Jaw pain allergic reaction. Jaw Pain and Allergies: Unmasking the Connection Between TMJ and Allergy Symptoms
How can allergies cause jaw pain. What is the link between TMJ and allergy symptoms. Can sinus pressure lead to jaw discomfort. Is jaw pain a common allergy symptom. How to differentiate between allergy-related jaw pain and TMJ.
The Surprising Link Between Allergies and Jaw Pain
While most people associate allergies with sneezing, coughing, and congestion, jaw pain is an often-overlooked symptom that can accompany these more common issues. As summer allergies affect millions of Americans, it’s crucial to understand the connection between allergic reactions and jaw discomfort. This unexpected relationship can sometimes mask more serious underlying conditions, such as temporomandibular joint (TMJ) disorders.
Why do allergies cause jaw pain?
Allergies can lead to jaw pain through several mechanisms:
- Repetitive coughing and sneezing, which strain the jaw muscles
- Mouth breathing due to nasal congestion, causing jaw tension during sleep
- Sinus inflammation, putting pressure on nearby jaw structures
Understanding these connections can help individuals better manage their allergy symptoms and identify potential TMJ issues.
Unmasking TMJ: When Allergy Symptoms Hide a Bigger Problem
Temporomandibular joint disorders can sometimes be mistaken for or exacerbated by allergy symptoms. TMJ affects the joint connecting the jawbone to the skull and can cause a range of symptoms that may overlap with those of allergies or sinus infections.
How can you distinguish between allergy-related jaw pain and TMJ?
Differentiating between allergy-induced jaw discomfort and TMJ can be challenging. Here are some key factors to consider:
- Duration of symptoms
- Presence of other TMJ-related issues like headaches or ear pain
- Jaw clicking or locking
- Pain that persists even after allergy symptoms subside
If jaw pain continues beyond the typical allergy season or is accompanied by other TMJ symptoms, it’s advisable to consult a healthcare professional for a proper diagnosis.
The Role of Sinus Pressure in Jaw Discomfort
Sinus inflammation, whether caused by allergies or infections, can significantly contribute to jaw pain. The proximity of sinus cavities to the jaw area means that pressure buildup can directly affect jaw comfort and function.
How does sinus pressure impact jaw health?
Sinus pressure can affect the jaw in several ways:
- Direct pressure on the temporomandibular joint
- Referred pain from inflamed sinus tissues
- Altered jaw positioning due to facial discomfort
Recognizing the influence of sinus pressure on jaw pain can help in developing more effective treatment strategies for both allergy and TMJ symptoms.
Allergy-Induced Bruxism: A Hidden Culprit of Jaw Pain
Allergies can indirectly lead to jaw pain by promoting teeth grinding or clenching, a condition known as bruxism. This often occurs subconsciously, especially during sleep, as a response to discomfort or breathing difficulties caused by allergies.
Can allergies cause teeth grinding?
Yes, allergies can contribute to teeth grinding through various mechanisms:
- Stress and tension from allergy discomfort
- Mouth breathing due to nasal congestion
- Sleep disturbances caused by allergy symptoms
Addressing allergy symptoms and implementing stress-reduction techniques can help alleviate allergy-induced bruxism and associated jaw pain.
The Importance of Proper Diagnosis: Allergies vs. TMJ
Given the overlap between allergy symptoms and TMJ disorders, obtaining an accurate diagnosis is crucial for effective treatment. Misdiagnosing TMJ as simply allergy-related jaw pain can lead to prolonged discomfort and potential worsening of the underlying condition.
What diagnostic methods are used to differentiate between allergies and TMJ?
Healthcare professionals may employ various techniques to distinguish between allergy-related jaw pain and TMJ disorders:
- Detailed medical history and symptom analysis
- Physical examination of the jaw and surrounding structures
- Imaging studies such as X-rays or MRI
- Allergy testing to rule out or confirm allergic causes
A comprehensive approach to diagnosis ensures that patients receive the most appropriate treatment for their specific condition.
Holistic Management of Allergy-Related Jaw Pain
Effectively managing jaw pain associated with allergies often requires a multifaceted approach that addresses both allergy symptoms and jaw discomfort. This holistic strategy can provide relief while also preventing the development or exacerbation of TMJ disorders.
What are effective treatments for allergy-related jaw pain?
A comprehensive treatment plan for allergy-induced jaw pain may include:
- Allergy medications to reduce inflammation and congestion
- Nasal irrigation to clear sinus passages
- Jaw exercises and stretches to relieve muscle tension
- Use of a nightguard to prevent teeth grinding during sleep
- Stress management techniques to reduce overall tension
Combining these approaches can provide significant relief from both allergy symptoms and associated jaw discomfort.
Preventive Measures: Minimizing Allergy-Induced Jaw Pain
While it may not be possible to completely prevent allergy-related jaw pain, there are several strategies that can help minimize its occurrence and severity. By taking proactive steps, individuals can reduce the impact of allergies on their jaw health and overall well-being.
How can you prevent allergy-related jaw pain?
Consider implementing these preventive measures:
- Maintain good allergy management through medication and environmental controls
- Practice proper sleep hygiene to reduce mouth breathing
- Use air purifiers to reduce allergen exposure
- Stay hydrated to help thin mucus and reduce congestion
- Perform regular jaw exercises to maintain flexibility and strength
By incorporating these strategies into daily life, individuals can significantly reduce the likelihood of experiencing allergy-induced jaw pain.
When to Seek Professional Help for Jaw Pain
While some degree of jaw discomfort during allergy seasons may be normal, persistent or severe pain should not be ignored. Recognizing when to consult a healthcare professional is crucial for preventing long-term complications and ensuring proper treatment.
What are the signs that jaw pain requires medical attention?
Consider seeking professional help if you experience:
- Jaw pain that persists beyond the allergy season
- Difficulty opening or closing the mouth
- Clicking or popping sounds in the jaw joint
- Facial swelling or asymmetry
- Headaches or ear pain accompanying jaw discomfort
Early intervention can prevent the progression of TMJ disorders and provide relief from chronic jaw pain.
Understanding the complex relationship between allergies and jaw pain is essential for proper management and prevention of long-term issues. By recognizing the potential for allergies to mask or exacerbate TMJ disorders, individuals can take proactive steps to protect their jaw health. Whether through allergy management, stress reduction techniques, or seeking professional help when needed, addressing allergy-related jaw pain comprehensively can lead to improved quality of life and overall well-being. Remember, while jaw pain may be a surprising symptom of allergies, it should never be dismissed or ignored, as it could be signaling a more significant underlying condition that requires attention.
Allergy Symptoms Can Hide TMJ
Summer’s here and — surprise, surprise — you’re sneezing, coughing, and congested. Is it the pollen, grass, or a combination of both? Who knows. Summer allergies are pretty common. In fact, around 60 million Americans experience them. But maybe recently when you fall asleep with your mouth open, you wake up in the morning with a dry mouth and a sore jaw. Has this ever happened to you?
When asked to name symptoms allergies, most people would likely name a cough or a runny nose before they’d name jaw pain. But jaw pain accompanies these other unpleasant symptoms more often than you’d think.
Despite being a normal symptom, however, it’s important to make sure your jaw pain isn’t a symptom of a larger problem like [link id=’50273′ text=’TMJ’ esc_html=’false’].
How Allergies Cause Jaw Pain
Coughing once or twice doesn’t usually hurt the throat, but coughing all day can make it sore and sensitive. In the same way, frequent coughing and sneezing, which forces the mouth open, can cause jaw soreness simply due to the strain of overuse and muscle tension.
And of course, if congestion is causing you to breathe through your mouth during sleep, maintaining that open, strained position all night can easily trigger [link id=’50290′ text=’jaw pain’ esc_html=’false’].
But that’s not all — when your sinuses get inflamed as a result of illness or infection, that inflammation can result in jaw pain, too. Your sinuses are all over your head and face, including right next to the ear, and next to the temporomandibular joint. Pressure in the sinuses can in turn put pressure on your jaw. For this reason, jaw pain and tooth pain is a frequent symptom of a sinus infection.
Could It Be TMJ?
If you’re experiencing mild jaw pain in conjunction with allergies, a cold, or a sinus infection, it could be nothing to worry about. But sometimes factors like the common cold or allergies can aggravate TMJ symptoms, or TMJ can even masquerade as sinus trouble.
People who have TMJ but haven’t yet been diagnosed may be writing off TMJ symptoms like [link id=’50281′ text=’headaches’ esc_html=’false’], tinnitus, or bruxism as unrelated. But TMJ can easily worsen over time if untreated. An experience like a cold that aggravates an already-inflamed temporomandibular joint could be the wakeup call that some people need to get checked out for TMJ.
