate TMJD symptoms.

Physical Examination

During the physical exam, the healthcare provider will:

• Listen to and feel the jaw during opening and closing movements
• Evaluate the range of motion in the joint
• Check for clicking, popping, or crackling sounds
• Apply pressure to various areas of the jaw and face to locate pain or discomfort
• Examine the bite and overall dental health

Imaging Studies

In some cases, additional diagnostic tools may be employed:

• X-rays of the teeth to check for alignment issues or signs of grinding
• Computed tomography (CT) scans to examine the bones of the joint
• Magnetic resonance imaging (MRI) to reveal problems with the joint disk

Are these imaging studies always necessary for diagnosing TMJD? Not always. In many cases, a thorough physical examination and patient history are sufficient for diagnosis. Imaging studies are typically reserved for complex cases or when initial treatments prove ineffective.

Treatment Options for Temporomandibular Joint Disorder

The treatment of TMJD varies depending on the underlying cause and severity of symptoms. A multifaceted approach is often necessary to address the condition effectively. Here are some common treatment strategies:

Conservative Treatments

• Habit correction (e.g., reducing teeth grinding or gum chewing)
• Use of night guards to control teeth grinding
• Application of heat or cold to relieve inflammation and pain
• Jaw muscle stretching and massage
• Stress management techniques (meditation, deep breathing, progressive muscle relaxation)

Medication

Certain medications can help alleviate TMJD symptoms:

• Pain relievers
• Anti-inflammatory drugs
• Muscle relaxants

Dental and Medical Interventions

• Corrective dental treatments to address bite issues
• Splints to reposition the jaw, ligaments, and muscles
• Arthrocentesis, a procedure to flush out joint debris and inflammatory byproducts

Surgical Options

In severe cases where conservative treatments fail, surgery may be considered to correct structural abnormalities of the jaw.

How long does it typically take to see improvements with TMJD treatment? The timeline for improvement can vary significantly depending on the individual and the chosen treatment approach. Some patients may experience relief within a few weeks of starting conservative treatments, while others may require longer-term management or more invasive interventions.

Lifestyle Modifications and Self-Care for TMJD Management

In addition to professional treatments, there are several self-care strategies that individuals with TMJD can implement to manage their symptoms and promote joint health:

Dietary Adjustments

• Opt for softer foods that require less chewing
• Cut food into smaller pieces to reduce jaw strain
• Avoid chewy or tough foods that may exacerbate symptoms

Stress Reduction Techniques

Since stress can contribute to jaw clenching and teeth grinding, implementing stress-reduction strategies can be beneficial:

• Practice mindfulness meditation
• Engage in regular exercise
• Ensure adequate sleep
• Consider counseling or therapy if stress is a significant factor

Posture Improvement

Poor posture can contribute to TMJD symptoms. Focusing on maintaining good posture, especially when working at a desk or using electronic devices, can help alleviate strain on the jaw and surrounding muscles.

Can lifestyle modifications alone be sufficient to manage TMJD? While lifestyle changes can significantly improve symptoms for some individuals, it’s essential to work with healthcare professionals to develop a comprehensive treatment plan tailored to your specific needs.

The Impact of TMJD on Daily Life and Long-Term Health

Temporomandibular joint disorder can have far-reaching effects on an individual’s quality of life and overall health. Understanding these impacts is crucial for both patients and healthcare providers in managing the condition effectively.

Effects on Daily Activities

TMJD can interfere with various aspects of daily life, including:

• Eating and drinking
• Speaking and communicating
• Sleeping
• Concentrating at work or school
• Participating in social activities

Psychological Impact

The chronic pain and functional limitations associated with TMJD can take a toll on mental health, potentially leading to:

• Anxiety
• Depression
• Social isolation
• Decreased self-esteem

Long-Term Health Considerations

If left untreated or poorly managed, TMJD may lead to:

• Chronic pain conditions
• Sleep disorders
• Nutritional deficiencies due to difficulty eating
• Increased risk of dental problems

Does TMJD always progress to severe complications if left untreated? While not all cases of TMJD will lead to severe long-term complications, early intervention and proper management can significantly reduce the risk of chronic issues and improve overall outcomes.

Emerging Research and Future Directions in TMJD Treatment

The field of TMJD research is continuously evolving, with scientists and healthcare professionals exploring new avenues for diagnosis, treatment, and prevention. Some promising areas of research include:

Genetic Factors

Researchers are investigating potential genetic markers that may predispose individuals to TMJD, which could lead to earlier interventions and personalized treatment approaches.

Advanced Imaging Techniques

Developments in imaging technology may allow for more precise diagnoses and better tracking of treatment progress. This includes high-resolution MRI and 3D imaging of the temporomandibular joint.

Regenerative Medicine

Stem cell therapy and other regenerative medicine techniques are being explored as potential treatments for repairing damaged joint tissues in TMJD patients.

Targeted Pain Management

Research into more effective and targeted pain management strategies, including new medications and minimally invasive procedures, may offer better relief for TMJD sufferers.

Interdisciplinary Approaches

There is growing recognition of the need for interdisciplinary treatment approaches, combining expertise from dentistry, neurology, pain management, and mental health professionals to provide comprehensive care for TMJD patients.

