About all

Pain in right jaw under ear: The request could not be satisfied

Causes of Pain in the Right Jaw and Ear

Possible causes of jaw and ear pain on the right side range from dental problems to salivary gland disorders.

Image Credit: MachineHeadz/iStock/GettyImages

Jaw and ear pain frequently occur together for a simple reason: These two parts of the body are located right next to each other and share the same nerves that carry pain messages.

Many conditions can cause both jaw and ear pain on both sides of the head, including ear infections, dental problems and joint and muscle disorders. But because the level of your discomfort doesn’t necessarily reflect the seriousness of the underlying cause, it’s important to see a doctor if you experience even mild pain in in this area.

1. Ear Infections

An infection in your ear canal (otitis externa) or middle ear (otitis media) can cause pain in both the ear and jaw, according to American Family Physician.

Other possible symptoms include:

  • A sense of fullness or blockage of the ear

  • Reduced hearing on the affected side

  • Drainage from the ear, especially with ear canal infections

  • Fever (occurs

    frequently in children with a middle ear infection but is less common in adults)

2.

Joint and Muscle Disorders

One-sided jaw and ear pain often signals a problem with the jaw joint (the temporomandibular joint) and/or the muscles involved in jaw movement. These conditions, known collectively as temporomandibular joint and muscle disorders or TMJDs, affect 5 to 12 percent of adults according to the National Institute of Dental and Craniofacial Research.

In addition to jaw and ear pain, possible symptoms of a TMJD include:

  • Tenderness in the affected area
  • Clicking or popping of the jaw while chewing
  • Difficulty opening the mouth widely
  • Jaw muscle tightness
  • Headaches

“Both joint and muscle disorders can cause jaw and ear pain — and nearly any source of pain in the head and neck can radiate to the ear due to cross innervation,” Joseph White, MD, an otolaryngologist at The University of Tennessee Medical Center, tells LIVESTRONG.com.

Rheumatoid arthritis has also been associated with TMJD, he adds.

“Both joint and muscle disorders can cause jaw and ear pain — and nearly any source of pain in the head and neck can radiate to the ear due to cross innervation.”

3. Dental Problems

If your ear examination reveals nothing out of the ordinary and your jaw joint feels fine, the pain might be caused by a dental issue related to the rear teeth on the affected side. “A dental infection can cause ear and jaw pain, and extraction is usually the fix,” says Dr. White.

Possible culprits include tooth decay extending into the root system, or a tooth abscess (a pocket of infection), per the U.S. National Library of Medicine. In addition to pain, you might notice:

  • Tooth sensitivity
  • Increased pain with chewing
  • Swelling and/or redness around the affected area

4. Bone Infection

Although uncommon, an ear, dental or sinus infection can spread to nearby bones (osteomyelitis) causing moderate to severe jaw and ear pain, per the Merck Manual.

A traumatic injury to the face is another potential route of infection. Other possible signs and symptoms include:

  • Fever
  • Chills
  • Localized swelling and tenderness
  • Fatigue
  • Possible weight loss

5. Salivary Gland Disorders

Your salivary glands produce spit (saliva). The largest of these glands, the parotids, sit just in front of your ears. Inflammation of one or both of these glands (parotitis) characteristically causes pain in the jaw and ear area. Other symptoms may include:

  • Localized swelling
  • Fever
  • Dry mouth

“Sialadenitis (an infection of the salivary glands) and salivary stones, as well as salivary gland neoplasms, can all cause jaw and ear pain,” reports Dr. White.

Treatment depends on the issue: Excision is the normal avenue for neoplasms, while sialadenitis is usually treated conservatively with antibiotics, warm compresses and massages.

If there’s a stone, extraction can be the cure with a simple incision, but large stones or recurrent disease could warrant removal of the whole salivary gland, says Dr. White.

6. Tumors

A noncancerous or cancerous tumor in the jaw and ear area represents an uncommon but serious cause of pain in this region.

With a jaw tumor, you might also notice:

  • A lump on the face or in the mouth
  • Tooth loosening or movement

Head and neck cancer may also cause similar pain, but it’s relatively rare, accounting for about 4 percent of those with malignant tumors in the U.S., per a 2013 report in the Journal of Clinical Medicine.

7. Migraines

It may come as a surprise, but pain felt in the jaw and ear might also be due to a migraine headache.

“The treatment for migraines is complex and can range from learning and controlling migraine triggers to taking abortive medications like sumatriptan and preventive therapies like beta blockers, Topamax and various anti-depression medications,” explains Dr. White.