Of course, it may not be a sinus infection at all. TMJ pain is often described as facial pain because of the way that it can stimulate nerve endings which connect to the face.
No matter what type of jaw pain you’re experiencing, the odds are good that TMJ is responsible. If you are ready to say goodbye to jaw pain, please call [lct_phone] or contact Advanced Dentistry of Mohegan Lake, helping people with jaw pain in Westchester County.
Facial Problems, Noninjury | PeaceHealth
Do you have a facial problem?
How old are you?
Less than 4 years
Less than 4 years
4 years or older
4 years or older
Are you male or female?
Why do we ask this question?
- If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
- If your symptoms aren’t related to those organs, you can choose the gender you identify with.
- If you have some organs of both sexes, you may need to go through this triage tool twice (once as “male” and once as “female”). This will make sure that the tool asks the right questions for you.
Have you had a head injury in the past 24 hours?
Yes
Head injury in past 24 hours
No
Head injury in past 24 hours
Have you had an injury to your face in the past 2 weeks?
Yes
Facial injury in the past 2 weeks
No
Facial injury in the past 2 weeks
Are you having trouble breathing (more than a stuffy nose)?
Yes
Difficulty breathing more than a stuffy nose
No
Difficulty breathing more than a stuffy nose
Could you be having a severe allergic reaction?
This is more likely if you have had a bad reaction to something in the past.
Yes
Possible severe allergic reaction (anaphylaxis)
No
Possible severe allergic reaction (anaphylaxis)
Could you be having symptoms of a heart attack?
In some cases, a heart attack may cause a strange feeling in part of the face, such as the jaw.
Yes
Symptoms of heart attack
No
Symptoms of heart attack
Have you had any new vision changes?
These could include vision loss, double vision, or new trouble seeing clearly.
Did you have a sudden loss of vision?
A loss of vision means that you cannot see out of the eye or out of some part of the eye. The vision in that area is gone.
Do you still have vision loss?
Yes
Vision loss still present
No
Vision loss still present
Did the vision loss occur within the past day?
Yes
Vision loss occurred in the past day
No
Vision loss occurred in the past day
Have you had any changes in feeling or movement in your face?
Changes could include weakness or loss of movement in part of the face, numbness or tingling, facial drooping, or trouble closing an eye.
Yes
Changes in feeling or movement in face
No
Changes in feeling or movement in face
Do you have blisters on your forehead, eyelid, or nose?
Blisters in this area may be a sign of shingles and may cause serious eye problems.
Is there any swelling in your face?
Was the swelling sudden?
Yes
Facial swelling was sudden
No
Facial swelling was sudden
Do you think the eyelid or the skin around the eye may be infected?
Symptoms could include redness, pus, increasing pain, or a lot of swelling. (A small bump or pimple on the eyelid, called a stye, usually is not a problem.) You might also have a fever.
Yes
Symptoms of infection around eye
No
Symptoms of infection around eye
Do you have any pain in your face?
Do you have any eye pain?
Have you had facial pain for:
Less than 1 full day (24 hours)?
Pain for less than 24 hours
1 day to 1 week?
Pain for 1 day to 1 week
More than 1 week?
Pain for more than 1 week
Do you think you may have a fever?
Are there red streaks leading away from the area or pus draining from it?
Do you have diabetes, a weakened immune system, or any surgical hardware in the area?
“Hardware” in the facial area includes things like cochlear implants or any plates under the skin, such as those used if the bones in the face are broken.
Yes
Diabetes, immune problems, or surgical hardware in affected area
No
Diabetes, immune problems, or surgical hardware in affected area
Have you had thick, yellow discharge from your nose for more than 5 days that is not getting better?
This may mean you have a sinus infection.
Yes
Nasal discharge more than 5 days not getting better
No
Nasal discharge more than 5 days not getting better
Do you have a rash or any blisters on your face?
Yes
Rash or blisters on face
No
Rash or blisters on face
Do you think that a medicine may be causing the facial problem?
Think about whether the symptoms started soon after you began using a new medicine or a higher dose of a medicine.
Yes
Medicine may be causing facial symptoms
No
Medicine may be causing facial symptoms
Have your symptoms lasted longer than 1 week?
Yes
Symptoms have lasted longer than 1 week
No
Symptoms have lasted longer than 1 week
Many things can affect how your body responds to a symptom and what kind of care you may need. These include:
- Your age. Babies and older adults tend to get sicker quicker.
- Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
- Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
- Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
- Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.
Try Home Treatment
You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.
- Try home treatment to relieve the symptoms.
- Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.
Symptoms of difficulty breathing can range from mild to severe. For example:
- You may feel a little out of breath but still be able to talk (mild difficulty breathing), or you may be so out of breath that you cannot talk at all (severe difficulty breathing).
- It may be getting hard to breathe with activity (mild difficulty breathing), or you may have to work very hard to breathe even when you’re at rest (severe difficulty breathing).
Severe trouble breathing means:
- You cannot talk at all.
- You have to work very hard to breathe.
- You feel like you can’t get enough air.
- You do not feel alert or cannot think clearly.
Moderate trouble breathing means:
- It’s hard to talk in full sentences.
- It’s hard to breathe with activity.
Mild trouble breathing means:
- You feel a little out of breath but can still talk.
- It’s becoming hard to breathe with activity.
Severe trouble breathing means:
- The child cannot eat or talk because he or she is breathing so hard.
- The child’s nostrils are flaring and the belly is moving in and out with every breath.
- The child seems to be tiring out.
- The child seems very sleepy or confused.
Moderate trouble breathing means:
- The child is breathing a lot faster than usual.
- The child has to take breaks from eating or talking to breathe.
- The nostrils flare or the belly moves in and out at times when the child breathes.
Mild trouble breathing means:
- The child is breathing a little faster than usual.
- The child seems a little out of breath but can still eat or talk.
Pain in adults and older children
- Severe pain (8 to 10): The pain is so bad that you can’t stand it for more than a few hours, can’t sleep, and can’t do anything else except focus on the pain.
- Moderate pain (5 to 7): The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days. Moderate can also mean pain that comes and goes even if it’s severe when it’s there.
- Mild pain (1 to 4): You notice the pain, but it is not bad enough to disrupt your sleep or activities.
Pain in children under 3 years
It can be hard to tell how much pain a baby or toddler is in.
- Severe pain (8 to 10): The pain is so bad that the baby cannot sleep, cannot get comfortable, and cries constantly no matter what you do. The baby may kick, make fists, or grimace.
- Moderate pain (5 to 7): The baby is very fussy, clings to you a lot, and may have trouble sleeping but responds when you try to comfort him or her.
- Mild pain (1 to 4): The baby is a little fussy and clings to you a little but responds when you try to comfort him or her.
Symptoms of infection may include:
- Increased pain, swelling, warmth, or redness in or around the area.
- Red streaks leading from the area.
- Pus draining from the area.
- A fever.
Symptoms of a severe allergic reaction (anaphylaxis) may include:
- The sudden appearance of raised, red areas (hives) all over the body.
- Rapid swelling of the throat, mouth, or tongue.
- Trouble breathing.
- Passing out (losing consciousness). Or you may feel very lightheaded or suddenly feel weak, confused, or restless.
A severe reaction can be life-threatening. If you have had a bad allergic reaction to a substance before and are exposed to it again, treat any symptoms as an emergency. Even if the symptoms are mild at first, they may quickly become very severe.
Symptoms of a stroke may include:
- Sudden numbness, tingling, weakness, or paralysis in your face, arm, or leg, especially on only one side of your body.
- Sudden vision changes.
- Sudden trouble speaking.
- Sudden confusion or trouble understanding simple statements.
- Sudden problems with walking or balance.
- A sudden, severe headache that is different from past headaches.
Shock is a life-threatening condition that may quickly occur after a sudden illness or injury.
Adults and older children often have several symptoms of shock. These include:
- Passing out (losing consciousness).
- Feeling very dizzy or lightheaded, like you may pass out.
- Feeling very weak or having trouble standing.
- Not feeling alert or able to think clearly. You may be confused, restless, fearful, or unable to respond to questions.
Shock is a life-threatening condition that may occur quickly after a sudden illness or injury.
Babies and young children often have several symptoms of shock. These include:
- Passing out (losing consciousness).
- Being very sleepy or hard to wake up.
- Not responding when being touched or talked to.
- Breathing much faster than usual.
- Acting confused. The child may not know where he or she is.
Certain health conditions and medicines weaken the immune system’s ability to fight off infection and illness. Some examples in adults are:
- Diseases such as diabetes, cancer, heart disease, and HIV/AIDS.
- Long-term alcohol and drug problems.
- Steroid medicines, which may be used to treat a variety of conditions.
- Chemotherapy and radiation therapy for cancer.