Will these emerging treatments be widely available in the near future? While many of these research areas show promise, it’s important to note that the development and approval of new treatments can take considerable time. Patients should continue to work with their healthcare providers to explore currently available evidence-based treatments while staying informed about emerging options.

Prevention Strategies for Temporomandibular Joint Disorder

While not all cases of TMJD can be prevented, there are several strategies individuals can employ to reduce their risk or minimize the severity of symptoms:

Maintain Good Posture

Proper posture, especially when sitting for long periods, can help reduce strain on the jaw and surrounding muscles. Consider using ergonomic furniture and taking regular breaks to stretch and move around.

Practice Stress Management

Since stress can contribute to jaw clenching and teeth grinding, implementing stress-reduction techniques can be beneficial:

• Regular exercise
• Meditation or mindfulness practices
• Deep breathing exercises
• Adequate sleep

Avoid Excessive Jaw Movements

Be mindful of habits that may put unnecessary strain on the temporomandibular joint:

• Limit gum chewing
• Avoid biting nails or chewing on pens and pencils
• Be cautious when eating very chewy or hard foods

Maintain Good Dental Hygiene

Regular dental check-ups and proper oral care can help prevent misalignments and other dental issues that may contribute to TMJD.

Use Proper Technique During Physical Activities

When engaging in activities that involve impact or strain on the head and neck, such as contact sports or weightlifting, use proper form and protective gear to minimize the risk of injury to the jaw area.

Can these prevention strategies completely eliminate the risk of developing TMJD? While these strategies can significantly reduce the risk and severity of TMJD, it’s important to remember that some factors contributing to the disorder, such as genetic predisposition or certain medical conditions, may be beyond an individual’s control. However, implementing these preventive measures can still play a crucial role in maintaining overall jaw health and function.

Temporomandibular Joint Disorder | Cedars-Sinai

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CAUSES
DIAGNOSIS

TREATMENT

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What is temporomandibular joint disorder?

The temporomandibular joint is actually two pairs of joints that make it possible for the jawbone to rotate and slide. This joint connects the lower jaw to the skull. The temporomandibular joints can be found on either side of the head in front of the ears. These joints allow us to talk, chew and yawn.

When one or more of these joints become inflamed or painful, the condition is called temporomandibular joint disorder (TMJD).

What causes temporomandibular joint disorder?

The lower jaw has rounded ends that glide in and out of the joint socket when you talk, chew or yawn. These are called the condyles. They are covered with cartilage and are separated by a small shock-absorbing disk, which keeps the movement smooth.

TMJD can occur from:

• Wear and tear on the cartilage.
• Damage to the surfaces of the teeth due to neglect or injury.
• Loose or lost teeth that have led to damage of the jawbone or poor alignment of the upper and lower jaws.
• Poor alignment of the teeth or jaw when biting down. This can cause sensitivity of the teeth as well as affecting the muscles and the temporomandibular joint.
• Overuse of the muscles of chewing. This may occur if a person chews gum continuously, bites fingernails or pencils, grinds the teeth, has a habit of clenching the jaw, biting the cheek or lip or thrusting the jaw out when speaking, exercising or other actions.
• Erosion or improper movement of the disk.
• Damage to the joint from a blow or other impact.
• Arthritis.
• Trigger points in the muscle tissue that cause myofascial pain syndrome.
• Infections deep in the jaw.
• Tumors.

Often, it isn’t clear what is causing the TMJ symptoms.

TMJ disorders most commonly occur in women between the ages of 30 and 50.

What are the symptoms of temporomandibular joint disorder?

Symptoms of TMJD include:

• Pain, including tenderness in the jaw, aching pain in or around the ear, and aching facial pain. Pain may be present whether the temporomandibular joint is moving or not.
• Difficulty opening the mouth fully.
• Difficulty or discomfort while chewing.
• A clicking or popping sensation in the joint.
• Locking of the joint that makes it hard to open or close the mouth.
• Headache.
• Uncomfortable bite.
• An uneven bite because one or more teeth are making contact with each other before the other teeth do.

How is temporomandibular joint disorder diagnosed?

TMJD is diagnosed based on the patient’s symptoms. A doctor will take a medical history to learn how long you have had the symptoms, whether you have had a recent injury to the jaw or recent dental treatment.

The doctor will do a physical examination. This will include listening to and feeling your jaw when you open and close your mouth and checking to see what range of motion you have in the joint. The doctor will ask whether you have felt a clicking, popping or rough crackling sound when the lower jaw moves.

The doctor will press on areas of your jaw and face to locate the pain or discomfort. They may also ask about whether you are feeling stress and how you cope with such feelings. You will be asked about habits such as clenching your teeth, chewing gum, etc.

The doctor will check your bite. They will look for lost teeth, unusual placement of teeth, signs of chronic teeth grinding. It may be necessary to follow up with X-rays of the teeth.

In some cases, a computed tomography scan may be done to check the bones of the joint. A magnetic resonance imaging scan may be done to reveal problems with the disk in the joint.

How is temporomandibular joint disorder treated?

