8 Causes, Symptoms, and Treatments

You may experience jaw and ear pain at the same time. These 8 reasons can help you understand why the cause may be related to only your jaw or ears, but the pain spills over from the other area.

If you notice both ear and jaw pain simultaneously, it may be because of several reasons.

A medical condition in your jaw, ear, or mouth can cause the pain. Another possibility is that you’re experiencing “referred pain,” which happens when a part of your body feels pain even though the source of the pain is located somewhere else.

Below are some conditions that can cause pain in both your jaw and ears at the same time, in large part because of their close proximity.

1. TMJ disorders

One source of ear and jaw pain may be related to your temporomandibular joint (TMJ). This area includes not only the jaw joint but also the muscles surrounding it.

The TMJ is adjacent to the temporal bone, which includes your inner ear. The TMJ does a lot of work, moving in many directions so you can chew and talk.

Ear and jaw pain may occur from a TMJ disorder. Around 10 to 15 percent of adults may experience a TMJ disorder. These disorders cause inflammation and pain in your TMJ. Facial pain and ear discomfort are the most common complaints of this condition. You may have a chronic TMJ disorder if you experience symptoms for longer than three months.

You may develop a TMJ disorder from wear and tear or because of another medical condition. In some cases, your doctor may suspect a TMJ disorder, but you actually have something else like:

• fibromyalgia
• sleep apnea
• anxiety
• depression

2. Osteoarthritis

Ear and jaw pain could be caused by osteoarthritis, the most common type of arthritis in the TMJ. This condition develops from wear and tear over time to the cartilage surrounding the joint. You may feel stiffness in the joint as well as pain.

3. Rheumatoid or psoriatic arthritis

These forms of arthritis occur because your immune system attacks healthy joints. Both rheumatoid and psoriatic arthritis are identified as autoimmune conditions.

You may experience joint pain throughout your body at different times, including in your TMJ, and certain triggers may cause the pain to flare up.

4. Migraine

Pain felt in your jaw and ears near the TMJ area may trigger migraine. Migraine attacks are severe headaches that can re-occur. They can cause sensitivity to light, sound, and smell.

5. Swimmer’s ear

This condition occurs when bacteria forms in the outer ear from water exposure or injury. You may get this condition from swimming or if an outside object tears your ear’s lining. The symptoms will get worse if the condition is untreated and can lead to ear and jaw pain.

6. Sinusitis

You may experience ear and jaw pain from sinusitis. This condition can occur if you have a cold or allergies and your nasal passages become irritated and inflamed. The infection is generally caused by a virus, but you can also get bacterial sinusitis.

7. Dental issues

You may experience cavities, periodontal disease, and dental abscesses if bacteria builds up on your teeth and gums. These conditions can cause damage to your mouth and beyond, especially if left untreated. They can lead to jaw and ear pain.

8. Teeth grinding

If you grind your teeth, you may end up with a TMJ disorder and feel pain in your ears and jaw. This condition can:

• impact the way your teeth align
• erode your teeth
• break down your TMJ
• strain your muscles

You may grind your teeth at night and not even realize it until pain or another symptom develops.

Ear and jaw pain are not the only symptoms of these conditions. You may also experience the following:

• TMJ disorder
  • facial pain
  • pain from chewing
  • jaw clicking or locking
  • ear ringing
  • hearing loss
  • neck and shoulder pain
  • teeth shifting and misalignment
  • headaches
• Arthritis
  • swelling in the jaw
• Migraines
  • throbbing pain on one or both sides of your head
  • nausea
  • changes to your vision or other senses
• Swimmer’s ear
  • drainage
  • pain along the face and neck
  • hearing reduction
  • itching
  • fever
• Sinusitis
  • clogged nasal passages
  • green or yellow discharge
  • sensitivity of the face
  • cough
  • headache
  • restricted ability to smell and taste
• Cavities, periodontal disease, or dental abscesses
  • pain throughout the lower face and neck
  • pain that gets worse when you lie down
  • swelling in the gums and on the face
  • loose or sensitive teeth
  • sensitivity to cold and hot foods and beverages
  • fever and flu-like symptoms
• Teeth grinding
  • tooth sensitivity
  • worn teeth
  • facial and neck pain
  • headache
  • sleep disruption

Your doctor will conduct a physical exam to begin the diagnosis of your jaw and ear pain. Your doctor may also ask about your health history to find out more about your symptoms. Be sure to mention:

• recent dental surgeries
• illnesses
• injuries
• changes to your mental health like stress, anxiety, or depression

Your doctor may:

• listen to your jaw
• feel your jaw and around your face
• look in your ears
• check your vital signs
• examine your mouth

You may need an MRI, X-ray, or other imaging test to diagnose the condition.