Warning Signs and Symptoms

It’s important to see your doctor if you experience jaw and ear pain. Call your health care provider immediately if you experience any other concerning symptoms, including:

  • Fever
  • Swelling or a new lump on your face or in your mouth
  • Rash or redness involving the painful area
  • Drainage from your ear
  • Sudden hearing loss, vertigo or ringing in your ears
  • Nervous system symptoms such as drooping of the face, numbness or changes in vision

Head and Neck Cancer Signs and Symptoms

The symptoms of head and neck cancer vary according to where the cancer began. Some general signs of head and neck cancer include the following:

Back to top

A broken area of skin (ulcer) that will not heal can be a sign of oral cancer. Most people with mouth cancer have this symptom.

Back to top

A lump in the jaw or mouth is a common sign of head and neck cancer. Lumps can also form in the lips.

A lump in the neck may be a sign of thyroid cancer. Or it may be caused by an enlarged lymph node. Swelling in one or more lymph nodes in the neck is a common symptom of head and neck cancer, including mouth cancer and salivary gland cancer.

Lumps that come and go are not typically due to cancer. Cancer usually forms a lump that slowly gets bigger.

Back to top

Pain or discomfort in the face that doesn’t go away is a common symptom of salivary gland cancer and mouth cancer.

Back to top

People with thyroid cancer sometimes notice swelling or small painless lumps called thyroid nodules in the front of the neck.

Back to top

A head and neck tumor that involves the bones, muscles, or nerves of the jaw can make it difficult to open your mouth. Most people are able to open their mouth about the width of three fingers. If you are having trouble opening your mouth this wide, see your doctor. This condition is known as trismus. Chances are that you don’t have cancer, but it can lead to other serious health problems.

Back to top

Head and neck cancer can cause pain or a burning sensation when chewing and swallowing food. You might feel like food is stuck in your throat. You may cough or feel like food or liquid are going into the airway (windpipe).

Back to top

Head and neck cancer can affect your voice. It might sound different. It may be quieter or husky. It may sound as if you have a cold all the time. Or you might slur some of your words or have trouble pronouncing certain sounds.

Back to top

Ear pain is common with throat cancer. You may experience ringing in the ears.

Back to top

Throat cancer can affect breathing. Nasal congestion is a common sign of sinus cancer and other head and neck cancers. Some people may experience nosebleeds.

Back to top

Pain or discomfort in the throat that doesn’t go away is one of the most common symptoms of throat cancer.

Back to top

An abnormal-looking patch could be a sign of cancer or precancerous changes.

  • White patches are called leukoplakia.
  • Red patches are called erythroplakia.

These patches are not cancer. If left untreated, however, they may lead to cancer. A fungal infection called oral thrush can also cause red and white patches.

Back to top

Weight loss is a common symptom of many different types of cancer. Head and neck cancer can make it painful to eat and difficult to swallow, which can cause weight loss.

Symptoms of a head and neck tumor often resemble those caused by other conditions. If you experience any of these symptoms and have concerns, speak with your doctor.

Three Days Pain/Swelling Below Right Jaw

It’s been another busy night, mostly flu patients but a few other scattered maladies and injuries to keep life interesting. The next case, for instance, doesn’t sound much like flu. The nurse has just put a 15-year-old boy in bed 10 with a complaint of fever and facial swelling. Variety is the spice of life. Off you go to check him out.

It’s been another busy night, mostly flu patients but a few other scattered maladies and injuries to keep life interesting. The next case, for instance, doesn’t sound much like flu. The nurse has just put a 15-year-old boy in bed 10 with a complaint of fever and facial swelling. Variety is the spice of life. Off you go to check him out.

He gives a history of three days of pain and swelling in the right lower face and under the jaw line on the right side. He’s had some fevers up to 101. The pain and swelling have been getting progressively worse. He denies toothache. He doesn’t recall any trauma or break in the skin in the region.

 


ADVERTISEMENT


His past medical history is unremarkable. He doesn’t take any routine medications, just ibuprofen for the pain in his lower face and jaw. He’s never had anything like this before. When you ask him if his pain and swelling have any association with mealtimes he gets quiet for a minute and then nods. In fact, the first time he noticed this was at dinner.
On to the exam. His vitals are unremarkable, he just took some ibuprofen and has no fever right now. Looking at him, he has swelling on his right side, primarily in the submandibular region. It’s slightly red, warm and very tender. You have him open his mouth. You start by inspecting the teeth, looking for a cavity or something but they look fine. Then he lifts his tongue and you hit pay dirt.