Treatment of TMJD varies, depending on what is causing the symptoms. Treatment may include:

• Arthocentisis, a procedure that flushes debris and the byproducts of inflammation out of the joint.
• Correcting poor habits such as grinding the teeth or chewing gum. Sometimes a device (a night guard) inserted in the mouth can help control grinding of the teeth.
• Corrective dental treatment.
• Drugs to relieve pain and reduce swelling and inflammation.
• Splints that reposition the jaw, ligaments and muscles into better alignment.
• Surgery to correct abnormalities of the jaw.
• Stress management such as meditation, deep breathing and progressive muscle relaxation.
• Stretching or massaging the jaw muscles.
• Applying heat or cold to the muscles to relieve inflammation and pain.

Key points

• Temporomandibular joint disorder happens when there is inflammation or pain in the joints that make is possible for the jawbone to rotate and slide.
• The disorder can happen due to wear and tear on the cartilage, arthritis, injuries, dislocations, structural problems in the joint, dental problems infections or tumors.
• Treatment options run from stretching and massaging to surgery.

Next steps

Tips to help you get the most from a visit to your healthcare provider:

• Know the reason for your visit and what you want to happen.
• Before your visit, write down questions you want answered.
• Bring someone with you to help you ask questions and remember what your provider tells you.
• At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
• Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
• Ask if your condition can be treated in other ways.
• Know why a test or procedure is recommended and what the results could mean.
• Know what to expect if you do not take the medicine or have the test or procedure.
• If you have a follow-up appointment, write down the date, time, and purpose for that visit.
• Know how you can contact your provider if you have questions.

© 2000-2022 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional’s instructions.