The cause of jaw and ear pain can vary and so can treatments.

You may not seek treatment for TMJ, as 40 percent of cases resolve on their own and only 5 to 10 percent of cases require treatment. Treatments for a TMJ disorder can include:

• resting your jaw
• home remedies
• using over-the-counter anti-inflammatory medications
• wearing a brace or splint to restrict jaw movement
• flushing your joint to reduce inflammation
• surgery, in severe cases

Other causes of ear and joint pain may include similar treatments. Some conditions like arthritis, swimmer’s ear, and sinusitis may include specific medications.

Your doctor may recommend certain anti-inflammatories for arthritis, steroids for swimmer’s ear, and nasal sprays for sinusitis, among other treatment options.

Oral conditions like cavities, periodontal disease, and dental abscesses may require tooth removal, a root canal, or deep cleaning in addition to other treatment methods.

There are several methods you can try at home to help TMJ disorders:

• Change your diet to incorporate more soft foods.
• Stop chewing gum or other objects, such as the ends of pens or pencils.
• Relax and rest your jaw.
• Use a warm or cold compress to the jaw.
• Perform exercises that stretch the jaw, including slowly opening and closing your mouth several times.
• Avoid stress.

Some of these treatments may also work with other conditions causing ear and jaw pain.

Take good care of your teeth to treat and avoid conditions that affect your mouth. Make sure to brush and floss regularly, eat a healthy diet, and quit smoking to avoid the buildup of bacteria in your mouth.

You should see a doctor if your ear and jaw pain:

• is accompanied by a fever or other flu-like symptoms
• gets in the way of your everyday activities
• interferes with your sleep
• persists despite treatments
• inhibits your ability to eat and drink
• causes pain or sensitivity in your teeth or gums

There are many reasons why you may experience jaw and ear pain at the same time. Often, the condition affecting both of them is related to only your jaw or ears but you feel referred pain in the other area.

Talk to your doctor to determine the cause of the jaw and ear pain. This will help you treat the pain and avoid it from getting worse.

8 Causes, Symptoms, and Treatments

You may experience jaw and ear pain at the same time. These 8 reasons can help you understand why the cause may be related to only your jaw or ears, but the pain spills over from the other area.

If you notice both ear and jaw pain simultaneously, it may be because of several reasons.

A medical condition in your jaw, ear, or mouth can cause the pain. Another possibility is that you’re experiencing “referred pain,” which happens when a part of your body feels pain even though the source of the pain is located somewhere else.

Below are some conditions that can cause pain in both your jaw and ears at the same time, in large part because of their close proximity.

1. TMJ disorders

One source of ear and jaw pain may be related to your temporomandibular joint (TMJ). This area includes not only the jaw joint but also the muscles surrounding it.

The TMJ is adjacent to the temporal bone, which includes your inner ear. The TMJ does a lot of work, moving in many directions so you can chew and talk.

Ear and jaw pain may occur from a TMJ disorder. Around 10 to 15 percent of adults may experience a TMJ disorder. These disorders cause inflammation and pain in your TMJ. Facial pain and ear discomfort are the most common complaints of this condition. You may have a chronic TMJ disorder if you experience symptoms for longer than three months.

You may develop a TMJ disorder from wear and tear or because of another medical condition. In some cases, your doctor may suspect a TMJ disorder, but you actually have something else like:

• fibromyalgia
• sleep apnea
• anxiety
• depression

2. Osteoarthritis

Ear and jaw pain could be caused by osteoarthritis, the most common type of arthritis in the TMJ. This condition develops from wear and tear over time to the cartilage surrounding the joint. You may feel stiffness in the joint as well as pain.

3. Rheumatoid or psoriatic arthritis

These forms of arthritis occur because your immune system attacks healthy joints. Both rheumatoid and psoriatic arthritis are identified as autoimmune conditions.

You may experience joint pain throughout your body at different times, including in your TMJ, and certain triggers may cause the pain to flare up.

