What are the main causes of jaw and ear pain. How can you differentiate between TMJ disorders, dental issues, swimmer’s ear, and arthritis. What are the symptoms and treatment options for each condition.

Understanding the Connection Between Jaw and Ear Pain

Experiencing pain in both the jaw and ear simultaneously can be concerning and uncomfortable. Despite being located in different areas, the proximity of these structures can lead to referred pain, where discomfort in one area is felt in another. This interconnection often makes it challenging to pinpoint the exact source of the problem.

Several medical conditions affecting the mouth, jaw, or ear can result in combined jaw and ear pain. Let’s explore the four most common causes of this dual discomfort and discuss their symptoms, potential treatments, and when to seek professional help.

TMJ Disorders: A Primary Culprit for Jaw and Ear Pain

Temporomandibular joint (TMJ) disorders are among the most frequent causes of concurrent jaw and ear pain. The temporomandibular joint’s proximity to the temporal bone, which is part of the inner ear, explains this connection.

Symptoms of TMJ Disorders

• Clicking or popping noise when opening or closing the mouth
• Pain while chewing
• Persistent headaches or migraines
• Ear ringing or hearing loss
• Shoulder and neck pain
• Teeth shifting

When the temporomandibular joint becomes inflamed, it can cause discomfort in both the jaw and ears. Some individuals may experience a muffled sound in their ears accompanied by pain.

How can TMJ disorders be treated? TMJ treatment often involves a multifaceted approach, including:

1. Jaw exercises and stretches
2. Stress management techniques
3. Use of night guards or splints
4. Medication for pain and inflammation
5. In severe cases, surgery may be considered

If you suspect TMJ is causing your jaw and ear pain, consulting with a specialist is crucial for proper diagnosis and treatment.

Dental Issues: When Oral Health Affects Your Jaw and Ears

Dental problems can be a surprising source of jaw and ear pain. Various oral health issues can lead to discomfort that extends beyond the mouth.

Common Dental Causes of Jaw and Ear Pain

• Periodontal disease
• Cavities
• Dental abscesses
• Bacterial buildup on gums and teeth

How can you identify if dental issues are causing your jaw and ear pain? Look out for these symptoms:

• Tooth sensitivity
• Facial pain
• Loose teeth
• Sensitivity to cold or hot beverages
• Swollen gums

If you experience these symptoms alongside jaw and ear pain, it’s essential to consult your dentist. Treating the underlying dental problem often resolves the associated discomfort.

Swimmer’s Ear: When Water Activities Lead to Pain

Swimmer’s ear, medically known as otitis externa, is an infection of the outer ear canal that can cause pain in both the ear and jaw.

Causes and Symptoms of Swimmer’s Ear

Swimmer’s ear typically occurs due to:

• Injury to the ear’s lining
• Water exposure leading to bacterial growth in the outer ear

Symptoms of swimmer’s ear include:

• Ear pain that worsens when touching or moving the outer ear
• Itching in the ear canal
• Redness and swelling of the outer ear
• Drainage of clear, odorless fluid

How is swimmer’s ear treated? Treatment usually involves:

1. Careful cleaning of the ear canal
2. Application of antibiotic ear drops
3. Pain management with over-the-counter pain relievers
4. Avoiding water activities until the infection clears

If you suspect swimmer’s ear, especially after recent water exposure or ear injury, consult a healthcare professional for proper diagnosis and treatment.

Arthritis: An Unexpected Source of Jaw and Ear Pain

While many associate arthritis with joints in the hands, knees, or hips, it can also affect the temporomandibular joint, leading to jaw and ear pain.

Types of Arthritis Affecting the Jaw

• Osteoarthritis
• Rheumatoid arthritis
• Psoriatic arthritis

Osteoarthritis in the temporomandibular joint typically develops from wear and tear of the cartilage surrounding the joint over time. Rheumatoid and psoriatic arthritis, being autoimmune conditions, can cause the immune system to attack healthy joints throughout the body, including the TMJ.

How does arthritis in the jaw manifest? Symptoms may include:

• Pain or tenderness in the jaw
• Stiffness or reduced mobility in the jaw
• Clicking or grating sensation when moving the jaw
• Swelling around the joint

Treatment for arthritis-related jaw and ear pain often involves a combination of medication, lifestyle changes, and in some cases, physical therapy or surgery.

Differentiating Between Causes of Jaw and Ear Pain

Given the variety of potential causes for jaw and ear pain, how can you determine the underlying issue? While a professional diagnosis is crucial, understanding the nuances of each condition can help you communicate your symptoms more effectively to your healthcare provider.