TMJ and Ear Pain – Causes, Symptoms, Treatment

How To Stop Grinding Your Teeth: Tips & Techniques

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02 Mar, 2023

Teeth grinding is the most common cause of jaw pain. Grinding your teeth also results in fractured teeth and the destruction of dental work, which can even change how you look. People who grind their teeth during the day can make conscious changes to reduce their teeth grinding for those who grind their teeth at night . Fortunately, with a visit to Dr. Phillips, you can discover how to stop grinding your teeth. What is Teeth Grinding, and What Causes it? Grinding or clenching your teeth, or bruxism , is a common condition affecting millions of people and, if left untreated, can lead to broader health issues. According to the American Dental Association (ADA), a 2020 ADA Health Policy Institute report stated that half of the dentists saw a rise in clients with stress-related dental problems, primarily due to teeth grinding and jaw clenching. It can happen during the day or night and often goes unnoticed until the person is alerted by a partner or family member. Treating bruxism can prevent further damage to the teeth and relieve any symptoms associated with the condition, and there are several steps you can take to stop grinding your teeth and protect your oral health. People grind and clench their teeth for various reasons, including stress and anxiety, misalignment of the teeth and jaw, or an abnormal bite. In adults, teeth grinding is often caused by emotional tension and stress and can become a subconscious habit. In children, teeth grinding is usually due to an immature bite and can be triggered by new teeth erupting or the recent placement of braces. How Do You Know if You’re Grinding or Clenching Your Teeth? Grinding or clenching your teeth can be challenging to identify since it usually happens when you are unconscious or sleeping. However, several signs could indicate you are grinding your teeth. Common symptoms of teeth grinding include: Waking up with a sore jaw Frequent headaches Increased sensitivity or pain in your teeth Tired or tight jaw muscles Pain that feels like an earache, but there is nothing wrong with your ear A locked jaw that is difficult to open or close completely Neck or face pain Noticing that your teeth feel different or worn down You or your sleep partner may also notice that you make clenching or grinding sounds during the night. At a dental appointment, your dentist may suspect teeth grinding if you have the following: Teeth that are chipped, loose, flattened, or fractured Worn enamel on your teeth Gum recession Possible Causes of Teeth Grinding Many people grind their teeth and tighten their jaws without realizing it, especially at night. Although stress and anxiety can lead to teeth grinding, other common causes are: Posture. Poor posture is not only horrible for your back; it’s also bad for your teeth. When the body’s joints aren’t in proper alignment, it can result in jaw clenching and grinding. Misaligned teeth. If the upper and lower teeth don’t fit together correctly, the misalignment may result in the tendency to grind teeth or clench jaw muscles. Sleep disorders. Sleep habits and sleep disorders can lead to teeth grinding at night. Chronic obstructive sleep disorder , also known as sleep apnea , is a known cause of sleep bruxism. Resolving sleep apnea can help stop teeth grinding. Sleep terrors and insomnia may also result in grinding teeth at night. Joint disorders. The temporomandibular region is around the jaw, mouth, and ears. This area contains the temporomandibular joints and jaw muscles, which allow the jaw to open and close. Disorders in this area can affect teeth grinding and a sore jaw. Stimulants. Stimulants like caffeine, nicotine, and alcohol can trigger teeth grinding. Avoiding these can help prevent teeth grinding. Stress. Stress is a common cause of teeth grinding and clenching. Finding ways to manage and reduce stress can help decrease teeth grinding. These can include relaxation techniques such as progressive muscle relaxation, yoga, deep breathing, meditation, and guided imagery can help relax the jaw muscles and stop teeth grinding. Chewing on Objects. Chewing on objects such as pencils or fingernails can trigger teeth grinding. You may also need to avoid chewing gum, which can exacerbate teeth grinding. Finding out how to stop grinding teeth at night takes getting to the root cause of grinding. Discovering the cause provides clues, pointing to the appropriate solutions. Prevent teeth grinding during the day. It is crucial to identify triggers that cause teeth grinding if you intend to stop grinding them during the day. Pay attention to your habits during the day and see if you notice when and if your grinding or clenching is worse. A TMJ specialist or dentist specializing in bruxism can provide you with exercises or relaxation techniques you can do throughout the day if you notice yourself clenching and, in some cases, offer medical treatment like muscle relaxants or Botox for bruxism. Prevent teeth grinding and clenching at night/in your sleep. You’ll have to make changes during the day to stop grinding or clenching your teeth at night or in your sleep. Start by talking to your dentist or doctor to determine if you have underlying medical issues that could be causing the grinding. Additionally, your dentist may suggest you wear a mouthguard, splint, or other oral appliance. At the same time, you sleep to protect your teeth from further damage and keep your mouth in the proper alignment, helping your TMJ to relax. A custom-fitted mouthguard also helps lessen the impact of teeth grinding by covering the teeth to create a physical barrier that reduces damage. How To Stop Child/Baby Grinding Teeth Many children grind their teeth at night, but most grow out of it. If your child or baby grinds their teeth, the first thing to do is identify what might be causing the behavior. Stress, anxiety, or an underlying medical condition can cause your child to grind their teeth. If the grinding is stress-related, identifying and addressing the source of the stress, such as an overly demanding school schedule or peer pressure, may help. If a medical or dental condition causes the grinding, your child’s dentist or doctor can help you determine the best action. If the grinding results from a habit, it can help redirect your child’s attention when they start to grind and provide them with other activities that may help reduce their stress and anxiety. Side Effects of Teeth Grinding Grinding your teeth may seem like a harmless habit. After all, it’s easier to notice this behavior if you’re not on the lookout for it. And unless your significant other or family members complain about the noise from your nighttime teeth grinding, it’s difficult to find proof of the act. However, long-term grinding of teeth at night can lead to significant side effects like: Pain in the jaw. The pressure and movement from teeth can lead to tenderness in the muscles, causing jaw pain . For some people, the pain may become chronic and severe. Headaches. The constant back-and-forth movement and clenching can impact the muscles around the neck and head, resulting in headaches due to muscle fatigue and tension. Wearing down teeth. Like sandpaper eventually smooths a surface, the repetitive motion from teeth grinding can flatten teeth and wear the enamel down over time. Teeth grinding can change the appearance of your teeth, causing them to look shorter and making chewing more difficult. Damage or fractured teeth. Grinding can destabilize teeth, making them shift and feel wobbly. The force from grinding may also crack teeth, causing pain and affecting oral health. Misalignment and cracked teeth can result in gum disease, cavities, and tooth loss — leading to poor overall health. Chronic ear pain. The temporomandibular area is closely connected. If the muscles around the ear become affected due to teeth grinding, chronic ear pain may occur. Facial muscle changes. Most people need to be aware that teeth grinding can change the shape of your face. Long-term bruxism can cause shorter teeth. Shorter teeth, in turn, change the structure of the face and jaw — leading to a sunken appearance. In addition, other muscles around the face can enlarge to compensate for dental changes. If you’re concerned about your appearance, you may want to note that chronic teeth grinding can change the way you look. Remedies for Teeth Grinding The methods for how to stop teeth grinding at night versus teeth grinding when you are awake are typically the same. Although some treatments aren’t quite possible when you’re asleep, their benefits can last even after you’ve gone to bed. Reductive coronoplasty. Reductive coronoplasty directly involves changing or leveling the biting surface of teeth. This procedure reshapes crowded or crooked teeth, improving teeth alignment. Conversely, additive coronoplasty can add to the surface of teeth to help treat bruxism. Dental Appliances: Mouthguards, night guards, and splints. A mouthguard does just that — it guards teeth. Typically used for sports, a mouth guard keeps teeth from injuries sustained during activity. A night guard protects teeth from grinding at night. Lastly, a bit splint guides jaw movement, enabling the jaw to land in the appropriate position. These appliances protect teeth differently, and finding the right one for your situation is essential. Biofeedback. Biofeedback allows a person to train themselves by monitoring auditory and visual stimuli from the body. Although biofeedback needs a person to be alert, the technique can still help sleep bruxism by reducing overall stress. Stress reduction techniques. Though implementing stress reduction techniques such as yoga, exercise, and meditation requires a person to be awake, they can also help with nighttime teeth grinding. Allowing muscles to decompress and relieve tension alleviates stress-induced teeth grinding, even at night. Tongue and jaw muscle exercises. Most people don’t stop to think about it, but their faces and mouth are a team of tissue, muscles, bones, and joints that closely affect each other. The tongue, for example, affects how the jaw moves. You reduce teeth grinding by exercising the right muscles — like the tongue and jaw. Behavior changes. Behavioral modifications like changing your posture and avoiding environments that cause stress can reduce instances of teeth grinding. Cognitive Behavioral Therapy (CBT) can help change behavior and thought patterns that lead to teeth grinding. Medications. A doctor can prescribe medication to help treat bruxism if all other treatments don’t work. When used for short periods, muscle relaxants can relieve tension in the temporomandibular area. In severe cases of teeth grinding, botox injections can alleviate muscle tension. Antidepressants and anti-anxiety medications assist in decreasing anxiety, allowing jaw muscles to relax and reduce bruxism. How Can a TMJ Specialist Help with Teeth Grinding and Clenching? A TMJ specialist is a dentist board-certified in orofacial pain and conditions affecting the TMJ. TMJ specialists have extensive knowledge and experience regarding the structure, function, and pathology of TMJ. In addition to more thorough diagnostic evaluations, they can often provide more effective and long-term solutions for teeth grinding than your doctor or dentist alone. This is because TMJ specialists use a holistic approach to treatment, focusing on the underlying causes of the teeth grinding, such as stress, anxiety, or misaligned teeth, rather than just treating the symptoms. They often work with other medical experts like dentists or sleep physicians for more comprehensive care and treatment. Protecting Your Oral Health Protecting your teeth is critical to taking care of your overall health. Chronic teeth grinding can result in costly dental work, poor oral health, and chronic pain. If you’re experiencing a sore jaw, headaches, or cracked teeth, seeking an expert diagnosis to find the cause is the first step to finding a solution. Get the answers you need on how to stop grinding your teeth at night or keep from grinding in the daytime to protect your oral health. As a TMJ and sleep apnea dentist, Dr. Katherine Phillips specializes in diagnosing and treating bruxism. With her Master of Science in Orofacial Pain From USC and extensive experience in TMJ therapy, Dr. Phillips utilizes proven and effective evidence-based medical interventions to identify bruxism and help find the right treatments to suit your needs. Get in touch today for more information.