- Other medicines used to treat autoimmune disease.
- Medicines taken after organ transplant.
- Not having a spleen.
Symptoms of a heart attack may include:
- Chest pain or pressure, or a strange feeling in the chest.
- Sweating.
- Shortness of breath.
- Nausea or vomiting.
- Pain, pressure, or a strange feeling in the back, neck, jaw, or upper belly, or in one or both shoulders or arms.
- Lightheadedness or sudden weakness.
- A fast or irregular heartbeat.
For men and women, the most common symptom is chest pain or pressure. But women are somewhat more likely than men to have other symptoms, like shortness of breath, nausea, and back or jaw pain.
Seek Care Today
Based on your answers, you may need care soon. The problem probably will not get better without medical care.
- Call your doctor today to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don’t have one, seek care today.
- If it is evening, watch the symptoms and seek care in the morning.
- If the symptoms get worse, seek care sooner.
Seek Care Now
Based on your answers, you may need care right away. The problem is likely to get worse without medical care.
- Call your doctor now to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don’t have one, seek care in the next hour.
- You do not need to call an ambulance unless:
- You cannot travel safely either by driving yourself or by having someone else drive you.
- You are in an area where heavy traffic or other problems may slow you down.
Call 911 Now
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
Sometimes people don’t want to call 911. They may think that their symptoms aren’t serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
Make an Appointment
Based on your answers, the problem may not improve without medical care.
- Make an appointment to see your doctor in the next 1 to 2 weeks.
- If appropriate, try home treatment while you are waiting for the appointment.
- If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.
Call 911 Now
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
After you call 911, the operator may tell you to chew 1 adult-strength (325 mg) or 2 to 4 low-dose (81 mg) aspirin. Wait for an ambulance. Do not try to drive yourself.
Sometimes people don’t want to call 911. They may think that their symptoms aren’t serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
Facial Injuries
Head Injury, Age 4 and Older
Head Injury, Age 3 and Younger
Allergy Headaches | Causes, Symptoms & Treatment
Symptoms
The sinus cavities are hollow air spaces with openings into the nose to allow the exchange of air and mucus. They are located inside each cheekbone, behind the eyes, behind the bridge of the nose and in the forehead. Secretions from the sinus cavities normally drain into the nose.
Sinus headaches and pain occur when the sinuses are swollen and their openings into the nasal passages are obstructed, stopping normal drainage and causing pressure to build up.
Often the pain is localized over the affected sinus, perhaps causing facial pain rather than a headache. For example, if the maxillary sinus in the cheeks is obstructed, your cheeks may be tender to the touch and pain may radiate to your jaw and teeth. Obstruction in other sinuses can cause pain on the top of your head or elsewhere. Sinus pain can be dull to intense; it often begins in the morning and becomes less intense after you move from lying flat to sitting or standing in an upright position.
Similar pain can also be caused by severe nasal congestion, particularly if you have a deviated septum or a septal “spur” from a previous nasal injury. Such “headaches” or facial pain can involve one side only.
Don’t let sinus headaches hold you back from the things you love. Find expert care with an allergist.
Management and Treatment
The first approach in managing sinus headaches is to avoid the allergens that trigger them.
Outdoor exposure:
- Stay indoors as much as possible when common triggers, such as high pollen counts, are at their peak, usually during the midmorning and early evening, and when wind is blowing pollens around.
- Avoid using window fans that can draw pollens and molds into the house.
- Wear glasses or sunglasses when outdoors to minimize the amount of pollen getting into your eyes, as this can cause your sinuses to flare up.
Indoor exposure:
- Keep windows closed, and use air conditioning in your car and home. Air conditioning units should be kept clean.
- Reduce exposure to dust mites, especially in the bedroom. Use “mite-proof” covers for pillows, comforters and duvets, and mattresses and box springs.
- To limit exposure to mold, keep the humidity in your home low (between 30 and 50 percent) and clean your bathrooms, kitchen and basement regularly. Use a dehumidifier, especially in the basement and in other damp, humid places, and empty and clean it often. If mold is visible, clean it with detergent and a 5 percent bleach solution as directed by an allergist.
- Clean floors with a damp rag or mop, rather than dry-dusting or sweeping.
Exposure to pets:
- Wash your hands immediately after petting any animals. Wash your clothes after visiting friends with pets.
- If you are allergic to a household pet, keep it out of your home as much as possible. If the pet must be inside, keep it out of the bedroom so you are not directly exposed to animal allergens while you sleep.
- Close the air ducts to your bedroom if you have forced-air or central heating or cooling. Replace carpeting with hardwood, tile or linoleum, all of which are easier to keep dander-free. Placing an air purifier in the bedroom may also help.
Many allergens that trigger sinus headaches are airborne, so you can’t always avoid them. The best way to manage your allergy headaches is to see an allergist. Another common cause of sinus headaches is allergic rhinitis (hay fever). Both prescription and nonprescription (over-the-counter or OTC) oral medications — antihistamines, decongestants and corticosteroids — are used to treat hay fever.
Another common cause of sinus headaches is allergic rhinitis (hay fever). Both prescription and nonprescription (over-the-counter, or OTC) oral medications — antihistamines, decongestants and corticosteroids — are used to treat it.
- Antihistamines. These block the effects of histamine, a chemical produced by the body in response to allergens. Histamine is responsible for the symptoms of allergic rhinitis, including sneezing, itchy eyes and an itchy, runny nose. First-generation OTC antihistamines available in the United States can cause drowsiness, and regularly taking them can lead to a feeling of constant sluggishness, affecting learning, memory and performance. Newer antihistamines — such as Claritin (loratadine) and Zyrtec (cetirizine), both OTC, and Clarinex (desloratadine), Allegra (fexofenadine) and Xyzal (levocetirizine), available by prescription — are designed to minimize drowsiness while still blocking the effects of histamine.
- Oral and nasal decongestants. Found in many OTC and prescription medications, these may be the treatment of choice for the nasal congestion that causes a sinus headache. Decongestants help relieve the stuffiness and pressure caused by swollen nasal tissue.
- Intranasal corticosteroids. This is the single most effective drug class for treating allergic rhinitis. These medications can significantly reduce nasal congestion as well as sneezing, itching and a runny nose.
Other treatments and medications include:
- Allergy shots (immunotherapy). Allergen immunotherapy, or allergy shots, may be recommended for people who don’t respond well to treatment with medications, experience side effects from medications, have allergen exposure that is unavoidable or desire a more permanent solution to their allergy problem.
- Nasal cromolyn. Nasal cromolyn is a nasal spray that blocks the body’s release of allergy-causing substances. Nasal cromolyn can help to prevent allergic nasal reactions if taken prior to an allergen exposure. It does not work in all patients.
- Pain relievers. Mild OTC pain relievers such as Tylenol (acetaminophen) or Advil (ibuprofen) may provide short-term relief for sinus headache pain.
At-home treatments
- Apply a warm, moist washcloth to your face several times a day.
- Drink plenty of fluids to thin the mucus.
- Inhale steam two to four times per day (for example, while sitting in the bathroom with the shower running).
- Spray the nose with nasal saline several times per day.
- Use a neti pot to flush the sinuses.
This page was reviewed for accuracy 4/17/2018.
Allergy Headaches & How to Treat Them
When people think of allergy symptoms, they most often imagine sneezing and a runny nose, or maybe hives or itchy eyes. Although these are definitely common allergy symptoms, they are not the only ones.
Can allergies cause headaches?
Yes! Allergies can frequently lead to headaches. Allergies can cause two types of headaches, migraine and sinus headaches.
What does an allergy headache feel like?
When you experience a headache caused by allergies, you may feel them in any of these spaces within your sinuses. It may even feel like your face, rather than your head, is what really hurts. You may have pain in the cheeks that radiates to your jaw and teeth. You may feel pain on the top of your head.
Allergies may also trigger a migraine headache. This type of headache may include throbbing, and is usually felt on one side of the head. You may find that the pain gets worse in sunlight or that you also feel nauseated.
The skull has a series of connected, hollow spaces known as sinuses, which are lined with soft tissue and a layer of mucus. These sinuses help humidify and filter the air you breathe, and help drain the nose. Allergy symptoms often appear in the sinuses, like when your nose is running or stuffed up.
Some of the spaces that make up the sinuses are found in the:
- Cheekbones
- Forehead
- Between or behind the eyes
- Behind the nose
You may experience headaches and pain if your sinuses are swollen or their openings are obstructed. This often happens with allergies. Swelling and blockage in the sinuses can prevent normal drainage and airflow, causing a buildup of pressure. Other allergy triggers, such as smoke or certain foods, can lead to headaches.
The degree of pain from an allergy headache can vary widely, from dull to almost debilitating. The level of pain may also change with your position, such as whether you are standing or lying down.