You find a small stone sitting in the opening to the duct of the right submaxillary gland (Wharton’s duct). You tentatively touch it with your tongue blade and it flicks right out. Behind it, you can see a little pus oozing out of the duct. The patient already says he is beginning to feel better. On gentle palpation, you don’t feel any other stones.

**********


ADVERTISEMENT


 

The stone (left) was easily removed, leaving behind an enflamed opening to Wharton’s duct (above). The stones are due to calcium and phosphate crystals that typically accumulate when the water content of the saliva is low.

So what’s with the rock in Wharton’s duct? Patients can develop salivary duct stones at any age, although most occur in adults. The condition is known as sialolithiasis. Wharton’s duct, which drains the submaxillary gland, is the most common site for stones. About 15% of stones form elsewhere, about 10% in Stenson’s duct (which drains the parotid gland in the cheek) and 5% in the sublingual ducts. The stones are due to calcium and phosphate crystals that are most likely to accumulate when the water content of the saliva is low, such as in dehydration or with medications that dry out your spit, such as antidepressants, antihistamines or diuretics.

Patients with stones will experience pain and swelling in the affected gland. This will worsen at mealtimes or if the patient eats something acidic that stimulates salivary flow, such as a pickle. The saliva may feel gritty or have a funky taste. Sometimes these symptoms last a few hours and subside. If the duct is blocked by the stone, infection of the gland can occur. The gland may become swollen, tender, or red and the patient may develop fever.


ADVERTISEMENT


Frequently, the diagnosis can be made by the history and exam, as in this patient. Sometimes, if a stone is suspected but not visualized, imaging may be helpful. A dental film that is shot at a right angle to the floor of the mouth may pick up a stone in Wharton’s duct. Alternatively, ultrasound or CT may be helpful. It is useful to keep in mind that 25% of stones are multiple.

If you see a stone, try to remove it, or gently milk the duct to see if it can be expressed. If not, an ENT referral is warranted. After the stone is out, review the patient’s medications to see if they are taking anything that dries out the saliva. Have them increase the amount of water they drink. Ask the patient to suck on sour candy or vitamin C tablets, which will stimulate salivary flow in the ducts. If the gland is infected, start them on a course of antibiotics such as cefalexin or dicloxacillin.

Remember, if you don’t think of it, you can’t diagnose it. When there is swelling of the salivary glands, go check out the ducts. Happy duct hunting.

Amy Levine, MD, is an associate professor of pediatric EM at UNC Chapel Hill 

 

Other causes of swelling of the salivary glands:

MUMPS – Usually affect parotid glands. Fever & other symptoms occur prior to gland swelling.
AIDS, Sjogren’s syndrome, sarcoidosis, diabetes mellitus – Should have other findings besides salivary gland swelling.
Cancer of the gland – Swelling usually firmer than that caused by infection.
Accidental biting injury – May harm a salivary gland and prevent the flow of saliva. The affected gland may swell and form a bluish, small, soft lump known as a mucocele.

Detecting a different kind of jaw pain

Many of the common signs of heart attack are well known: tightness or pressure in the chest, discomfort in the arms and shoulders, shortness of breath. There’s another to add to the mix, one that may not prompt an immediate 911 call or trip to the ER: jaw pain.

“Sometimes the manifestation of a heart attack or some cardiac event can be felt in the jaws, the teeth and the neck. It’s not just the left side; it can happen on the right side, too, especially for females,” says Dr. Steven Bender, clinical assistant professor and director of the Center for Facial Pain and Sleep Medicine at Texas A&M College of Dentistry. “The pain is a sign. It’s an indicator that something is happening right then, right in that moment. It may come and go depending on the severity, just like people who say ‘I thought it was heartburn,’ and it comes and goes. It’s the same thing with the jaw pain. It may come and go, and people may not attribute it to a cardiac event.”

The head, neck and jaw pain experienced during a cardiac event is different than the chronic pain experienced by many of Bender’s patients, who often suffer from temporomandibular joint disorders. Patients with TMD typically can put their finger on the exact area that hurts, whether it’s the jaw, the jaw joint or the side of the head, and the pain often flares up when yawning or chewing.

“If it’s a cardiac event, they won’t notice those factors. It’s going to be more of a diffuse pain, and it will be hard to identify the exact location,” Bender says. The pain can get so intense that it wakes people from sleep. While TMD doesn’t often have this effect, a toothache can. So what’s another way to discern when you have a potential emergency on your hands? Assessing jaw pain in combination with other symptoms.