4. Migraine

Pain felt in your jaw and ears near the TMJ area may trigger migraine. Migraine attacks are severe headaches that can re-occur. They can cause sensitivity to light, sound, and smell.

5. Swimmer’s ear

This condition occurs when bacteria forms in the outer ear from water exposure or injury. You may get this condition from swimming or if an outside object tears your ear’s lining. The symptoms will get worse if the condition is untreated and can lead to ear and jaw pain.

6. Sinusitis

You may experience ear and jaw pain from sinusitis. This condition can occur if you have a cold or allergies and your nasal passages become irritated and inflamed. The infection is generally caused by a virus, but you can also get bacterial sinusitis.

7. Dental issues

You may experience cavities, periodontal disease, and dental abscesses if bacteria builds up on your teeth and gums. These conditions can cause damage to your mouth and beyond, especially if left untreated. They can lead to jaw and ear pain.

8. Teeth grinding

If you grind your teeth, you may end up with a TMJ disorder and feel pain in your ears and jaw. This condition can:

• impact the way your teeth align
• erode your teeth
• break down your TMJ
• strain your muscles

You may grind your teeth at night and not even realize it until pain or another symptom develops.

Ear and jaw pain are not the only symptoms of these conditions. You may also experience the following:

• TMJ disorder
  • facial pain
  • pain from chewing
  • jaw clicking or locking
  • ear ringing
  • hearing loss
  • neck and shoulder pain
  • teeth shifting and misalignment
  • headaches
• Arthritis
  • swelling in the jaw
• Migraines
  • throbbing pain on one or both sides of your head
  • nausea
  • changes to your vision or other senses
• Swimmer’s ear
  • drainage
  • pain along the face and neck
  • hearing reduction
  • itching
  • fever
• Sinusitis
  • clogged nasal passages
  • green or yellow discharge
  • sensitivity of the face
  • cough
  • headache
  • restricted ability to smell and taste
• Cavities, periodontal disease, or dental abscesses
  • pain throughout the lower face and neck
  • pain that gets worse when you lie down
  • swelling in the gums and on the face
  • loose or sensitive teeth
  • sensitivity to cold and hot foods and beverages
  • fever and flu-like symptoms
• Teeth grinding
  • tooth sensitivity
  • worn teeth
  • facial and neck pain
  • headache
  • sleep disruption

Your doctor will conduct a physical exam to begin the diagnosis of your jaw and ear pain. Your doctor may also ask about your health history to find out more about your symptoms. Be sure to mention:

• recent dental surgeries
• illnesses
• injuries
• changes to your mental health like stress, anxiety, or depression

Your doctor may:

• listen to your jaw
• feel your jaw and around your face
• look in your ears
• check your vital signs
• examine your mouth

You may need an MRI, X-ray, or other imaging test to diagnose the condition.

The cause of jaw and ear pain can vary and so can treatments.

You may not seek treatment for TMJ, as 40 percent of cases resolve on their own and only 5 to 10 percent of cases require treatment. Treatments for a TMJ disorder can include:

• resting your jaw
• home remedies
• using over-the-counter anti-inflammatory medications
• wearing a brace or splint to restrict jaw movement
• flushing your joint to reduce inflammation
• surgery, in severe cases

Other causes of ear and joint pain may include similar treatments. Some conditions like arthritis, swimmer’s ear, and sinusitis may include specific medications.

Your doctor may recommend certain anti-inflammatories for arthritis, steroids for swimmer’s ear, and nasal sprays for sinusitis, among other treatment options.

Oral conditions like cavities, periodontal disease, and dental abscesses may require tooth removal, a root canal, or deep cleaning in addition to other treatment methods.

There are several methods you can try at home to help TMJ disorders:

• Change your diet to incorporate more soft foods.
• Stop chewing gum or other objects, such as the ends of pens or pencils.
• Relax and rest your jaw.
• Use a warm or cold compress to the jaw.
• Perform exercises that stretch the jaw, including slowly opening and closing your mouth several times.
• Avoid stress.

Some of these treatments may also work with other conditions causing ear and jaw pain.

Take good care of your teeth to treat and avoid conditions that affect your mouth. Make sure to brush and floss regularly, eat a healthy diet, and quit smoking to avoid the buildup of bacteria in your mouth.