How do you treat headaches from allergies?
If your headache is caused by congestion from allergies, some over-the-counter medications can help reduce these symptoms, which can then reduce your headaches. Over-the-counter allergy medications usually need to be taken every day, for as long as you are exposed to the allergen.
There are several different types of over-the-counter treatments for allergies and allergy headaches.
- Antihistamines block the effects of the chemical histamine, which is responsible for the sneezing, itchy eyes, and runny nose often associated with allergies.
- Decongestants can be either oral or nasal, and may be your best option for treating nasal congestion that leads to headaches. They may relieve the stuffiness and pressure you may feel in your sinuses.
- Intranasal corticosteroids are also effective against allergic rhinitis, and can help reduce your nasal congestion and runny nose.
How do you prevent allergy headaches?
Avoiding triggers whenever possible is the best way to treat or prevent headaches.
If you aren’t sure what is causing your allergy headaches, consider keeping a “headache journal” over a few days or weeks. This may help you identify potential causes and triggers for your allergies and headaches.
Once you have a better idea about what is causing your allergies and headaches, you can make any necessary changes to your home, schedule, or behavior. Depending on the triggers, you may need to alter the way you clean your home or the products you use, or make changes to your diet. You may have to remove specific plants or odors that can trigger your symptoms.
If you notice that your allergies and headaches are usually triggered outside, there are some options to limit your exposure.
- Stay indoors when triggers like pollen or mold are at their highest, or when it is windy.
- Keep windows closed, or avoid using window fans that can pull outdoor allergens into the house.
Sometimes your allergy headaches are triggered by indoor exposure. Some prevention measures for this include:
- Properly maintain air conditioning and furnaces, and change air filters regularly.
- Use allergy-friendly covers for pillows, comforters, mattresses, and box springs.
- Keep your home’s humidity between 30 and 50 percent to discourage mold.
- Clean floors with damp rags or mops, since dry-dusting or sweeping can stir up possible allergens.
- Wash your hands after handling animals and wash your clothes after visiting homes with pets.
- Replace carpeting in your home with hardwood, tile, or linoleum to reduce dust and pet dander collection.
- Avoid using products with strong fragrances, such as scented candles or air fresheners.
Should I see a specialist for headaches caused by allergies?
If over-the-counter medications and lifestyle changes do not fix your allergy headaches, this can lead to additional problems associated with nasal allergies, such as chronic sinus infections. When allergies cause congestion over a significant period of time, this can eventually cause sinus blockages, which can lead to a sinus infection.
If your allergy headaches and other allergy symptoms persist, it is important to see an allergy or sinus specialist. This specialist can perform an allergy skin test to evaluate your allergies, and even conduct a sinus CAT scan to evaluate your sinuses. An allergist can also recommend stronger, prescription treatments that may be more effective than over-the-counter medications for relieving your symptoms.
If you are struggling to stay on top of your headaches and other allergy symptoms, the experts at Aspire Allergy & Sinus are ready to help. Contact us to make your first appointment and start feeling better faster!
Jaw Pain, Tender Facial Rash, and Fever in a 7-Year-Old Girl
HISTORY
A 7-year-old girl with a history of secondary adrenal insufficiency of unclear cause treated with replacement corticosteroid therapy had pain and swelling of the jaw for the past 4 days. She also had fever and a painful itchy rash with blisters on the right side of the face involving the upper lip, cheek, and forehead for the past 3 days. There were no sick contacts. Immunizations, including varicella vaccine, were up-to-date. She had not had chickenpox infection. Father had hypogammaglobulinemia and alopecia.
PHYSICAL EXAMINATION
Alert, well-nourished child with fever. Other vital signs normal. Tender erythematous rash on the right side of the face with vesicular lesions on upper lip, cheek, periorbital region, and forehead. Right eye swollen shut, with injected conjunctiva. Jaw swollen and tender on the right side. Oropharyngeal examination limited secondary to difficulty in opening mouth due to pain. No right ear tenderness. Hearing grossly intact.
Cardiac, respiratory, abdominal, and musculoskeletal findings within normal limits. No rash elsewhere. Higher neurological functions normal, no focal neurological deficits.
WHAT’S YOUR DIAGNOSIS?
(Answer on Next Page)
ANSWER: HERPES ZOSTER
The child was evaluated by specialists in neurology, infectious diseases, ophthalmology, endocrinology, and immunology. Direct fluorescent antibody testing of a skin lesion was positive for varicella zoster virus (VZV). Cerebrospinal fluid (CSF) obtained by lumbar puncture, obtained to determine treatment course, was suggestive of viral meningitis. Polymerase chain reaction analysis of CSF was positive for VZV.
ETIOLOGY
VZV causes primary, latent, and recurrent infections. The primary infection is manifested as chickenpox and results in establishment of a lifelong latent infection of sensory ganglion neurons.1 Reactivation of the latent VZV causes herpes zoster. Initial infection can be prevented by immunization with live-attenuated VZV vaccine.2 On the other hand, because varicella vaccine is a live-attenuated virus, herpes zoster may develop in a vaccine recipient, especially if the individual is immunocompromised.3
Herpes zoster is uncommon in childhood and is very rare in children younger than 10 years, with the exception of infants who were infected in utero or in the first year of life.4 However, children receiving immunosuppressive therapy and those who have HIV infection5 or other immunodeficiency disorder are at greater risk for herpes zoster.
Figure – Herpes zoster in the sacral (A) and lower lum- bar (B) dermatomes in an otherwise healthy 22-month- old girl is shown. The child was up-to-date on all immunizations, including varicella vaccine, which she received at 12 months. She had not been exposed to chickenpox.
(Courtesy of Julie L. Cantatore-Francis, MD and Yelva Lynfield, MD.)
CLINICAL MANIFESTATIONS
Herpes zoster typically begins with burning pain and vesicular skin lesions clustered within 1 or, less commonly, 2 adjacent dermatomes.3 In young children, herpes zoster has a predilection for areas supplied by the cervical and sacral dermatomes (Figure), whereas in adults the lesions are more common in the lower thoracic and upper lumbar dermatomes.6 The illness in childhood is generally less severe than in adulthood. In children, the rash is mild with new lesions appearing over a few days; symptoms of acute neuritis are minimal and complete resolution usually occurs within 1 or 2 weeks.7
Immunocompromised children with herpes zoster may have more severe symptoms, including postherpetic neuralgia. They may also experience disseminated cutaneous disease as well as life-threatening visceral dissemination with pneumonia, hepatitis, encephalitis, and intravascular coagulopathy. Transverse myelitis with transient paralysis is a rare complication of herpes zoster.8
EVALUATION
VZV can be identified quickly by direct fluorescent antibody testing of cells from cutaneous lesions and by polymerase chain reaction testing. VZV IgG antibodies can be detected by several methods; a 4-fold rise in IgG antibodies is confirmatory of acute infection. VZV IgG antibody tests can also help determine the immune status of individuals whose clinical history of varicella is unknown or equivocal.9
Patients with either neurological complications of varicella or uncomplicated herpes zoster may have mild lymphocytic pleocytosis, a slight to moderate increase in protein levels, and normal to low glucose levels in the CSF.10
TREATMENT AND OUTCOME
In otherwise healthy children, treatment of uncomplicated herpes zoster may not always be necessary, although some experts treat with oral acyclovir. Patients at risk for disseminated disease should receive intravenous acyclovir.11 For children of any age who are immunocompromised or immunocompetent and require hospitalization, IV acyclovir, 30 mg/kg/d in 3 divided doses, is given for 7 to 10 days. For immunocompetent children older than 12 years who do not require hospitalization, PO acyclovir, 4000 mg/d in 5 divided doses, is given for 5 to 7 days.12
This child was treated with intravenous acyclovir for 14 days and 1 dose of intravenous immunoglobulin, because serum immunoglobulin levels were found to be low. She responded well to treatment. She is currently undergoing a work-up for immunodeficiency disorders, including common variable immunodeficiency.
Recognizing Tooth Pain Caused by Allergies: Steven M. Dater, DDS: General Dentist
As allergy season is in full swing, many people suffer from common symptoms. These range from itchy eyes, to a runny or stuffy nose. However, there are many other symptoms that aren’t as common but are also associated with allergies. One of those symptoms is allergy tooth pain. As your sinuses become inflamed from allergies, they could cause your teeth to experience pain that feels like a toothache from an infection.
Here are ways to recognize and treat tooth pain caused by allergies:
What are common allergy tooth pain symptoms?
Allergy tooth pain symptoms can feel like a toothache from an infection. The symptoms can include:
These symptoms are usually experienced in the upper teeth due to their proximity to the sinus cavity. When the sinus cavity is inflamed from allergies, the nerves around the sinus cavity can be affected causing pain to the surrounding teeth. These symptoms can appear suddenly as well making it hard to identify the cause.