“They are going to feel flushing or experience perspiration, and they’ll notice that walking up a flight of stairs or physical activity may make it worse,” Bender explains. “They may feel more of a pulsating pain as compared to a deep ache.” And then there’s dizziness, confusion — some of the typical signs of a cardiac event.

Dr. George Feghali, general and interventional cardiologist at the Baylor Jack and Jane Hamilton Heart and Vascular Hospital, takes it one step further. It’s not just about jaw pain combined with other symptoms, but jaw pain coupled with risk.

“I never encounter a patient who comes to see me who says, ‘I’m having jaw pain,’ without any other symptoms. They should have risk factors,” Feghali explains. “For instance, if I have a young lady come to see me without any other risk factors — diabetes, hypertension, smoking, family risk factors — this is less likely to be the heart. If I have someone who is a big smoker, diabetic, who comes to see me because every time he walks around he gets chest pain and jaw pain, ruling out heart disease is an important step.” In such situations, cardiologists have stress tests and other diagnostic tools at their disposal.

“You always have to put it into context with risk factors,” Feghali adds.

Just like with every clinic at the dental school, appointments at the pain and sleep center involve taking a patient’s blood pressure. When the monitor indicates arrhythmia — an irregular heartbeat — or when patients describe palpitations, Bender refers them to a cardiologist.

Aside from referrals, Feghali describes dentists’ most direct role with patient cardiac health: “Prior to vascular surgeries or other surgeries that involve putting foreign bodies in the heart, you need to make sure the teeth are completely taken care of.” On the other end of the spectrum, it’s also quite common for dentists who work with his patients to seek his opinion on whether certain antibiotics may be necessary prior to dental work.

It’s a two-way collaboration, he explains.

“Taking care of the patient as a whole, that would include working with a dentist and a dentist working with the cardiologist, and working with a lot of other specialties to make sure the patient is doing well.”

— Jennifer Fuentes

Identify Symptoms and Signs of Head and Neck Cancer

Head and neck cancer symptoms may depend on where the cancer develops and how it spreads. The most commonly affected areas are the ears, nose and throat. Understand the risk factors for developing head and neck cancer.

For example, tumors in the larynx or pharynx may be discovered as a lump in the throat. Cancer in the mouth may cause sores in the mouth or swelling of the jaw.

In addition to physical signs of head and neck cancer, these tumors often cause symptoms that are similar to less serious conditions, like the common cold. Changes in voice, headaches, sore throat or a cough may be symptoms of throat cancer. Other head and neck cancer symptoms include pain or ringing in the ears.

Common symptoms of head and neck cancer tumors include:

  • A lump in the nose, neck or throat, with or without pain
  • A persistent sore throat
  • Trouble swallowing (dysphagia)
  • Unexplained weight loss
  • Frequent coughing
  • Change in voice or hoarseness
  • Ear pain or trouble hearing
  • Headaches
  • A red or white patch in the mouth
  • Bad breath that’s unexplained by hygiene
  • Nasal obstruction or persistent congestion
  • Frequent nose bleeds or unusual discharge
  • Trouble breathing

Head and neck cancers typically begin in the squamous cells that line the moist surfaces inside the head and neck. Some examples of these moist surfaces include the inside of the mouth, nose and throat.

The sites where head and neck cancers may develop are broken into five areas:

  • Nasal cavity (the inside of the nose) and paranasal sinuses (spaces in bones around the nose)
  • Oral cavity (the mouth)
  • Salivary glands (located under the tongue)
  • Pharynx (the throat)
  • Larynx (situated below the pharynx and used for swallowing and talking)

When it comes to specific head and neck cancers, these include:

Symptoms of head and neck cancers depend on where the cancer starts and its unique risk factors. One of the most common symptoms is experiencing pain in particular places in the head or neck.

Nasal cavity and paranasal sinus cancer symptoms

The nose opens into the nasal cavity, which is divided into two passages. This cavity curves down at the back to join the throat. Paranasal sinuses are sinuses near the nose. They are hollow, air-filled spaces in the bones around the nose.

These types of cancers are often found only because of the symptoms they cause. Possible symptoms include:

  • Nasal congestion that doesn’t go away; a blockage on one side of the nose; a post-nasal drip; nosebleeds; pus that drains out of the nose; a loss of smell
  • Pain or pressure in one of the ears; hearing loss
  • Pain above or below the eyes; watery or bulging eyes; a change in vision

A growth or mass in the face, nose, or top of mouth may be another symptom of cancer in the nasal cavity or sinuses—as well as numbness or pain in the face, numbness in the teeth, or even loosening of the teeth. Headaches, trouble opening your mouth and enlarged lymph nodes in the neck may also signal possible cancer.