Relieve pain in the ear, temple and jaw – ENT Center, Kyiv

How to understand what hurts: ear, teeth or temple on one side?

Let’s say your ear hurts , it radiates to your temple . Most likely, in this case, the problem is in the ear. Headache manifests itself in both temples at once. If hurts on one side of , the source of pain is definitely the ear.
Sometimes the pain begins to radiate into the jaw . In such situations, it is more difficult to deal with. The cause can be both ear inflammation and problems with the jaw joints. Only a doctor can determine the exact cause. But in order to understand who to go to, you need to listen to yourself – analyze symptoms .
When the ear hurts, radiates to the temple and jaw , the pain is usually concentrated behind the ear. Types of pain may be different. Some patients feel a sharp shooting or throbbing pain. In others, it is dull, aching or pulling. The pain may radiate not only to the jaw or temple , but also to the neck and the eyes . The more pronounced the pain syndrome, the more neighboring structures it affects.

Causes of pain

Most often, simultaneous pain in the ear, jaw and temple is associated with otitis media, other causes are possible.

Otitis media

One of the common causes of ear pain is secretory otitis media . This is an acute inflammatory process in the middle ear caused by an infection. Most often it is provoked by bacteria, but fungi can also cause it – in this case, the disease is called otomycosis.
Causes of otitis media can be water getting into the ear, injuries and microcracks in the ear canal, hypothermia. The ears become susceptible to infection and become inflamed. As a result, otitis develops radiates to teeth and other adjacent structures.
How to understand what exactly otitis media gives to the jaw ? In addition to pain, there are other symptoms: congestion and itching in the ears, hearing loss. They can identify the problem.

Other causes

Simultaneous pain in the ear, jaw and temple may appear for other reasons. For example, due to a sick wisdom tooth or an inflamed jaw joint. Also, the temple can hurt due to inflammation of the temporal bone.

What to do if your ear hurts and radiates to your teeth and temple?

First, go to the ENT for an examination, because in most cases the problem is in the ears. He will conduct an otoscopy, which will show if there is inflammation in the ear, extra accumulations of sulfur, microtrauma. If it turns out that this otitis media radiates to the jaw , then the doctor will prescribe a suitable treatment. If not, you will have to look for the cause in another field of medicine. For example, go to the dentist.

Treatment

When otitis media spreads to the teeth , the patient is given antibiotic therapy to eliminate the infection. He is also prescribed:

• Antipyretics – if there is a strong temperature
• Topical drops – to relieve inflammation and pain
• Ear wash – to remove abnormal discharge
• Physiotherapy – to accelerate treatment

In severe cases, the eardrum has to be cut open to drain it and remove the pus. In the future, its integrity is restored, and hearing returns. If there are complications in the form of tissue scarring, pneumatic massage, blowing of the auditory tubes and UHF are prescribed.
The sooner the patient seeks help, the higher his chances of quickly curing otitis media and getting rid of pain. You can get professional treatment in our ENT center for children and adults. Our doctor will carefully examine you and select an individual therapy regimen. After treatment , our patients forget about ear pain and successfully restore their hearing lost due to otitis media!

Possible complications

When the ear hurts, radiates to the temple and jaw , this is an alarming symptom. If the cause is otitis, the patient may develop serious complications:

• Mastoiditis – inflammation of the mastoid process of the temporal bone
• Tympanic perforation
• Labyrinthitis – otitis media with hair cell damage and irreversible hearing loss
• Neuritis of the facial nerve
• Meningitis
• Brain abscess

In severe cases, this can lead to death. Therefore, it is better not to start the disease, but immediately seek help from an ENT.

Prevention

In order not to suffer from debilitating pain that radiates to the jaw and temple, you need:

• Protect ears from water
• Avoid hypothermia
• Treat ENT diseases in time
• Maintain ear hygiene
• Regular check-ups with an otolaryngologist and dentist

Start prevention right now – book a consultation with our doctor! This will help to avoid problems with the ears and other ENT organs. If you feel pain, seek help from our ENT as soon as possible. He will select the appropriate treatment and relieve you of pain.