You should see a doctor if your ear and jaw pain:

• is accompanied by a fever or other flu-like symptoms
• gets in the way of your everyday activities
• interferes with your sleep
• persists despite treatments
• inhibits your ability to eat and drink
• causes pain or sensitivity in your teeth or gums

There are many reasons why you may experience jaw and ear pain at the same time. Often, the condition affecting both of them is related to only your jaw or ears but you feel referred pain in the other area.

Talk to your doctor to determine the cause of the jaw and ear pain. This will help you treat the pain and avoid it from getting worse.

Jaw hurts near the ear – why does the joint hurt when chewing and opening the mouth

Does your jaw hurt when you chew, yawn, or open your mouth?
Ask yourself: “Why does my jaw hurt, what is the possible reason”? Can
there are different situations in which you experience discomfort in the jaw area.
There are a number of factors that contribute to jaw pain. It is often caused
muscle tension, spasm, or weakness. As a rule, they do not appear on their own.
themselves, but provoked and caused by some kind of trauma or systemic
diseases that affect the joints.
First of all, the doctor is interested in whether there were any injuries to the jaw and whether he is sick
a person with some systemic disease. If by this time the patient has not
the above conditions were observed, then the causes of pain in the jaw when opening the mouth
could be a huge number.

So what causes pain:
muscle stiffness, spasm or weakness of the jaw?

The jawbone joins the skull to form a hinge joint. It can be “pulled” out of position, resulting in uneven jaw opening (one side of the jaw opens further/faster than the other side). When this happens, irritation of the joint surfaces is caused, causing pain just below the inside of the ear, where the bones of the jaw join together to form the temporomandibular joint (TMJ).

Another case in which it is painful for a person to open his mouth, speak or chew is bad posture, such as slouching. You may be wondering how poor posture can contribute to jaw pain. Let’s explain.

So, when you sit hunched over, with your upper and lower back rounded and your shoulder blades pushed forward from each other, your head “bulges” forward. The stoop, rounded shoulders, and tilt of the head put uneven and abnormal pressure on the jaw as the muscles that attach to it work unevenly, causing irritation to the jaw joints.

In turn, this irritation causes inflammation around the jaw, which then leads to muscle spasms and cramps, and then it becomes painful for a person to open his mouth. Often headaches that are localized in the back of the head are also accompanied by pain in the jaw. It is possible that only one side of the jaw can hurt.

Why does the jaw hurt: what
do?

Your jaw should be examined by a specialist to ensure that the left and right sides open equally and that the joints function correctly. You must be instructed in proper exercises and stretches to reverse the effects of bad posture.

The doctor teaches the patient a specific set of exercises to help align the jaw to a neutral position. In the case of diagnosing malocclusion, it may be necessary to wear a mouth guard.

How about dysfunction
TMJ?

As mentioned above, the TMJ is the joint that connects the upper and lower jaws. You can feel the TMJ joint right next to your ear as you open and close your jaw. If there is pain in this joint, this would explain problems with yawning, chewing, or speaking. There are three main symptoms that indicate TMJ dysfunction: limited jaw movement, joint noise (or popping sensation), and facial pain.

The doctor can explain that chewing uses the muscles and joints between the lower jaw and the front of the base of the skull, called the temporal bone (left and right TMJ). What they may not explain is that TMJ dysfunction is not usually a serious condition. However, pain affects the quality of life. No one wants to feel uncomfortable or stressed while eating, drinking or talking.

For this reason, choose only specialists who are able not only to prescribe treatment, but also to explain the essence of the pathology.

What causes TMJ dysfunction
and jaw pain?

There are various factors that can cause left and right TMJ dysfunction, making it painful for a person to open their mouth. While certain conditions (gout, fibromyalgia, rheumatoid arthritis) may be associated with TMJ, the most common causes are less dramatic.

One of the most common causes of jaw pain is muscle tension. Overuse of the jaw (one side may be affected) while clenching or grinding the teeth (whether due to stress or during sleep) puts pressure on the joint. This leads to wear and tear on the joint, called osteoarthritis.

Many of us unintentionally grind our teeth when we are stressed. Not only can this cause osteoarthritis, but it can also lead to severe toothache when the teeth are worn away. Joint pain can also be the result of a dental infection. We all have different levels of pain threshold. So it’s better to check yourself.