Key Differences in Symptoms

• TMJ Disorders: Often accompanied by clicking sounds and difficulty opening the mouth fully
• Dental Issues: Usually involve tooth sensitivity and visible changes in oral health
• Swimmer’s Ear: Typically occurs after water exposure and involves outer ear discomfort
• Arthritis: Generally involves stiffness and reduced mobility in the jaw

Is there a way to determine the cause at home? While self-diagnosis is not recommended, keeping a symptom diary can be helpful. Note when the pain occurs, what exacerbates or relieves it, and any associated symptoms. This information can be valuable for your healthcare provider in making an accurate diagnosis.

When to Seek Professional Help for Jaw and Ear Pain

While occasional mild discomfort in the jaw or ear area may not be cause for immediate concern, certain symptoms warrant prompt medical attention.

Red Flags for Jaw and Ear Pain

• Severe or persistent pain lasting more than a few days
• Fever accompanying the pain
• Sudden hearing loss or significant changes in hearing
• Swelling or visible deformity in the jaw area
• Difficulty opening the mouth or swallowing
• Pain that significantly impacts daily activities or sleep

How should you prepare for a medical consultation about jaw and ear pain? Consider the following steps:

1. Document your symptoms, including duration and intensity
2. Note any recent injuries or changes in your routine
3. List any medications or treatments you’ve tried
4. Prepare questions about your condition and potential treatments

Remember, early intervention can often lead to more effective treatment and faster relief from jaw and ear pain.

Holistic Approaches to Managing Jaw and Ear Pain

While medical treatments are often necessary for addressing the underlying causes of jaw and ear pain, several holistic approaches can complement traditional therapies and provide additional relief.

Lifestyle Modifications and Self-Care Techniques

• Stress management: Practice relaxation techniques like deep breathing, meditation, or yoga to reduce tension in the jaw muscles.
• Dietary changes: Opt for softer foods during flare-ups and avoid excessive gum chewing or nail biting.
• Posture improvement: Maintain good posture to reduce strain on the neck and jaw muscles.
• Heat and cold therapy: Apply warm compresses or ice packs to the affected area for pain relief.
• Gentle jaw exercises: Perform doctor-approved exercises to improve jaw mobility and strength.

Can alternative therapies help with jaw and ear pain? Some individuals find relief through:

• Acupuncture
• Massage therapy
• Chiropractic care
• Biofeedback

It’s important to consult with your healthcare provider before starting any new treatment regimen, especially when dealing with chronic or severe pain.

Prevention Strategies for Jaw and Ear Pain

While not all causes of jaw and ear pain are preventable, certain lifestyle choices and habits can reduce your risk of developing these issues or experiencing recurrent pain.

Tips for Maintaining Jaw and Ear Health

• Practice good oral hygiene to prevent dental issues
• Use proper ear protection when swimming or exposed to loud noises
• Avoid excessive jaw movements, such as wide yawning or aggressive gum chewing
• Manage stress through regular exercise and relaxation techniques
• Maintain a balanced diet rich in anti-inflammatory foods
• Stay hydrated to support overall joint health
• Use proper ergonomics when working or studying to avoid neck and jaw strain

How often should you have your jaw and ear health checked? Regular dental check-ups (typically every six months) can help catch potential issues early. If you have a history of TMJ disorders or other jaw-related problems, your healthcare provider may recommend more frequent evaluations.

Remember, prevention is often easier and more cost-effective than treatment. By incorporating these strategies into your daily routine, you can potentially avoid or minimize future jaw and ear pain.

The Impact of Jaw and Ear Pain on Quality of Life

Chronic jaw and ear pain can significantly affect various aspects of daily life, extending beyond physical discomfort to impact emotional well-being and social interactions.

Common Challenges Faced by Individuals with Jaw and Ear Pain

• Difficulty eating and enjoying meals
• Sleep disturbances due to pain
• Reduced ability to concentrate at work or school
• Limitations in social activities and communication
• Emotional stress and potential development of anxiety or depression

How can individuals cope with the broader impacts of jaw and ear pain? Consider these strategies:

1. Join support groups to connect with others experiencing similar issues
2. Explore pain management techniques under professional guidance
3. Communicate openly with family, friends, and employers about your condition
4. Seek psychological support if pain is affecting your mental health
5. Adapt daily routines to accommodate your condition while maintaining as much normalcy as possible

It’s crucial to address both the physical and emotional aspects of jaw and ear pain for comprehensive management and improved quality of life.