Oral cavity cancer symptoms

The oral cavity includes the:

  • Lips
  • Front part of the tongue
  • Gums
  • Lining inside the cheek and lips
  • Bottom of the mouth under the tongue
  • Roof of the mouth
  • Small area behind the wisdom teeth

There may be many symptoms, and most center around the area of the mouth, including:

  • Mouth ulcers that don’t heal, or patches on the gums, tongue or inside the mouth that are white or red
  • Loosening of teeth, or dentures that don’t fit right
  • Swelling in the jaw or unusual pain or bleeding in the mouth
  • Difficulty chewing, trouble swallowing or pain when you swallow
  • Sore throat or feeling that something is caught in your throat

Salivary gland cancer symptoms

Salivary glands make saliva and release it into the mouth. There are three major salivary glands:

  • Parotid glands (in front of and just below each ear)
  • Sublingual glands (under the tongue)
  • Submandibular glands (below the jawbone)

Symptoms for this type of cancer may include:

  • Painless lump in your ear, cheek, jaw, lip or inside of the mouth
  • Fluid draining from your ear
  • Trouble swallowing or opening mouth wide
  • Numbness or weakness in your face
  • Persistent pain in your face

The pharynx, or throat, starts behind the nose and leads to the esophagus. In general, pharynx-related cancers may cause symptoms such as:

  • Difficulty breathing or speaking
  • Painful swallowing
  • Pain in your ears, neck or throat
  • Ringing in the ears
    Hearing difficulties
  • Frequent headaches

The pharynx consists of three main sections, and symptoms often involve more than one area of the head or neck.

Nasopharyngeal cancer: The nasopharynx connects the back of the nose to the upper portions of the throat. The most frequent complaint with this type of cancer is a neck mass. Other symptoms may include:

  • Sore throat
  • Trouble breathing or speaking
  • Nosebleeds
  • Trouble hearing, or pain or ringing in your ears
  • Headaches

Oropharyngeal cancer: The oropharynx connects the back of the oral cavity to the upper portions of the throat. It is found below the nasopharynx. Symptoms of this type of cancer include:

  • Persistent sore throat
  • Trouble swallowing or opening your mouth
  • Unexplained weight loss
  • Ear pain
  • Lump in the back of your mouth, throat or neck
  • White patch on the tongue or inside of your mouth that doesn’t go away
  • Blood-streaked phlegm

In patients with a human papillomavirus (HPV) positive oropharyngeal cancer, the only symptom may be a neck mass.

Hypopharyngeal cancer: The hypopharynx, also called the laryngopharynx, is the lowest portion of the throat. It’s just underneath the nasopharynx and the oropharynx. People who have tumors here are often asymptomatic for a long period of time. Symptoms that may lead to seeing a doctor include:

  • Persistent sore throat
  • Ear pain
  • Neck lump
  • Painful or difficult swallowing
  • Change in your voice

Laryngeal cancer symptoms

The larynx is below the pharynx—it’s the part of the throat between the base of the tongue and the trachea, often called the windpipe. Symptoms of cancers associated with the larynx depend on the location. The supraglottic region is the part above the vocal cords; the glottis is the middle part of the larynx where the vocal cords are located; and the subglottic region is between the vocal cords and trachea.

Symptoms of cancer in the larynx may include:

  • Neck or throat lump
  • Persistent sore throat or cough
  • Painful or difficult swallowing
  • Ear pain
  • Change of voice, or hoarseness

Although a new mass in the head and neck region may mean many things, it’s important to get it checked for the possibility of cancer. When diagnosed early, many head and neck cancers may be treated with surgery or radiation. If you have hoarseness, a sore throat, ear pain or any of the symptoms above and are concerned about cancer, schedule a visit with your doctor or dentist.

Many of these symptoms are related to other conditions or may be completely normal on their own. However, if your doctor shares your concern about cancer, you may be referred to a specialist called an otolaryngologist for a more thorough examination and workup.

5 Surprising Causes Of Jaw Pain & How To Get Relief: ViVE Dental: General Dentistry

If you are someone who has suffered from jaw pain, there is no need to explain how much of a negative affect it can have on your day-to-day life; From talking to eating to smiling and sleeping.

Jaw pain can significantly impact your well-being which is why looking for answers to solve it is a step in the right direction. You may be wondering what exactly could be the cause? How can I stop the pain and how can I prevent it in the future?