The patient may have suffered a joint injury, did not recover properly from a traumatic injury to the face. In such conditions, it is also painful for a person to open his mouth. The TMJ joint may have changed after surgery, allowing for too much range of motion (hypermobility) or limiting it (hypomobility).

A person may develop a malocclusion if it was initially uneven. In this case, two joints can hurt at once. This is usually associated with a dental procedure during the installation of new fillings and dental crowns. If the patient has recently started using new dentures, this can also affect the occurrence of malocclusion. The patient’s lifestyle must be taken into account. For example, he sits at the table for a long time without a break. Is he sitting correctly at this time? If the patient slouches, he needs to pay attention to his posture so that tense muscles do not cause pain in the jaw. Physical therapy remains one of the best ways to help restore posture.

How to find out what it is
definitely TMJ dysfunction?

If you suspect a TMJ problem, see your dentist or gnathologist. They will be able to get rid of dependence on painkillers for pain that occurs when opening the mouth.

First, if you experience pain when you open your mouth wide, chew, talk or yawn, then you definitely have problems with the jaw and the muscles surrounding it. Especially if this pain is near the ear, on the face, neck, or in the ear, occurs when the jaw is opened, or there is limited movement and a feeling that your jaw is “stuck”. The patient feels that the jaw is locked to the left or right, hears unpleasant clicks, pops or grinding when chewing.

Side effects of jaw pain may include headaches, tinnitus (white noise in the ear), ear pain (on one or both sides), pain in the neck or shoulder, or a feeling of fullness in the ear. Pain in the teeth and gums is due to excessive jaw grinding, which leads to problems sleeping and maintaining weight.

It is possible to find out exactly whether a person has a TMJ pathology only after undergoing a complete diagnosis by a gnathologist. It does not take much time and does not require a lot of money. Timely detection of TMJ pathology guarantees fast and non-invasive treatment with a successful outcome.

Why the jaw hurts near the ear and what to do

The jaw hurts near the ear: what provokes malaise and how to deal with it

Pain in the jaw is an unpleasant symptom that causes significant discomfort. The problem requires immediate medical attention. When examining and making a diagnosis, he takes into account the localization of the problem area. If the jaw near the ear hurts, this may indicate problems with the temporomandibular joint, which ensures the mobility of the lower jaw and its connection with the skull. Soreness in this area often indicates a number of other diseases. A specialist will help determine the cause.

Why does the jaw hurt near the ear: the main causal factors

Soreness in the jaw with irradiation to the ear can provoke various pathologies.

Dental problems

Dental problems are often accompanied by pain that can radiate to different parts of the head, including the area near the ear. Possible causes of an unpleasant symptom:

• caries at different stages of development, pulpitis;
• abscess;
• damage to prostheses – crown or implant;
• glossitis – inflammation of the tongue;
• cyst or granuloma of the root of a tooth;
• gum disease – gingivitis, periodontitis;
• periostitis is an inflammatory process in the periosteum.

Jaw pain is often associated with procedures performed by the dentist, such as cleaning or whitening teeth, their treatment or removal, implantation, installation of braces. Irradiation in the ear is observed when the “eight” erupts, its incorrect position.

Bruxism can also cause soreness. In its presence, the jaw muscles contract unconsciously, which causes strong closing and friction of the teeth. There is a characteristic rattle. Often a person is unaware of the presence of bruxism, since it usually manifests itself at night. You can suspect a violation by the presence of discomfort in the muscles of the face in the morning. Due to the strong tension, pain in the jaw is also felt, microcracks form on the enamel.

Temporomandibular joint disorders

TMJ problems are the most common non-dental cause of facial pain. Various disorders in the mobility of the system of muscles, ligaments, cartilage and bones provoke joint dysfunction. Soreness can appear on the left or right, as well as on both sides. The main symptoms of TMJ dysfunction:

• pain near the ear when swallowing, chewing, yawning, talking;
• dizziness;
• visual disturbances;
• tinnitus;
• headache.

The disease is also diagnosed by a characteristic click when opening the mouth. TMJ injuries (dislocations, fractures) are accompanied by bruises, swelling, redness. You can get them when you hit, bruised. Often fixed displacement of the jaw disc forward, and the head of the lower jaw – back. This provokes stretching of the anterior and posterior disc ligaments and pressure on the bilaminar zone of the joint, in which pain receptors are located.