Emerging Research and Future Treatments for Jaw and Ear Pain

The field of jaw and ear pain management is continuously evolving, with researchers exploring new treatment modalities and gaining deeper insights into the underlying mechanisms of these conditions.

Promising Areas of Research

• Regenerative medicine for TMJ disorders
• Advanced imaging techniques for more accurate diagnoses
• Targeted drug delivery systems for pain management
• Neurostimulation therapies for chronic pain
• Genetic studies to identify risk factors for TMJ and related disorders

What potential future treatments are on the horizon? While many are still in the experimental stages, some promising avenues include:

• Stem cell therapies for joint regeneration
• Personalized medicine approaches based on genetic profiles
• Advanced 3D-printed jaw implants for severe cases
• Virtual reality-based pain management techniques

As research progresses, individuals suffering from jaw and ear pain may have access to more effective and less invasive treatment options in the future. Staying informed about these developments can help patients and healthcare providers make informed decisions about current and future treatment plans.

4 Causes Of Jaw And Ear Pain

TMJ Treatment |3 min read

published February 16, 2020Last updated June 30, 2023

It’s possible to experience jaw and ear pain simultaneously for lots of different reasons. Although your ears and jaws are located in different areas, their close proximity can affect one another. Oftentimes when you develop a medical condition in your mouth, jaw, or ear, it can cause referred pain in the jaw and ear. If you’re experience jaw and ear pain at the same time, it might be due to the following problems.

1. TMJ Disorders

TMJ disorders are one of the most common causes of jaw and ear pain. This is due to the temporomandibular joint being adjacent to the temporal bone which is apart of the inner ear. When the temporomandibular joint becomes inflamed it can cause pain and discomfort in the ears as well as the jaw. People might experience a muffled sound in the ears accompanied by pain. If you suspect TMJ is the culprit, visiting Bite Align for a TMJ consultation is the best place to start. With the right TMJ treatment, we can resolve your ear and jaw pain for good.

Symptoms of TMJ include clicking or popping noise in the jaw when opening and closing your mouth, pain when chewing, headaches or constant migraines, ear ringing, hearing loss, shoulder and neck pain, and even teeth shifting. Please schedule a consultation with us to learn more.

2. Dental Issues

If you have periodontal disease, cavities, dental abscesses, or a build-up of bacteria on your gums and teeth, it can cause severe pain in your jaw and ears. If you experience tooth sensitivity, pain in your face, loose teeth, sensitivity to cold or hot beverages, or swelling in the gums, it’s best to get checked out by your dentist. Treating your dental problems might be all you need to relieve jaw and ear pain.

3. Swimmer’s Ear

You may have experienced swimmer’s ear at some point in your life. It generally occurs from an injury like tearing the ear’s lining or water exposure that causes bacteria to form in the outer ear. These bacteria can cause painful symptoms like ear and jaw pain. If you believe you injured your ear or recently got water in your ear, visiting a doctor to see if you have swimmer’s ear can help you treat your pain.

4. Arthritis

Although most people don’t think about getting arthritis in the jaw, it can occur. Osteoarthritis can occur in the temporomandibular joint which can cause ear and jaw pain. It usually develops from wear and tear to the cartilage surrounding the joint over time. Rheumatoid and psoriatic arthritis can also cause jaw and ear pain because it causes the immune system to attack healthy joints. This can cause joint pain throughout the body including the temporomandibular joint.

Get Treatment for Ear and Jaw Pain

One of the best ways to treat jaw and ear pain is to rule out what causes it. Visiting Bite Align in Fort Atkinson for a consultation can help you identify if TMJ is the cause or a condition that affects the temporomandibular joint. Please call 920-563-7323 or book an appointment online today.

Otalgia Ear Ache or Ear Pain

What Is Otalgia?

Otalgia is the medical word for ear ache or ear pain. It may be burning, stabbing, dull, sharp, sore, full, or clogged. There are many causes that range from benign to serious. Benign causes are more common than serious ones.

What Causes Otalgia?

There are two categories of otalgia. Primary otalgia is caused by a problem with the ear. Referred otalgia is caused by a problem of another structure usually near the ear. Referred otalgia is much more common than primary otalgia.

What Are Common Ear Causes of Otalgia?