The truth is that there is no straight answer to why you are experiencing jaw pain. There are multiple nerve endings connected to the jaw and pain can be triggered by something as simple as prolonged chewing. You may not even need the triggers for the ache in your jaw to be there; which often leaves people confused as to why it’s happening in the first place.

Experiencing jaw pain from time to time is perfectly normal. If, however, you have been experiencing jaw pain on a regular basis, it is advised to see your dentist in Redlands as soon as possible to begin the process of identifying potential underlying cause(s). You may be surprised to learn that multiple factors could be contributing to your jaw pain. Before your appointment with our highly rated dentist in Redlands, we will help you get a better understanding of what could be causing your jaw pain and how to that relieve jaw pain in the meantime.

#1 TMD Or TMJ

One of the most common causes of jaw pain is temporomandibular joint disorder (TMD), which is often also referred to as TMJ. This disorder has a negative impact on the joints that connect the jawbone and your skull. A surprising number of people live their day to day lives with TMD and are completely unaware of it.

This is often the case when the disorder is not severe and only results in pain from time to time. If, however, you think you might be experiencing jaw pain due to TMD, you should definitely make an appointment with our dentist in Redlands. It is important to see an expert as TMD/TMJ can be a result of teeth grinding, which over time and in severe cases can completely ruin your teeth. Severe untreated cases can even result in the need for a full set of veneers. You should also know that TMJ/TMD can affect not only your jaw, but cause headaches, pain in the neck, and even cause pain up and down one’s shoulders in severe cases.

#2 Teeth Grinding

As mentioned above, teeth grinding is a major cause of jaw pain. Teeth grinding is often something that goes unnoticed because it mostly happens at night while the person is asleep. It can however occur while the person is awake, so if you catch yourself grinding your teeth unintentionally, be sure to try and stop as soon as you notice you are doing it.

So, you may be wondering, why would you grind your teeth? Well, there are various reasons why people grind their teeth. It’s most often a combination of psychological, genetic and physical factors. Stress and anxiety are one of the most common causes for teeth grinding while asleep. It can also occur due to medication side effects, misaligned teeth, and Parkinson’s disease.

If you have jaw pain and you think you might be grinding your teeth it would be a good idea to consult our dentist in Redlands as soon as possible for a closer inspection. If Dr. Kim does find that you are grinding your teeth, they will likely suggest you get a mouth guard to wear while you sleep to avoid damaging your teeth permanently.

#3 Untreated Cavities

Although it is not the most obvious reason for jaw pain, cavities can certainly progress to a point where they result in jaw pain. A cavity can result in jaw pain when the tooth deteriorates to a point where the tooth root becomes infected. This infection can spread to tissues in the jawbone which can cause severe pain if left untreated. To prevent this, you should be staying up to date with your dental check-ups and consult with our dentist in Redlands to avoid letting any cavity getting this bad.

#4 Gum Disease

Gum disease, also known as periodontitis, can also cause jaw pain. Like an untreated cavity, gum tissue will become infected with gum disease with spreads causing mild to severe jaw pain. It is extremely important to monitor the health of your gums by regularly seeing Dr. Kim. If you start to experience any symptoms of periodontitis (gum disease) it is dire to treat it as soon as possible.

#5 Wisdom Teeth

Another potential cause of jaw pain is wisdom teeth. Wisdom teeth typically come into the mouth from ages 17 to 25 and can cause jaw pain if they shift your teeth alignment or cause unwanted pressure in the jaw. If you are between said ages and can feel what might be a new tooth pushing through the very back part of your gums, your wisdom teeth could be erupting. If you are unsure about this, the best thing would be to see Dr. Kim for clarification.

Final Thoughts On How To Relieve Jaw Pain

In addition to consulting with a dentist, you can also try some home remedies in the meantime to relieve jaw pain. This will help in the short term, but you will ultimately need to see our dentist in Redlands to identify the underlying cause and find long-term relief.

We are here to answer any questions you might have regarding jaw pain and how to relieve jaw pain. If you would like to schedule an appointment with a highly rated, trusted and caring dental team, contact us today.

Is A Ganglion Cyst or TMJ Causing The Issues with Your Jaw?

There are many conditions that can be confused with TMJ because they have overlapping symptoms. Tracking down the exact cause of your symptoms is crucial to ensuring you get proper treatment.

If you are experiencing jaw-related symptoms, TMJ is the most common cause, but in rare cases, a ganglion cyst may be to blame.

What Is a Ganglion Cyst?