What’s the best way to treat allergy tooth pain?
First, it’s important to determine that your tooth pain is indeed from allergies. Consulting with your dentist will help you determine this as they will be able to identify any other factors that could be leading to the pain. Once it’s determined that your tooth pain is being caused by allergies, you should then take measures to try and relieve your sinus inflammation. Taking allergy medication for this purpose can help reduce the pain. Other medications that can help are decongestants or nasal sprays.
Allergy tooth pain will commonly be accompanied by common allergy symptoms. If you’re experiencing tooth pain without other allergy symptoms, that could be a good indication that you need to seek a dental examination to assess your pain further. It’s recommended that any tooth pain is evaluated by your dentist to find the root cause and ensure that you aren’t suffering from an infection that could cause more severe damage over time.
Want to determine whether your tooth pain is caused by seasonal allergies or an infection? Schedule an appointment today!
A mum needs a third jaw replacement after allergic reaction
A mum needs a third jaw replacement after allergic reaction
Link: https://honey.nine.com.au/2017/08/24/15/54/mum-needs-a-third-replacement-jaw
One morning four years ago, Tamara Minge woke up in intense pain, unable to open her jaw more than a finger’s width.
“I went to visit my dentist and he referred me to a specialist,” Tamara, 29, who lives in South Australia, tells 9Honey. “It ended up being arthritis.”
Her condition spiralled frighteningly quickly: “From when it started, it was only six or 12 months later that I was having a jaw replacement. It set in really fast – there was no saving that jaw joint.”
It was a diagnosis that came completely out of the blue, says the single mum of seven-year-old Ayva, as there’s no history of arthritis in her family.
“The left joint wasn’t good, but it wasn’t at the point of replacing, and it’s best to keep your own joint as long as possible. So they went ahead with replacing just the right jaw joint.”
And it’s a good thing, too. Although Tamara, who is allergic to nickel, enquired about allergy testing before the joint was implanted, she was told it wasn’t necessary. But after the replacement surgery, she experienced extreme pain and had an array of skin problems, including itchy skin and break-outs, that sent her to a doctor, who then referred her to a dermatologist.
“The dermatologist got in contact with my surgeon and between them they suggested I have allergy testing. I had a whole range of allergens stuck to my back and it turns out the only two things I was allergic to, nickel and cobalt, were the two metals that were in my jaw.”
The allergy was serious: “I had lots of pain, inflammation and limited movement. And there’s ossification around the joint that makes a crunching sound – you can hear it.
“But the thing that concerns me isn’t so much the pain, it’s what being exposed to a metal allergy long-term does to your body. Heavy metal allergies can trigger auto-immune disease, and I don’t want that on top of all this.”
Tamara is saving up for a new right jaw joint – but in the meantime the left side had deteriorated so much that it, too, had to be replaced.
“Luckily for me,” says Tamara, “in the last couple of years a new 3-D printed jaw joint has been developed that’s pure titanium, with no nickel or cobalt, because people do have allergies to those. So I got very lucky and have that on the left side. That was 12 months ago this month and I haven’t had a problem with that one.”
A kind friend has set up a GoFundMe campaign called Tamara’s Third Jaw Replacement to help with all the costs. It has a target of $10,000 to help with the cost of the surgeries, appointments, travel, accommodation and general living costs. “By the time I’ve had this third surgery I’ll have spent 50 grand, easily, just on surgeries.” Her private health insurance only returns a small portion of her costs.
She also has to take time off her causal work in office administration of between four and six weeks after each surgery.
Her upcoming third replacement will involve two surgeries. “The first one they take it out, then I’ll have my jaw wired shut for a minimum of six weeks to let the bone heal, and they take a scan of my jaw and make up a new joint to fit. In another surgery, they put that in.”
All these medical appointments take place in Melbourne, which is a four-and-a-half-hour drive from Mt Gambier, where Tamara lives. And all this takes its toll on little Ayva.
“She doesn’t like it,” explains Tamara. “She gets a bit upset when I have the surgeries, because you can’t hide the incisions, they’re very visible and in her face and that really upsets her. And she finds it hard being apart from me – I have to stay in Melbourne for seven to 10 days after the surgery. But she understands that it needs to be done.”
“Hopefully it will be better this time round, as she’s that little bit older, but I’m worried about having my mouth wired shut – I don’t know if I’ll be able to talk to her at all.”
Thankfully, Ayva can still be distracted by sweet treats: “She wants me to bring home a box of Krispy Kreme doughnuts, so she’s excited about that!”
Tamara and Ayva are coping with the help of loved ones: “I have great support from family and friends,” says Tamara, “and I’m trying not to let this surgery get me down. I’m trying to think of the end result, which is that I’m pain-free and not worrying about this metal inside my body that I’m allergic to. I’ll be relieved to have it out!”
She’s holding on to the thought of living a normal life again: “It will be nice to not be in pain reading to my daughter. Just to be normal and get on with my life, not saving money for trips to the doctor and surgeries – just to live a normal life.”
VOLTAR
Periostitis of the jaw – what is it | Symptoms and treatment of periostitis of the tooth
Periostitis is an inflammation of the periosteum, which most often develops as a result of other diseases. Usually, the inflammatory process begins in one layer of the periosteum, and as the disease progresses, it spreads to the rest. The bone and periosteum are closely related to each other, so there is a possibility of developing complications in the form of osteoperiostitis – the spread of inflammation, including to the bone tissue.
Uncomplicated forms of periostitis are treated by dentists.In addition to treating this disease, it is important to pay attention to the therapy of the underlying pathology that caused the inflammation.
Causes of periostitis
The cause of periostitis of the jaw can be trauma, as well as an inflammatory disease in the oral cavity – pulpitis, periodontitis, acute gingivitis, etc. Rheumatic diseases, venous pathologies, specific infections, allergic reactions, chronic somatic diseases are considered more rare causes.
The classic variant of the development of the disease is caries complicated by pulpitis.Inflammation spreads to the periodontal tissues, periodontitis appears – inflammation of the periodontal tissues. If untreated, the periosteum is also affected. In this case, we are talking about odontogenic periostitis – a disease that appeared against the background of a tooth disease.
Types and symptoms of periostitis
Periostitis can be acute and chronic, aseptic and infectious. Depending on the nature of the course of the disease, several types of the disease are distinguished, each of which is accompanied by typical manifestations.The disease can affect any bones, but more often appears in the area of the lower jaw.
Downtime
Simple periostitis of the tooth is an aseptic inflammatory process that develops against the background of a bruise or fracture, as well as in connection with foci of inflammation near the periosteum, for example, in the muscles. The disease is accompanied by moderate swelling of soft tissues. They rise above healthy areas, pain occurs when touched. Usually, the simple form of the disease is well treated – it is possible to overcome inflammation already on the fifth or sixth day.
Fibrous
Fibrous periostitis is formed during a prolonged inflammatory process, begins gradually, proceeds in a chronic form. From time to time, exacerbations may occur. This form of the disease involves the formation of new tissue on the surface of the jaw.
Serous
The serous form of the disease is accompanied by the formation of an infiltrate – a serous exudate appears in the focus of inflammation. In the absence of treatment for acute periostitis of this type of inflammation, there is a likelihood of the development of purulent processes characterized by a more severe course.
Purulent
Purulent periostitis can be a consequence of infection, for example, with injuries accompanied by damage to the periosteum, the spread of the inflammatory process from other foci (phlegmon). The causative agent of inflammation is often streptococci and staphylococci. The disease is difficult, with pronounced symptoms, fever. As a result, fistulous passages are often formed, through which the purulent contents are discharged outside, into the oral cavity.In this case, there is temporary relief, but the disease does not go away completely.
Acute periostitis with a predominance of putrefactive processes is also distinguished. The periosteum swells, disintegrates, and the purulent contents goes directly to the bone, spreads in soft tissues, which leads to phlegmon of the jaw. This dangerous complication can cause serious consequences and even death.
Symptoms of periostitis depend on the form of the disease, general health, the presence or absence of chronic pathologies, age, etc.Typical signs include the following:
- redness of the mucous membranes of the gums, swelling;
- soreness, aggravated by pressure, chewing, taking hot drinks;
- increase in body temperature;
- facial asymmetry, cheek edema;
- enlargement of the submandibular, behind the ear, sometimes cervical lymph nodes, etc.
It should be noted that the purulent form of the disease proceeds faster, accompanied by symptoms of general intoxication, higher temperature, irradiation of pain in the temple, ear.Many people note a characteristic pulsation in the focus of inflammation.