Ear infections are the most common cause of ear pain in this category. Swimmer’s ear (infection of the ear canal) and otitis media (fluid or infection behind the ear drum) cause primary ear pain. Trauma to the ear with a cotton tipped applicator or finger nail may also cause ear pain and ear wax impaction. Dull ache or fullness may also result be experienced. Under ventilated ears (Eustachian tube dysfunction) or excess fluid in the inner ear (Meniere’s syndrome) should be considered by your doctor. Very rarely otalgia is a sign of malignancy (cancer) of the ear. Usually primary ear pain will cause hearing loss, tinnitus, or vertigo as a clue that the ear is directly involved.

What Are Common Causes of Referred Otalgia?

In referred otalgia, other ear symptoms like hearing loss, tinnitus, or vertigo are usually absent. The jaw joint and muscles are the most common cause of referred otalgia. Anxiety, stress, bruxism (grinding teeth), large bites of food, excessive yawning, nail biting, and excessive gum chewing are risk factors. Strain of the chewing muscles or sprain of the jaw joint can occur.

Neck pathology can also cause referred otalgia. Anxiety, stress, arthritis, whiplash injury, excessive office work, excessive cell phone scrolling, and neck popping are risk factors.

Gingivitis, cavities, and infected or abscessed teeth can cause referred ear pain along with dental problems.

Trigeminal neuralgia (nerve pain) may cause referred ear pain along with stabbing cheek pain after light touch or wind exposure.

Cancers of the head and neck may cause referred ear pain. Throat cancer may present with ear pain associated with difficulty swallowing or hoarseness. Cancer of the salivary glands may cause ear pain, mass of the cheek/jaw/neck, or facial droop.

Where Does Treatment Start?

With otalgia, the response to treatment can be useful to help find the culprit. Most causes are not serious. Conservative treatment is a good place to start. If you have risk factors for jaw strain/sprain, begin by resting your jaw. Maintain a soft diet for 1 week. Stop chewing gum and hard candies. Apply ice and/or heat to your jaw joint. Take ibuprofen daily for a week. Consider talking to your dentist about a bite guard to wear at night so that you do not grind your teeth. Also, if you have hurting teeth, you may be compensating your bite in a way that strains your jaw. Have this evaluated by your dentist as well.

If you have risk factors for neck strain take regular breaks when straining you neck. Stop habitual popping or cracking your neck. Take breaks from looking down at your cell phone. Take ibuprofen daily for a week. Consider neck physical therapy especially if you have had a whiplash injury.

If conservative measures do not work or if you have red flag symptoms such as hearing loss, tinnitus, vertigo, difficulty swallowing, hoarseness, mass, facial droop an evaluation of your ear pain is recommended. It is important to find the cause of persistent ear pain and make sure the ear is healthy.

Why does the jaw near the ear on the left hurt so much that it even hurts to chew?

If the joint of the jaw near the ear hurts, treatment requires prior identification of the source of pain. Not always the problem is caused by diseases of the jaw. Without an examination by a specialist, it is definitely impossible to answer why the jaw near the ear hurts. The cause of the pathology can be various damage to soft and bone tissues from correcting malocclusion with braces to a malignant tumor.

Common causes of jaw pain include:

1. The need to wear braces or dentures. Correction of the bite, normal placement of teeth for some time is accompanied by pain.
2. Wisdom tooth growth. Deviation from the accepted norm (for example, the wrong angle relative to the jaw) causes damage to the soft tissues and the jaw itself. When chewing, the pain is aggravated.
3. Surgical intervention (removal of a cyst, the tooth itself) may cause pain for some time, but if it does not go away after the wound has completely healed, there is reason to assume the development of a new disease.

If the pain in the jaw is not related to the correction of the bite or surgery, it is recommended to visit the dentist as soon as possible.

Contents

Diseases of the gums, maxillofacial apparatus

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Osteoarthritis of the temporomandibular joint leads to stiffness, pain at the time of mouth opening. While chewing, the pain in the jaw is aggravated by noise in the left ear.

Injuries of the jaw

If the jaw hurts near the ear on the left, which hurts to chew, it may be the result of injuries. The severity of the damage determines the rate of disappearance of the symptom that prevents you from chewing calmly on one of the sides. The most minor injury is considered a bruise. Acute pain and swelling leave the owner after a few days.

Fracture is considered to be quite a dangerous injury to the jaw. In addition to severe pain, hemorrhage under the skin and swelling, the patient is faced with the fact that he is experiencing serious difficulties in opening his mouth. As a result of a fracture of the upper jaw, hemorrhage in the orbital region can be observed, which leads the specialist to assume a fracture of the base of the jaw. When, immediately after a fracture, the victim not only has an earache, but a clear liquid, blood, is released from it, he is taken to the hospital as soon as possible to provide qualified assistance.