A ganglion cyst is a balloon of tough, fibrous tissue that’s filled with synovial fluid. Synovial fluid is the slippery liquid that lubricates and nourishes your joints, and that’s where ganglion cysts develop: on a joint. We don’t know what causes ganglion cysts, but they may be related to joint damage caused by trauma, stress, or wear, as they are sometimes associated with arthritis.

The most commonly affected joints are the wrists and ankles, but in rare cases the temporomandibular joint can be affected. In this case, the cyst develops right out of the joint capsule, which enfolds the cartilaginous cushioning disc.

A ganglion cyst is just one of many different types of cysts that can develop in or around the temporomandibular joint, causing similar symptoms.

Ganglion vs. Synovial Cysts

Ganglion cysts aren’t the only cysts that can cause TMJ lumps. Synovial cysts are closely related to ganglion cysts, with similar types of fluid and similar presentation. There is a distinction: the type of tissue that lines the fluid-filled cavity. A doctor can tell the difference by analyzing the lesion.

Usually, the two types of cysts have similar symptoms and even look the same with most types of imaging, including visual examination. The most important difference between these two cysts is their causes. Synovial cysts are more likely to be related to displacement or damage of the jaw joint. That means they are more likely to be a result of TMJ disorders.

How to Know if a Cyst Is Causing Your Symptoms

A ganglion cyst can produce many TMJ-like symptoms, such as jaw pain, tinnitus, or vertigo. However, a ganglion cyst probably won’t cause jaw clicking or popping, and the jaw pain will be only in the joint, with no pain in the jaw muscles.

A ganglion cyst is more likely to cause a visible swelling at or near the jaw joint. It will happen on just one side, and all your pain will be related to that mass. The visible swelling is likely to happen before you notice any pain. Push on the swelling region. If it feels like it’s a fluid-filled balloon, then it’s a cyst. Often, if the cyst is close to the surface, light will shine through it. TMJ-related swelling is more likely to feel firm, like muscle.

Other Causes of Lumps in Jaw Joint

While a lump at the jaw joint might make us suspect a ganglion cyst, there are other potential causes of swelling in this region.

Swelling near the jaw joint might be your pre-auricular lymph node. Lymph nodes (sometimes called lymph glands) store immune cells and filter some of the body’s fluids. If your lymph nodes swell, it’s likely that your immune system is activated to fight an infection nearby, such as an ear infection, tooth infection, salivary gland infection, or even gum disease.

Other times, the infection itself might be causing the swelling, as with infections of your salivary glands. These can be painful and might cause some symptoms similar to TMJ.

Swollen sebaceous glands can cause superficial swelling near the skin. These don’t usually cause painful jaw-related symptoms.

Treating Ganglion Cysts

Once a ganglion cyst begins to cause symptoms, surgical removal is the only treatment available. When the cyst is removed, symptoms should go away.

TMJ treatment , of course, has many more options, and because the condition is more complex and multifactorial, treatment isn’t always so simple. Often, symptoms will diminish and fade over time with treatment, but may return if treatment stops.

If you suspect that you may have TMJ in the Detroit area, please call (248) 480-0085 for an appointment with a TMJ dentist at the Michigan Center for TMJ & Sleep Wellness in Rochester Hills.

Services and directions of the clinic “Scandinavia”

The temporomandibular joints (TMJ) are one of the most vulnerable joints, because they experience constant stress when chewing. To diagnose disorders in the structure and work of the temporomandibular joint, MRI – magnetic resonance imaging is used.

MRI is one of the most accurate and safe diagnostic methods that allows you to get a very clear picture of the surrounding temporomandibular joint ligaments and muscles.

When is it recommended to do an MRI of the TMJ:

  • Headache (especially like a migraine)
  • Earache, feeling of ear congestion
  • Pain, pressing sensation behind the eyes
  • Pain during yawning, chewing and other movements of the lower jaw in the temporal region
  • Noises when moving the lower jaw (clicks, clinking sounds)
  • Blocking the movements of the lower jaw (jamming or “jumping out” of the jaws)
  • Pain when trying to touch the chewing muscles
  • If you are planning orthodontic, orthopedic treatment or dental prosthetics.

MRI of the temporomandibular joints reveals:

  • displacement of the articular head in the articular cavity
  • asymmetry of the shape of the articular heads
  • changes in the shape, size, position of the articular disc
  • signs of cartilage damage
  • violations of the structure and structure of the masticatory muscles.

Magnetic resonance imaging does not require special training on the part of the patient.