Diagnostic Methods
Often the examination of the dentist is enough to detect periostitis, but it is important to assess the condition of the periodontal tissues, jaw bones, and determine the boundaries of inflammation. For this, x-rays are taken. Periostitis on an X-ray is easy to determine – the doctor will see the extent and extent of the lesion and decide on the appropriate treatment tactics.
In some cases, laboratory tests are carried out, this is especially important in case of general ill health.
Treatment methods
Purulent inflammation of the jaw periosteum requires surgical intervention. The operation includes three stages:
1. Anesthesia . Before the injection of anesthetic, the injection area can also be anesthetized with an application medication.
2. Periostomy . The doctor makes a small incision in the soft tissue, usually along the crease between the cheek and gum, and grabs the periosteum. This is necessary to remove the purulent contents of the inflammation focus, as well as to rinse the formed cavity with antiseptics.
3. Drainage installation . Drainage involves the introduction of a rubber, less often gauze flap inside the incision. This helps to prevent premature tissue overgrowth and the outflow of purulent exudate for several more days.
The specialist will prescribe solutions for rinsing the mouth, and also tell you how often you need to come to the appointment to replace the drainage. Usually suturing is not expected, subsequently the wound heals on its own. This method allows you to save the tooth, if the specialist makes such a decision based on the examination data and X-ray.
Serous form of the disease may be subject to conservative therapy. Antibacterial therapy, physiotherapy methods, rinsing, etc. can be used.
Dental surgeons of the STOMA network of clinics are successfully treating some forms of periostitis. The availability of modern equipment, high-quality instruments and drugs allows us in some clinical cases to provide assistance to patients with an acute condition and prevent possible complications. You can make an appointment by phone or through a special form on the website.
Allergy to anesthesia
Allergy to local anesthetics
Allergy to local anesthesia is extremely rare and can be detected by immunological tests for
practice fails. The reaction to local anesthetics is
pseudoallergic in nature and is associated with the mechanism of degranulation of mast cells and basophils upon contact with
Toll-like receptors on their surface.
In terms of external manifestations, pseudo-allergic reactions are no different from true intolerance to local anesthetics.They can wear
local or generalized. Appear on the second-fifth administration of the drug and are manifested by urticaria,
edema, anaphylaxis, or asthma attacks. The problem of modern medicine is associated with the fact that reliable
laboratory tests to determine pseudo-allergic reactions have not been developed.
Much more often in practice there are allergies to anesthesia to additional components of the solution or packaging.
One of the leading places is occupied by latex allergy.Some manufacturers make pistons from latex
and caps for glass cartridges. Gloves of a doctor are also made from it. Therefore, if you noted a reaction to
medical gloves, warn the doctor about this. In the clinic
RuDenta uses exclusively anesthetics in a latex-free rubber cartridge.
Some manufacturers add stabilizers, preservatives and vasoconstrictors to the solution for anesthesia.
drugs.
The vasoconstrictors include epinephrine, norepinephrine and fellipressin.It is to these substances that we owe strength and
the duration of the action of anesthesia. They also prevent the drug from entering the bloodstream quickly and thus
reduce its toxic effect. However, there is also a downside to the coin. They oxidize too quickly
oxygen in the air. Therefore, sodium bisulfite is necessarily added to their solutions. He reacts more actively with
oxygen and thus prevents oxidation
active substances. Bisulfites can cause allergic reactions and bronchospasm, mostly in
patients with increased
sensitivity to sulfur-containing drugs (with bronchial asthma).In such cases, the drugs of choice would be
serve similar anesthetics without a vasoconstrictor: mepivacaine (scandonest, mepivastezine) or ultracaine D.
Allergy to local anesthesia can develop on parabens – a preservative for preparations in ampoules and in some carpool anesthetics (ultracain D-S).
Parabens are widely used in the food industry and in
the composition of toothpastes.
The next appointment is your call to the clinic
Here you can always get qualified help.Registration is carried out by phone 8 (495) 104-77-87 for the next reception hours!
Toxic effect
It is with toxic reactions that the overwhelming majority of complications of local anesthesia are associated. Theirs is sometimes false
mistaken for an allergy, but unlike the latter, the manifestations here are of a different nature. The anesthetic is not
toxic to the tissues of the body themselves, but can change the work of internal organs when it enters the bloodstream
channel.This happens when you unintentionally
getting a needle into a vessel during conduction anesthesia on the lower jaw. Or with high permeability
vascular walls in late pregnancy or physiological features, which is quite
seldom.
Toxic effect may manifest:
- dizziness, lethargy,
- by slowing down or increasing heart rate,
- blurred vision,
- tinnitus.
These reactions in most cases do not require further replacement of the drug or abandonment of local
pain relief. To prevent the entry of anesthetic into the vascular bed, doctors use a special injection technique
needles and conduct an aspiration test, or “blood test”.
In case of suspicion or manifestation of allergic reactions, it is necessary to carry out allergy tests and select a drug,
to which allergic reactions are not manifested.
Laboratory tests do not always show an objective picture of the allergic status: may occur
false positive and
false negative reactions. In all cases, medical tactics are decided individually. It takes into account
past experience of treatment, characteristics of the body, the possibility of additional tests. In the case when not
manages to find a suitable drug, in the clinic “RuDenta” treatment
teeth can be performed under general anesthesia.
90,000 Pain in the jaw | why it hurts (cramping the jaw)
Jaw pain is often described as throbbing and constricting.It can appear completely suddenly or grow gradually. However, the exact symptoms vary depending on the underlying cause of the pain. Determining such an underlying cause is the first step towards eliminating the painful condition. There are several possible reasons to look out for below.
Teeth grinding
Teeth grinding, or bruxism, can cause serious damage to the teeth and is one of the most common causes of jaw pain.Grinding is the clenching of the jaws that is not associated with chewing. Some people can grind their teeth in stressful situations, but most people have this phenomenon during sleep, and they may not even be aware of it. If this phenomenon is not controlled, it can lead to other damage to the oral cavity. To combat this phenomenon, you can, among other things, do exercises to relieve tension or wear protective mouth guards at night.
Osteomyelitis
Osteomyelitis is an infection that spreads through the bloodstream, affecting bones and adjacent tissues.When osteomyelitis of the jaw develops, the temporomandibular joint (TMJ) is often affected, causing jaw pain, fever, and facial swelling. Fortunately, the condition can usually be cured with gradual antibiotics or surgery to remove areas of bone that have died from infection.
Temporomandibular joint dysfunction
Temporomandibular joint dysfunction (TMJ) affects the temporomandibular joint of the jaw.In addition to painful sensations, this disorder can cause clicking sounds in the jaw when opening the mouth or chewing. In some cases, this violation can even lead to “jamming” of the jaw in the open or closed position.
Other lesions of the oral cavity
Other causes of jaw pain include gum disease, dental caries and abscess. Although many of these conditions do not directly affect the jaw, the pain they cause can radiate to the jaw.In addition, in people with gaps between teeth or severe damage to the teeth, jaw pain can occur when pressure is applied to the jaw, such as when biting or chewing food. Careful adherence to oral hygiene at home and regular visits to the dentist can reduce the risk of all of these phenomena.
Abscess
An abscess is the result of an infection of the dental pulp. It usually occurs when the cavity remains untreated for an extended period of time.Bacteria that begin to spread along the root canal can also infect adjacent tissues, causing jaw pain. Regular dental check-ups and timely healing of all cavities is the best way to avoid such troubles.
Only a trained dental professional can pinpoint the root cause of your jaw pain.
90,000 Pain under temporary filling | Dentistry Everestdent in Minsk
Treatment of pulpitis, caries, periodontitis and other dental diseases is often accompanied by the installation of temporary filling materials.Unfortunately, often after this, the patient begins to feel pain under the temporary filling, sometimes very strong.
Such a reaction of the body is considered predictable and in most cases is caused by the effect of a medicinal drug, but sometimes the pain syndrome indicates certain problems. What exactly and how to act in such a situation – this is our small review.
Why was there pain under the filling?
A temporary filling is distinguished from a permanent one by a loose consistency.The filling is placed in order to ensure the tightness of the dental cavities and temporary protection of soft tissues from the penetration of bacteria, food and saliva. With the help of temporary filling, the condition of the tooth nerve is diagnosed in the treatment of deep caries.
The causes of pain can be very different.
- First, pain can be triggered by mechanical irritation of the pulp during treatment. This situation is typical in the treatment of deep caries, when most of the dentin affected by caries is removed and the distance to the pulp is only a few mm.
- Another common cause of pain can be an allergic reaction to the cementitious agent. If there is no severe irritation, headaches and other side effects, you can carefully remove the temporary filling at home, cover the opened cavity with a sterile swab and visit your doctor as soon as possible.