ENT diseases

The jaw on the left near the ear can hurt so much that it hurts to chew as a result of running purulent processes or inflammation in the sinuses themselves. Among the ENT diseases that can cause pain when chewing on the left side, inflammation of the tonsils and tissues close to them are also noted.

Mumps or mumps is a viral inflammation of the parotid gland, making it painful, which is felt in the region of the upper and lower jaw, ear. Additionally, the patient’s temperature rises, there is weakness, swelling on one side. The disease often occurs in childhood. Those who have been ill develop a stable immunity that does not leave the pathology a chance for a second attack.

Pain in the jaw near the ear: inflammatory processes

Caries of the jaw, which is caused by the movement of infection along with blood from the affected tooth to the jaw. This phenomenon is usually the result of trauma. In addition to painful sensations in the jaw, which tend to increase at the moment of chewing, a person also observes other changes in his body:

• high temperature, which can reach 40 degrees;
• swelling under the skin;
• asymmetry, distortion of the face due to severe puffiness;
• examination of the oral cavity makes it easy to identify the “culprit”, which necessarily has pulpitis or a significant carious defect;
• inflammation of the submandibular lymph nodes.

Abscess and phlegmon. Purulent lesions on soft tissues provoke high fever, acute pain. Separately, a paratonsillar abscess is isolated, which is considered a complication of angina. It has a special location next to the amygdala.

Pain caused by tumors

Most benign neoplasms do not have characteristic symptoms. If the jaw near the ear hurts as a result of a benign tumor, then the patient is suspected of one of three variants of the disease:

1. Adamantinoma. The tumor affects the chewing process due to the thickening of the jaw. If at an early stage the soreness of the jaw is mild, then the progression of the pathology provides acute and severe pain.
2. Osteoid osteoma. The growth of such a tumor is very slow. Acute pains at the first stage disturb only during sleep. When the size of the tumor becomes such that it provokes asymmetry of the face, pain also occurs when chewing.
3. Osteoblastoclastoma. The pain is aching in nature, a fistula appears on the skin, and a tumor with a light pink tint is observed on the gums.

Malignant tumors without appropriate tests are extremely difficult to distinguish from benign ones. There are several types of malignant tumors. Cancer itself is a lesion of soft tissues close to the jaw. Pathology grows deep into the tissues at high speed, causing loosening of the teeth and their subsequent loss. Pain gain intensity gradually.

With the development of a malignant tumor in the connective tissue, a rapid growth of pathology is observed. The disease brings a person intense shooting pain. The patient may be misled by the fact that at the first stage of the disease he observes not pain, but a decrease in the sensitivity of the mucous membrane and skin.

Osteogenic sarcoma grows in bone tissue. The pain is characterized by duration and strength, gradually it begins to spread to the ear area and face.

Prolonged severe pain in the jaw begins to gradually capture new territories, spreading to the ear area, as well as the face.

Neurological pathologies

Nerve pathologies can cause pain, which is felt in the temporomandibular joint and in the ear area. Specialists identify:

1. Neuralgia of the superior laryngeal nerve. The gradual increase in pain is especially pronounced when yawning and eating. Additional signs include hiccups, active salivation, and coughing.
2. Trigeminal neuralgia. Pain near the ear is accompanied by a burning sensation. It becomes especially intense at night.

Vascular diseases

If blood flow is disturbed, arteritis of the facial artery develops. The disease is characterized by severe burning pain. The defeat of the facial artery causes a strong painful feeling in the lower jaw. Discomfort is given for frequent in the eye area. If the carotid artery is affected, then the pain increases when you try to touch the face and neck area.

Pathologies with impaired blood flow, such as angina pectoris or heart attack, are not usually associated with jaw pain. However, experts register non-standard development of the disease. There are cases when there is no habitual acute pain behind the sternum, and the attack is accompanied by a sharp intense pain in the lower jaw on the left side.

Such a course of the disease is extremely dangerous and very rarely leads the patient to consult a cardiologist. A sharp toothache leads a person to a dentist, who, not knowing about the concomitant diseases of the cardiovascular system of his client, can begin to treat his teeth.

Jaw hurts near the ear: what to do?

The occurrence of acute pain in one of the jaws near the ear requires the patient to seek medical attention as soon as possible. Many diseases can become a threat to human life if timely treatment is not taken.