Detailed information can be obtained from the call center of our ENT center for adults and children by phone:

+380500358717

what can cause and how to avoid it

Content

• 1 Causes of pain in the jaw near the ear: how to understand and what to do
  • 1.1 Causes of pain in the jaw near the ear
  • 1.2 Difficulties in diagnosis
  • 1.3 Temporomandibular syndrome
  • 1.4 Otitis media or infection of the middle ear
  • 1.5 Malocclusion
  • 1.6 Periodic dental pain
  • 1.7 Gout
  • 1.8 Cervical osteochondrosis
  • 1.9 Disease cervical spine
  • 1.10 Painful tumors
  • 1.11 Excessive exercise during sports
  • 1.12 Stress and depression as causes of jaw pain
  • 1.13 Damage to the facial nerves
  • 1. 14 Misfitting of dentures
  • 1.15 Stevens-Johnson disease: skin breakdown due to allergies
  • 1.16 Arthritis as a cause of pain in the jaw near the ear
  • 1.17 Sleep disturbance is a common cause of pain in the jaw near the ear
  • 1.18 Preventive measures to prevent pain in the jaw near the ear
  • 1.19 Related videos:

Find out why the jaw near the ear can hurt, what could be the reasons and what to do in this situation. Detailed recommendations for diagnosis and treatment from professionals.

Jaw pain near the ear is a common condition that can occur for a variety of reasons. Some of these causes are relatively unproblematic, while others may indicate significant diseases in the body.

Pain is often caused by problems with the teeth or gums, such as dental caries or periodontal disease. However, these are far from the only reasons. Pain can be caused by arthritis in the jaw, trauma, or various types of inflammation.

But how can you prevent these problems and avoid jaw pain near your ear? It is to this question that our article is directed. We’ll take a look at some of the most common causes of jaw pain near your ear and tell you how you can reduce your risk of them.

Causes of pain in the jaw near the ear

Pain in the jaw near the ear can be caused by several causes, including dental and gum disease, trauma, infection and other factors. One of the main causes of pain in this area is temporomandibular syndrome (TMS), which is manifested by pain and discomfort in the temporomandibular joint or in the muscles that control chewing movements.

Another cause of jaw pain can be a disease of the salivary glands, such as sialadenitis, an inflammation of the salivary glands. This can lead to pain and swelling in the cheeks and ears, as well as dry mouth and trouble swallowing.

Also diseases of the teeth and gums such as caries, gingivitis, periodontitis, abscess or damage to the tooth can cause pain in this area. Pain can also arise from overexertion of the muscles of the masticatory apparatus, for example, from excessive chewing of chewing gum, bones and other bad habits.

• If you have pain in your jaw near your ear, we recommend:
• See a dentist for an oral exam.
• Reduce excessive chewing and other bad habits.
• Maintain good oral hygiene.
• Apply ice or heat to relieve pain.

Difficulties in diagnosis

Pain in the jaw near the ear can be associated with various causes, which makes diagnosis difficult. As a rule, to establish an accurate diagnosis, it is necessary to consult several specialists, for example, a dentist and a neurologist.

One of the features of diagnosing this problem is that pain can be experienced not only in the jaw area, but also spread to other parts of the face and head. This may indicate various pathologies.

In addition, an important role in the diagnosis is the collection of anamnesis and additional studies such as x-rays and ultrasound. Sometimes a test for an allergic reaction or a CT scan is required.

Although diagnosis can be difficult, the cause of the jaw pain must be found. After all, ineffective treatment can lead to chronic diseases and complications.

Temporomandibular Syndrome

Temporomandibular Syndrome (TMS) is a disorder characterized by pain in the jaw area, near the ear. It can occur due to a variety of reasons, such as gum disease, tooth or jaw bone disease, as well as incorrect jaw position or muscle strain.

One of the main symptoms of TMS is pain in the ear, difficulty opening the mouth, clicking in the jaw joints, as well as headache, tinnitus and even dizziness.

To prevent TMS, it is important to take good care of your teeth and gums, not overexert your jaw muscles, and avoid chewing gum, alcohol and cigarettes. It is also worth contacting a dentist if there is pain in the jaw and near the ear.

Various methods can be used to treat TMS, such as physical therapy, massage, medication, and dentures or orthodontic supports. However, it is extremely important to correctly diagnose the cause of jaw pain near the ear in order to prescribe the most effective treatment.

In general, TMS can be a serious problem if left unattended. Therefore, it is recommended to consult a doctor in time to avoid more complex consequences.

Otitis media or middle ear infection

Pain in the jaw near the ear may be associated with otitis or middle ear infection. This condition is caused by a bacterial or viral infection and can present with a variety of symptoms, including ear, jaw, or eye pain.

In case of otitis media or infection of the middle ear, there is often also discharge from the ear, poor hearing, fever, and headache. It is necessary to consult a doctor for diagnosis and appropriate treatment in order to avoid the development of complications.

Prevention includes keeping the immune system in good condition, avoiding contact with people who are sick, treating rhinitis and other upper respiratory problems promptly, and practicing good ear hygiene.