- Prolonged wearing of the filling as a result of non-compliance with the doctor’s recommendations. The installation of a temporary filling involves a time-limited treatment course, if you do not come to the doctor at the appointed time, then the medicine under the filling turns into poison that destroys the tooth tissue and brings unbearable discomfort.
Another important factor that can cause pain is the failure to follow the hygienic and restorative procedures prescribed by the doctor in the course of treatment.
Recommendations for self-relieving pain
A good and traditional method is rinsing with a solution of soda. Sodium bicarbonate promotes the outflow of pus from injured tissues, reducing pain and preventing the development of periostitis.
A cotton swab dipped in melissa and valerian tincture (if you are not allergic to these plants) can also provide effective help in the fight against pain, if you apply it at the site of pain localization.
Individual precautions should also be observed, in particular:
- during meals, take care of protecting the aching tooth from contact with hot and cold food;
- Periodically it is necessary to examine the aching tooth and the surrounding soft tissues for the detection of inflammatory processes, and in case of the slightest swelling or redness of the gums, contact your dentist.
In any case, if pain occurs, you need to call the doctor: it is possible that he will ask the patient to simply endure the pain, which, alas, is part of a long process of treating difficult cases, and wait for the installation of a permanent filling.
Just call us or request a call back
We will answer all your questions, answer the cost of services, agree on a convenient time for you.
Back call
90,000 A tooth hurts without a nerve: reasons how to remove the pain?
Understanding what causes unpleasant sensations in the “dead tooth” and determining how to solve the problem
Most of us turn to the dentist to restore the beauty of a smile or get rid of painful sensations.One of the most common dental surgeries is the removal of a dental nerve. Of course, at the end of therapy, the patient expects the pain to no longer bother him.
However, quite often a treated tooth without a nerve with a filling or under a crown begins to hurt. To understand why a tooth hurts without a nerve, you need to find out how the pulp removal procedure takes place, and figure out what exactly causes pain.
In what cases is a nerve removed from a tooth?
To begin with, let’s analyze why pulp (dental nerve) removal or depulpation is performed.The need for depulpation arises for several reasons. Practicing dentists distinguish the following indications for this operation:
- the occurrence of pulpitis: lesions of the neurovascular bundle due to the spread of caries,
- an extensive deep carious cavity: if the defect is more than 50% of the total volume of the crown, then the filling cannot be placed (it will not hold well and will fall out quickly), and other restoration options – pins, inlays, crowns, suggest depulpation,
- The presence of several cavities: turning the enamel and removing the infected dentin can significantly increase the size of the defect, i.e.That is, again, the crown will have to be restored in such a way that depulpation will need to be carried out without fail,
- mechanical trauma: when a horizontal root fracture is found, eg
periodontitis: inflammation of the tissues of the ligamentous apparatus-1 surrounding the roots.
Features of removal of the nerve
Experienced doctors carry out depulpation only as a last resort. But sometimes it is impossible to do without it. What is the procedure? First, an x-ray is taken, according to which the dentist draws conclusions about the state of the pulp (nerve tissue), areas around the root and gets an idea of how deeply the inflammation has spread.The specialist evaluates the length of the nerve and the peculiarities of its location, then starts work and acts in several stages:
- anesthesia: local anesthesia to relieve the patient of unavoidable discomfort. Modern drugs allow all manipulations to be carried out absolutely painlessly,
- Removal of caries: the dentist drills out the affected areas of enamel and dentin with a drill,
- Nerve removal: Using a special instrument called a pulpoextractor, which is screwed into the canal, the dentist removes the neurovascular bundle in several stages,
- Dilation and cleaning of the canals: this is carried out so that the doctor can qualitatively clean the canals from the remnants of nerve tissue and prepare them for filling.The channels are widened with thin burs, which help to level and smooth the inner surface of the walls,
- Filling: A material specially designed for filling (eg gutta-percha) is injected to the full depth of the root. The consistency of this substance allows the cavity to be filled entirely, so that there are no empty areas left there. The upper part is covered with a composite material. In some cases, a large tab is placed or a crown is placed over the filling.
A tooth without a nerve is called “dead”.It becomes insensitive to irritants, the mineralization of the enamel stops. It loses its whiteness and takes on a dark shade. To restore the aesthetic appearance, the dentist may offer intracanal bleaching, veneer or an aesthetic ceramic (or metal-ceramic) crown.
Features of the removal of the dental nerve
Note! Upon completion of the manipulations, the doctor must evaluate the result. For control, an X-ray is taken again, according to which the dentist makes a conclusion about the quality of the treatment.After a competently performed operation, a depulpated tooth will serve the owner for many years and can even become a support for a prosthesis.
Why is there soreness after removal?
Specialists distinguish several factors due to which a filled tooth without a nerve hurts – this can be either a normal condition or a pathological one. To be able to distinguish them, you should know some of the nuances.
It is normal to feel painful discomfort in the first few days after visiting the dental office.Under the influence of a drill, healthy dental tissues heats up, hence the unpleasant sensations. Soreness occurs with pressure or while eating – for one to three days or a week.
Important! The pain can be the result of complications, trauma, inflammation, or a mistake made by the doctor at some stage of the treatment. If the soreness does not go away even after two to three weeks or arises abruptly a few days after the procedure, especially at night, this is a reason to go to the clinic.
The dentist should determine the cause and prescribe treatment if necessary. Removal of the filling and reprocessing of the root canals will likely be required. In any case, it is better not to delay the visit to a specialist.
Pain after dental treatment
The main causes of pain in the root of a tooth without a nerve are presented below.
1. Damage to periodontal tissues
When processing canals with special instruments, their edges can go beyond the border of the root and touch sensitive tissues.Also, discomfort can be caused by the ingress of a small amount of antiseptic outside the root canal, with which the dentist disinfects the treated cavities. In such procedures, potent drugs are used, their effect may well cause irritation. If the dentist has done everything correctly, in both cases considered, the pain usually goes away after a few days.
2. Unsatisfactory sealing of canals
As a result of this, internal inflammation often develops, which is noticeable only on an X-ray.There are two possible reasons. First: the canals were not completely sealed. If, during filling, there are voids in the canal that are not completely filled, over time, harmful bacteria will begin to multiply in them, which will cause inflammation. Spread of infection can lead to accumulation of pus at the root and the onset of periodontitis. The second reason suggests that the filling material has fallen outside the root apex, which also contributes to severe discomfort.
3. A piece of dental instrument remains in the root canal
During expansion, cleaning or sealing, a piece of one of the devices could break off and get stuck in the channel. In most cases, this happens through the fault of the doctor – if he violates the technique of working with the instrument. The exception is when the dentist deals with curved canals. Sometimes it is possible to get the piece out, but if it gets too deep, it will be impossible to remove it. The presence of a foreign object, albeit a tiny one, will interfere with the specialist how to carry out the filling.This means that voids are formed in the canal, which will become a springboard for the reproduction of microbes and the occurrence of inflammation. Over time, it will spread to the periodontium, and if not treated, then to the jaw bone and soft tissues.
What to do in case of prolonged pain?
If you have a filled tooth without a nerve and the pain persists for several days, you should seek medical attention. Most often, the problem can be solved, otherwise the dentist will suggest removing the affected unit of the dentition and installing an implant or dental bridge.
How is dental retreatment carried out?
Depending on the cause of the ailment, there are several ways to relieve the patient from pain under a filling in a healed tooth without a nerve:
if the canals were not completely filled: you will have to treat again – with the removal of the old filling material and the installation of a new one. This should be done as quickly as possible, otherwise the inflammation in the roots will lead to the loss of an incisor or molar. In addition, the specialist may decide to perform a surgical resection of the upper part of the root.Then you will not need to carry out all the manipulations again,
if the filling material has fallen outside the canals: everything will depend on the amount of the substance. If it is not enough, then the pain usually subsides naturally, and the tooth is not re-treated. It is acceptable if mild discomfort lasts up to one to two months. Whether it is necessary to wait until the pain goes away by itself, and to treat immediately – this is decided by the doctor, focusing on the dynamics of the patient’s sensations. If the pain gradually subsides, it is likely that you will not have to repeat the manipulations.
If a lot of material got outside the root, the doctor often performs an operation to cut off the apex of the root. To extract the particles of the filling material, the dentist makes a hole in the jawbone and removes the excess substance through it. It sounds intimidating, but in practice it is not the most difficult procedure. It lasts no more than an hour,
if a piece of the instrument remains in the canal: professional dentists try to remove the foreign body immediately after detection in order to prevent complications.The fragment is removed using ultrasound, the waves of which knock out the particle from the channel.