The TMJ can be affected by arthritis and arthrosis. In the first case, there are severe night pains, crunching and clicking, stiffness in the morning. In the second, the pain is aching and chronic and increases with yawning, opening the mouth. Various causes provoke pathology: age-related changes, stress, inflammation, trauma and genetic predisposition.

Disturbances in the work of the TMJ are observed with the habit of squeezing or moving the jaw, with bruxism, constant chewing of chewing gum (the joint does not have time to rest after eating). Causes wear and misalignment. Chewing food on one side provokes increased pressure in this area. Over time, damage to the TMJ affects the nerve endings, which explains why pain occurs.

Neurological and vascular diseases

Trigeminal neuralgia is a disease in which there are sharp painful sensations in different parts of the face. It all depends on which branch is affected (there are three of them). Unpleasant symptoms may be aggravated by chewing, talking, pressing on the face, brushing your teeth. In addition to the trigeminal nerve, pain near the ear can provoke damage to other nerves:

• vagus;
• glossopharyngeal;
• occipital.

Arteritis can provoke malaise, in which acute pain appears due to muscle spasms. Deformation is visually observed, compaction is visible on the x-ray. Among the characteristic symptoms are swelling and redness of the affected area. Pain in the jaw, which radiates to the ear area and other parts of the face, may indicate diseases of the brain, in particular, circulatory disorders of this organ.

Pain near the ear can be the result of damage to blood vessels, such as the carotid artery. In this case, the neck, jaw and facial part are touched.

Oncological factor

With the development of oncology, pain is more often manifested on the right side. The tumor can be malignant or benign. In the first case, the nerve endings first lose their sensitivity, and facial numbness appears. After that, there is pain in the jaw. In the second case, there are also unpleasant sensations in this area. A lump appears near the ear or behind it – a consequence of the growth of the lymph node. In this case, it is important to take measures so that the inflammatory or purulent process does not begin. In addition to pain near the ear, other symptoms occur with a benign tumor:

• deterioration in general condition;
• fever;
• headaches;
• redness of the neoplasm.

If suppuration occurs, it already poses a danger to the patient’s life. Lack of proper care can lead to infection entering the bloodstream.

Possible complications

If you experience an unpleasant symptom, you should immediately contact your dentist. It is not worth postponing the visit, because the problem itself will not disappear anywhere, but can only get worse. Only a specialist can tell you what to do. In order to make an accurate diagnosis, computed tomography is prescribed. If the doctor excludes the presence of dental problems, the patient will be referred to another specialist (neurologist, oncologist, phlebologist, etc.). Lack of help with muscle tension can lead to problems such as:

• occurrence of back pain;
• dizziness;
• sleep disorders;
• deterioration of vision, the occurrence of soreness in the eyes;
• increased sensitivity to light;
• depression.

If the discomfort is accompanied by stuffy ear, there is a risk of partial or complete hearing loss. When the jaw does not open fully, it shifts. It becomes painful to chew. After some time, there are problems with the teeth, the enamel is erased, the sensitivity increases.

How to eliminate pain in the jaw near the ear

Identification of the causative factor allows you to determine how to treat the pathology. Possible actions of the doctor:

1. Dental problems require sanitation, as a result of which any sources of infection are eliminated.
2. Use cold compresses for bruises. A dislocation requires a visit to a surgeon who will set the jaw. For fractures with displacement of the bone, surgery is performed. The patient is prescribed painkillers, anti-inflammatory external agents.
3. In case of abscess, the abscess is opened and antibiotics are prescribed.
4. Oncology involves the use of surgical techniques, radiation and chemotherapy.
5. Infectious and inflammatory processes are stopped with the help of antibiotics, compresses, mouthwashes. Sometimes surgical treatment is required.

Also, depending on the provoking factors, different methods of physiotherapy are used: microwave, UHF, ultraviolet irradiation, diadynamic therapy.

Preventive measures

In order not to run into a problem, you need high-quality prevention. To do this, you should follow the recommendations of specialists:

• treat bruises in a timely manner;
• visit the dentist regularly;
• do not neglect the rules of oral hygiene;
• refuse to chew chewing gum for a long time;
• make an appointment with an orthodontist to assess the bite;
• evenly distribute the chewing load on both sides of the jaws;
• Avoid hard foods and foods that are difficult to chew.

It is also important to control oneself in fits of anger so as not to close the jaw too much.