Any injury to the face that hits the jaw requires an immediate visit to the emergency room to rule out complications, determine the absence of splinters.

Inflammatory processes are treated only under the supervision of a specialist. With the ineffectiveness of drug therapy, in advanced cases, one has to resort to surgical intervention.

In some cases, the patient has to endure acute pain due to the inability to immediately contact the dentist for help. The situation allows the use of mild painkillers. But here it is necessary to exercise maximum caution. The use of aspirin or paracetamol can cause severe bleeding if surgery is performed in the jaw area in the morning. The action of the drug can distort the clinical picture of the disease when examined by a dentist, which will complicate the correct diagnosis, the result will be a long and ineffective treatment.

Some phytotherapy recipes help relieve discomfort for a while, but do not have a serious effect on the body. Even decoctions must be prepared in accordance with the recommendations of an experienced herbalist or consult with your therapist.

Flux on gums: causes, symptoms, treatment

Causes

Periostitis is of infectious and traumatic origin. In the first case, the flux on the gums is caused by the bacterial microflora of the oral cavity: staphylococci, streptococci, E. coli, yeast-like fungi. Pathogens penetrate into the periosteum tissues through bone canals, dentinal tubules, and cementum. Infection occurs from foci of tonsillitis, SARS, sinusitis, otitis media, scarlet fever, osteomyelitis.

Most often, dental diseases predispose to the appearance of a flux of an infectious origin:

• alveolitis (inflammation of the tooth socket),

• periodontitis (destruction of periodontal tissues),

• adentia (complete or partial absence of teeth),

• jaw cyst,

• inflammation of unerupted or partially erupted wisdom teeth,

• periodontitis (inflammatory lesions of the soft tissues around the tooth).

Traumatic periostitis is associated with damage to the periosteum:

• trauma or tooth extraction,

• open fracture of the jaw,

• surgical treatment.

The risk of periostitis increases local or general hypothermia, excessive emotional and physical stress, poor oral hygiene. Flux can be the result of untreated caries, the use of anesthetics and arsenic paste for root canal treatment.

Symptoms

Various forms of periostitis have specific clinical manifestations. Inflammation occurs in the lower or upper jaw. The flux begins with swelling of the soft tissues, redness of the mucous membrane at the site of the transitional fold, inflammation of the submandibular lymph nodes. As a rule, there is a “causal tooth” in the mouth with pulpitis or periodontitis.

Purulent periostitis occurs as an independent disease or is a symptom of osteomyelitis (infection and destruction of the jaw bones).

Purulent flux is characterized by:

Visually determine the swelling of the soft tissues of the maxillary zone. If the flux affects the upper jaw, the swelling extends to the upper lip, cervical, zygomatic and infraorbital region, the lower jaw – the chin and lower lip swell.

When examining the oral cavity, a subperiosteal abscess is found – a limited dense capsule filled with purulent contents. As periostitis progresses, pus penetrates under the gum, and together with its accumulation, a subgingival abscess is formed. Purulent contents can flow into the mouth through an opening – a fistula. Opening an abscess brings relief.

In chronic periostitis, periods of remission alternate with pain in the area of ​​\u200b\u200bthe “causative tooth”. The submandibular lymph nodes become inflamed, the configuration of the face changes, the mucous membrane of the oral cavity swells.

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Diagnostics

Abscess, swelling of the gums, pain and hyperemia are the main signs of flux. On examination, a destroyed tooth, untreated caries are found, which served as a source of inflammation of the periosteum.

Radiography reveals:

During the diagnosis, it is necessary to exclude osteomyelitis, abscess, sinusitis (inflammation of the paranasal sinuses), lymphadenitis (inflammation of the lymph nodes), perimaxillary phlegmon (melting of the subcutaneous tissue).

Treatment

The goal of therapy is to eliminate the focus of infection, prevent purulent complications, and save the tooth. Milk and severely damaged teeth are subject to removal, those that have retained functional activity require treatment.

Locally prescribed rinses with disinfectant solutions. To relieve pain, analgesics are taken, and non-steroidal anti-inflammatory drugs are used to stop inflammation. Antibacterial agents are selected taking into account the mechanism of development of inflammation and the sensitivity of the infection. In the presence of foci of chronic infections, they are simultaneously sanitized (cleaned).

In addition to conservative treatment, physiotherapy methods are used:

• phonophoresis,

• electrophoresis,

• laser therapy,

• ultrasound,

• impulse currents.

As a rule, with a timely visit to the dentist, conservative measures are sufficient to resolve the flux.