Another method involves creating a new channel close to the stuck debris. It is expanded, disinfected and removed through the instrument. It is also possible to use the already described method of root apex resection and remove it together with the stuck piece,
if perforation has occurred: this is the most difficult case, requiring filling with a special expensive material. If the dentist allowed the occurrence of perforations, the medical organization must correct the situation at its own expense.
Filling can be carried out both in the standard way – from the inside of the dental cavity, and from the outside, creating access to the perforated area by surgery,
if an allergy to the filling material is identified: the patient can be relieved of pain only after repeating the treatment procedures with the replacement of the filling substance.
Reaction to hot: is it possible
There are cases when hot food or drinks cause pain in a depulpated tooth. Normally, this should not be the case, because the doctor removed the pulp, which made the unit of the dentition insensitive to thermal influences.
However, if particles of nerve tissue remain inside, sensitivity may persist and cause discomfort. Another scenario: inflammation from the pulp has spread further, and exposure to hot foods or liquids responds with pain in these tissues. To determine the exact reason, it is worth contacting a professional. X-rays and examination using a special microscope will help identify the source of residual sensitivity.
What complications can arise
Poor treatment is likely to lead to complications, which, in turn, are accompanied by pain, swelling and inflammation.So, due to incomplete filling of the canals, patients often develop periodontitis (inflammation of the periodontal), which, in turn, can cause cysts. They are not easy to cope with, and over time, in the absence of proper treatment, these formations can lead to tooth loss.
Installing the healing abutment | Dentistry Ⓜ️ Mitino
To date, there is no more effective way to replace a lost tooth than implantation. The main role in this process is assigned to the implant – a cone-shaped structure made of medical titanium.This “screw” is embedded in the jawbone and replaces the root. After installing the implant, the doctor sutures the gum, and the healing process begins. If the screw has successfully engrafted, the time comes for the next operation – the installation of the healing abutment. The shaper creates an anatomically correct, beautiful gum line.
Healing abutment device
This is a miniature screw-stem cylinder made of medical grade titanium (titanium alloy with additives). With its help, the holder is screwed into the implant after it has successfully engrafted in the jawbone.The doctor selects the dimensions of the cylindrical part individually for each patient so that the head matches the parameters of a particular prosthetic tooth. After installing the shaper, the formation of soft gum tissue begins around the place where the artificial tooth – the crown – will be installed. The titanium alloy (or other alloys, for example, chrome), from which the shaper is made, is quite lightweight, but at the same time reliable.
Important point! A snug fit of the shaper to the soft tissues is required.
The traditional shape of the shaper is cylindrical. Customized shapers are also used. They consist of two parts and follow the shape of the tooth root, which is replaced by the implant.
Installing shaper
In the case of implantation using the classical, two-stage method, the shaper is installed at the end of the implant engraftment period, after about three months. In the case of one-stage implantation, the shaper is placed immediately after the implant is inserted.During the healing period, the implant becomes overgrown with soft tissues, so the dentist will cut the gum and, having gained access to the implant, will install the shaper.
Installation of the healing abutment includes the following steps:
- local anesthesia;
- incisions in soft tissues covering the implant;
- clipping obstructing fabrics;
- Removing the plug from the implant;
- screwing the former into the implant;
- suture.
The period of healing of the gums after the installation of the former
The standard healing time for gum tissue after the installation of the former is about a week or a little more, but this is individual. The healing process proceeds at different rates for different people. The doctor will set a preliminary deadline based on your situation. In the process of healing the hole around the former, the gum tissue begins to flow around its surface, overgrowing the hole.
An important point is the uniformity of overgrowth.If the process has gone unevenly, the doctor will have to make surgical adjustments, removing the excess. The average time for gum formation is two weeks.
Complications
The Shaper must be in the gum until the correct soft tissue contour is created. During this period, complications are not excluded, their nature depends on the individual characteristics and state of health of the patient. Medical errors, failure to comply with medical prescriptions, violation of the rules for caring for the shaper are not excluded.
Possible complications during the formation of the gums:
- Pain does not go away for more than one to two days after insertion. For one or two days, the gum hurts as a result of a natural reaction to surgery. If the pain lasts longer, tissue inflammation is possible. See your doctor for stitches and possibly antibiotics.
- The stitches or gums are bleeding. If the stitches are bleeding, then the problem is most likely in low blood clotting.Healing aids, gargles, and ointments help your gums. They will be prescribed by a doctor.
- Swelling and pain in the area of the tooth, throat, neck. This is the result of non-compliance with the doctor’s recommendations for the recovery period. If the pain is severe, urgent medical attention is needed.
- The operation to install the gingiva former is often accompanied by swelling of the cheeks. It’s okay if the swelling is small and goes away. Otherwise, you will have to replace the former.
- The implant is loose or fell out. The reason is problems with bone tissue, implant rejection due to bone inflammation. In this case, the implant will have to be removed. An allergic reaction is not excluded. The titanium alloy from which the shaper is made is a hypoallergenic material. However, cases of allergies rarely occur. Allergy to the components of anesthesia is possible. It is wise to tell your doctor if you are sensitive to certain pain medications.
Problems when installing the healing abutment
The shaper is not installed very well if:
- You feel the shaper wobble.The driver may not be tight enough. It is not excluded that the element may even fall out. Contact your doctor immediately!
- gingiva partially or completely covers the former because the former is too low. The shaper will have to be replaced.
- chewing causes discomfort. The shaper will have to be replaced as it is too tall.
Oral hygiene after installing the shaper
Successful healing after surgery requires adherence to certain recommendations during the recovery period.
During this period you need:
- Observe the diet. The first day, do not drink anything except water. The first two days – mashed food at room temperature. After eating, rinse your mouth.
- Do not smoke for the first day after surgery.
- Avoid any physical activity, fitness, strength sports, hiking, etc.
- Rinse your mouth with sea salt solution, calendula or chamomile infusions.
- Take medications prescribed by your doctor according to the indicated scheme.
- Brush your teeth very gently with a soft brush.
Frequently asked questions – X-ray computed tomography department
How long does a CT scan take?
On average, a CT scan lasts from 5 to 10 minutes.
Do you experience any discomfort during scanning?
CT scan is a quick and painless procedure.You will just need to lie still for a few minutes.
During intravenous administration of a contrast agent, a short-term sensation of heat, a metallic taste in the mouth is possible.
How often can CT scan be done?
The interval between planned studies should be 6-12 months. However, there are vital indications for an urgent CT scan – in 2-12 weeks. In this case, obtaining a small amount of X-ray radiation turns out to be quite justified.
What is the difference between CT and MRI?
CT is an X-ray examination method, and the principle of operation of MRI is based on the action of a magnetic field. As a result, CT and MRI have different contraindications. In addition, CT has a radiation effect, so it cannot be applied repeatedly.
CT is best done to diagnose the condition of the lungs, bone tissue, lymph nodes; with the use of contrast – to identify the pathology of blood vessels, tissues, internal organs.
MRI better diagnoses pathology of cartilage, ligaments, muscles, brain, some internal organs, blood vessels.
Are there any side effects from CT scans?
None unless contrast agent is used. Computed tomography itself as a type of diagnosis does not cause side effects.
Why use CT contrast? Does it harm the body?
The contrast agent is introduced during angiographic studies of the vessels of the brain and vessels of the neck, organs of the neck, organs of the chest, abdominal cavity and small pelvis.With the help of a contrast agent, you can get visual information about changes in organs and tissues, the size of neoplasms and their boundaries.
The contrast agent may have a nephrotoxic effect if there is impaired renal function, and may also affect the thyroid gland in hyperthyroidism. It is excreted from the body within a few days. In order to accelerate the excretion of a substance from the body, it is necessary to drink more water.
If it is necessary to conduct a repeated study with intravenous administration of a contrast agent, iodine-containing (used for CT) and / or paramagnet (used for MRI), it is necessary that at least 3 days pass between studies.
Some people may have an allergic reaction to the contrast agent. If you experience itching, swelling in the throat, or develop a rash during or after the test, tell your doctor right away.
If you have had an allergic reaction to a contrast agent or iodine before, be sure to inform your doctor before the test.
Can computed tomography be performed during pregnancy and lactation?
Pregnancy is a contraindication to computed tomography, as X-rays negatively affect the fetus.
For health reasons, a CT scan can be performed in the 3rd trimester (after 32 weeks) (according to the latest data from international conferences).
During lactation, there is no need to cancel the CT scan, it is recommended to express the first portion of milk after the procedure (according to the latest data from international conferences).
Can CT be done during menstruation?
No contraindications.
What if I have diabetes and I need a CT scan using a contrast medium?
If you are taking hypoglycemic drugs containing metformin (Glucophage, Giofor, Glyformin, Bagomet, Formetin, Metfogamma, Glycomet, Langerin, Sopamet), then you must cancel the drug one day before the study and do not take it 24 hours after the study.
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