• Causes: bacterial or viral infection
• Symptoms: pain in the ear, jaw or eyes, discharge from the ear, hearing loss, fever, headache
• Diagnosis: Seek medical attention
• Treatment: Prescribe appropriate treatment from a physician

Malocclusion

Malocclusion can be one of the causes of jaw pain near the ear. This is because misalignment of the teeth and jaw bones can cause strain on the muscles of the face and jaw, which in turn can lead to ear and jaw pain.

To avoid this situation, it is necessary to monitor the correct bite and, if necessary, contact an orthodontist or dentist for correction. Regular consultations and preventive examinations will help maintain a healthy bite and prevent problems associated with misaligned teeth and jaws.

You should also pay attention to your posture, especially when working at a computer or for long periods of sitting. Correct posture will help reduce tension in the muscles of the face and jaw and prevent pain.

Pain during periodic dental treatment

During dental treatment, pain in the jaw near the ear can occur due to various reasons. For example, pain can be caused by an unsuccessful tooth extraction, an inappropriate proportion of complex restoration work, the formation of an abscess in the dental crown.

However, pain can also occur during periodical dental treatment. In the first days after the treatment, the tooth may be painful, because the treatment process includes and introduces intermediate material for a certain period of time, as a result of which general malaise may be observed.

On the other hand, pain can also occur if the tooth is damaged, the filling is misaligned, or infected. To avoid pain during dental treatment, it is necessary to monitor oral hygiene: brush your teeth efficiently and regularly, carry out this procedure at least twice a day.

In addition, sugary foods should be avoided as they are an ideal breeding ground for bacteria in the mouth. It is also recommended to lead a healthy lifestyle, eliminate bad habits from the diet, such as smoking, which negatively affect oral health.

In general, when there is pain in the jaw near the ear, you should immediately consult a specialist, for emergency treatment, you need to see a doctor in a planned manner and monitor your home oral hygiene.

Gout

Gout is a disease that causes severe joint pain due to the presence of uric acid in the blood.

Possible causes of gout may be heredity, unbalanced diet, obesity, alcohol consumption.

Avoid large amounts of meat, alcohol and sugar to prevent gout. The use of foods rich in gelatin and dietary fiber is recommended. Non-steroidal anti-inflammatory drugs may be used to reduce pain.

Cervical osteochondrosis

Cervical osteochondrosis is one of the causes of jaw pain near the ear. It develops as a result of dystrophic changes in the cervical spine, which leads to narrowing of the intervertebral foramens, impaired blood circulation and nerve conduction.

Symptoms of cervical osteochondrosis may include neck pain, headaches, dizziness, tinnitus, and difficulty moving the neck. One of the symptoms is also pain in the jaw near the ear, which may worsen when the head is turned or tilted back.

Cervical osteochondrosis can be avoided by correct posture, regular neck and back exercises, yoga or Pilates. It is also recommended to regularly take breaks from working at the computer and maintain a healthy lifestyle.

Treatment of cervical osteochondrosis may include physiotherapy, massage, therapeutic exercises and taking medications prescribed by a doctor according to an individual method. If symptoms of pain in the jaw and other symptoms of cervical osteochondrosis persist, it is necessary to consult a specialist for advice and treatment.

Disease of the cervical spine

Disease of the cervical spine can be a common cause of jaw pain near the ear. The nerves passing through this section can affect the soft tissues in the jaw area, causing pain.

The most common diseases that can cause pain in the jaw are osteochondrosis, displacement of discs between the vertebrae and scoliosis. Violation of posture and excessive physical activity can also contribute to the development of diseases of the cervical spine.

To prevent the occurrence of diseases of the cervical spine, it is necessary to lead a healthy lifestyle, pay attention to correct posture and exercise regularly. Taking steps to reduce stress, living a healthy lifestyle and eating well can also help reduce your risk of developing these diseases.

Painful tumors

One of the causes of pain in the jaw near the ear can be painful tumors. It can be either benign or malignant.

Benign tumors such as gluten can compress nerve endings and cause pain in the jaw area near the ear. In this case, the tumor may need to be removed.

Malignant tumors such as cancer of the jaw or salivary glands can also cause pain in this area. In this case, along with the treatment of the tumor, additional treatment of cancer and pain is required.

If you find a tumor in the jaw area near the ear and experience pain, be sure to consult a doctor for diagnosis and treatment.

Excessive exercise during sports

Sports are very good for health, but sometimes they can cause pain in the jaw near the ear. Many exercises require a lot of physical stress on the jaw-temporal joint, which can lead to various problems.

One of the most common causes of pain can be bruxism, the involuntary grinding of the teeth. This disorder is associated with damage to the cartilage and ligaments in the joint, which subsequently leads to pain. If you find yourself biting while exercising, stop immediately and consult your doctor.

In order to avoid such problems, it is recommended to choose the right exercises and control your physical activity. It is also important to warm up before training and do the exercises correctly. If you often play sports, it is recommended to take a course of massage regularly.

• Watch your physical activity.
• Avoid exercises that can damage the maxillotemporal joint.
• Warm up before playing sports.
• Control your posture while exercising.
• If you play sports regularly, get a massage regularly.

Stress and depression as causes of jaw pain

Stress and depression are often the cause of jaw pain near the ear. During a period of stress, we often clamp the jaw, strain the muscles of the face and teeth, which can lead to various pain sensations in this area. Stress can also cause severe pain in the teeth or gums.

Depression, in turn, can lead to disorders in the maxillofacial region. When depressed, we often tend to tighten our jaws and clench our teeth, which can lead to painful sensations in the ear and jaw area.

Managing stress and depression is essential to avoid jaw pain. Sleeping well, eating right, exercising, and spending time with loved ones can help fight stress and depression.

• Regular sleep. The easiest way to deal with stress is to take care of your sleep. Regular and sufficient sleep helps to reduce stress levels and improve mood.
• Healthy eating. Proper nutrition includes getting enough vitamins and minerals to help maintain normal energy levels and reduce stress.
• Sport. Exercise can help reduce stress and improve your mood.
• Social support. Spending time with loved ones can help you cope with stress and depression, as well as improve your mood.

These simple tips can help you reduce stress and depression and avoid jaw pain. If the pain persists, you should consult a doctor to conduct an examination and identify possible causes of pain.

Damage to the facial nerves

Pain in the jaw near the ear may be associated with damage to the facial nerves. The facial nerve is responsible for the innervation of the facial muscles and controls sensation in the area where pain occurs.

Common causes of facial nerve injury are contusion or sprain. A contusion of the facial nerve occurs when struck in the face or ear. Stretching of the facial nerve can occur when it is kept in a tense state for a long time, for example, when using the phone for a long time.

Preventive measures can be taken to avoid damage to the facial nerves. Take regular breaks while working on your computer or using your phone so you don’t strain your facial muscles. Also visit a specialist if you have problems with your teeth or jaw, which can lead to facial muscle tension and nerve damage.

• Signs of damage to the facial nerves:
• Numbness in the area where the pain occurs;
• Decreased or loss of sensation;
• Reduced or loss of muscle strength.

Improper fit of dentures

One of the common causes of jaw pain near the ear is improper fitting of dentures. It can lead to a bad bite, which in turn causes strain on the jaw muscles and, as a result, pain.

To avoid this problem, it is necessary to properly make dentures with the help of dentists with experience in this field. After installation, you should monitor their quality and, if necessary, immediately contact a specialist to correct deficiencies. Regular visits to the dentist will help to avoid possible dental problems in the future.

In addition, when fitting dentures, the individual characteristics of each patient should be taken into account, since each person has his own anatomical and physiological characteristics that can affect the fit of dentures and cause pain.

• Key measures:
  • make dentures correctly;
  • monitor the quality of the installed prostheses;
  • do not delay a visit to the dentist at the first discomfort;
  • take into account the individual characteristics of the patient when installing prostheses;
  • visit the dentist regularly.

Stevens-Johnson’s disease: skin destruction due to allergies

Stevens-Johnson’s disease is a serious disease that manifests itself in the form of destruction of the skin and mucous membranes due to an allergic reaction to drugs or infectious diseases. This disease can lead to serious complications and even death.

Symptoms of Stevens-Johnson disease include skin rashes, burning and pain, redness and sloughing of the skin, and vision problems. If you suspect Stevens-Johnson disease, you should immediately consult a doctor.

Stevens-Johnson disease can be avoided if you carefully monitor your allergic reaction to medications and take them only after talking to your doctor. It is also important to maintain hygiene, use UV protection and prevent the development of colds and infections.

Arthritis as a cause of pain in the jaw near the ear

Arthritis is one of the possible causes of pain in the jaw near the ear. This condition is characterized by inflammation of the joint tissues, leading to pain, swelling, and restriction of movement.

Arthritis most often develops in people who have a predisposition to this condition, as well as in older people. Arthritis can also be caused by injury, infection, or an autoimmune disease.

To avoid the development of arthritis and pain in the jaw near the ear, it is recommended to maintain a healthy lifestyle, including proper nutrition, regular physical activity and stress management. It is also important to avoid injury and infections, and if symptoms of arthritis occur, seek medical attention for diagnosis and treatment.

• Symptoms of arthritis that may be associated with pain in the jaw near the ear:
  1. Swelling and redness in the joint area
  2. Pain when chewing and opening the mouth
  3. Clicking or popping sound when moving the jaw

  900 69 Jaw movement restriction

If you suspect arthritis or another cause of jaw pain near your ear, do not hesitate to seek the advice of a physician who can help determine the cause and recommend appropriate treatment.

Sleep disorders are a common cause of jaw pain near the ear

Jaw pain near the ear can be caused by a sleep disorder. It can lead to nighttime dental visits due to tooth or jaw pain. Dental clenching and gnashing of teeth are common manifestations of poor sleep, which can provoke pain in the jaw.

Lack of sleep may cause chewing problems, especially if they are associated with jaw pain. This can lead to tension in the muscles that hold the lower jaw together and cause pain near the ear.

• To prevent and reduce pain, the following may be helpful:
  • Improving the quality of sleep by setting a proper sleep schedule, quiet room environment, use of relaxation aids such as aromatherapy or musical compositions;
  • Physical activity and relaxation exercises during the day, such as yoga or stretching;
  • Decreased consumption of caffeine, tobacco and alcohol, especially just before bedtime;
  • Consult a specialist in case of sleep disturbances or pain in the jaw near the ear.

Insomnia can be one of many factors that contribute to jaw pain near the ear.