Why in “Scandinavia”

The main advantage of the tomography procedure in our clinic is modern high-field tomographs with modern software.

For MRI of the temporomandibular joints, we use a SIGNA GE tomograph – 1.5 T and a Discovery 750 W ultra-high-field tomograph – 3 T. These devices provide a very accurate image of the area being examined and help the doctor make a correct diagnosis.

Our advantages:

  • Highly qualified radiologists. Doctors participate in international conferences and keep abreast of the latest trends in world MRI / CT diagnostics.
  • The images obtained as a result of MRI can be recorded on a medium – a flash drive or CD-ROM.

View prices

Sign up for a consultation

How is the MRI of the mandibular joint

  1. In order to have time to fill out the documents and talk with the doctor, it is recommended to come 15-20 minutes before the appointed time of the examination.
  2. Before the examination, the X-ray technician weighs the patient, conducts visual control, checks the patient with a metal detector and accompanies him to the MR procedure room.
  3. The X-ray technician moves the patient into the scanner tunnel. After that, scanning begins.
  4. After the end of the scan, the radiologist helps the patient to get up and escorts the patient to the changing booth.
  5. After scanning, the patient receives a disk or flash drive with the results of the study.

Contraindications

Modern metal structures in most cases are made of materials that are safe for MRI. But there are a number of absolute contraindications – in this case, MRI cannot be performed.

DO NOT do research if you have:

  1. Pacemakers. Changes in the magnetic field can mimic a heart rate and affect the performance of the pacemaker.
  2. Ferromagnetic or electronic middle ear implants. Inner ear prostheses require medical advice.
  3. Large metal implants, ferromagnetic fragments after injuries and accidents.
  4. Hemostatic clips of cerebral vessels. During the procedure, there is a risk of developing intracerebral or subarachnoid bleeding.

You MAY do research if you have:

  1. Dental implants and braces. However, if an MRI of the brain is required, consultation with a radiologist is necessary.
  2. Pins and structures that hold the bones together, if the operation was performed after 2006. Since this year, in the Russian Federation and developed countries, all metal structures are non-magnetic, and they cannot interfere with MRI.
  3. Stents after coronary artery bypass grafting.
  4. If you have documents for an implanted device, you can send them to us by e-mail [email protected], and get a free consultation on the safety and feasibility of the study.

To register for a study or consultation, call +7 (812) 600-78-78.

View prices

Osteomyelitis of the jaw in children: symptoms, causes, effects

The main symptom of acute osteomyelitis is pain, which can manifest itself in different ways. It may be concentrated at a specific point or felt spread over the entire jaw area. Sometimes it happens like this: the child experiences spasms when chewing, it is difficult for him to swallow, and the swelling prevents him from opening his mouth completely. Detection of such symptoms requires an urgent examination by a specialist.

It is much more difficult with young children who cannot express in words what worries them. In this case, the alarm should be beaten even with the most common signs: weakness, lethargy, refusal to eat, pallor, sleep disturbance. Immediately you need to measure the temperature, check the oral cavity for swelling or redness, look closely at the contour of the face to detect or, conversely, eliminate asymmetry. If you have any of the listed symptoms, you need to show your baby to a doctor.

Chronic osteomyelitis in children

Children need a few days or less to develop the chronic stage, so it is so important to show them to the doctor and start treatment as soon as possible.

After diagnosing osteomyelitis in a child, you need to be on the lookout, you cannot stop the prescribed course of therapy just because the symptoms have decreased or even, at first glance, disappeared. The chronic stage can be compared to a time bomb: in the absence of previous pain and fever, bone destruction can occur. Most likely, the child will continue to experience weakness and fatigue, in addition, a seal may be felt in the jaw area, pressing on which will still be accompanied by pain.Also, on palpation of the neck and under the jaw, an increase in lymph nodes can be detected.

A clear signal from the body is the appearance of fistulas in the mouth. A fistula is either a closed “bag” of purulent contents, similar to a pimple, or a hole through which pus flows out. In advanced cases, the openings of the channels for the removal of pus can be located not only on the mucous membrane, but also on the skin.

This is the most common scenario. However, the child may have a primary type of chronic osteomyelitis that is not preceded by an acute stage.Then, at the initial stage, you can only notice malaise, weakness and enlargement of the lymph nodes. Painful sensations may be present, but not as pronounced as in acute or secondary chronic disease.

If you do not pay attention to the listed symptoms and do not consult a doctor in time, then there is a risk of detecting the disease when deformation of the bone and a change in the shape of the jaw have already begun.

Consequences of the disease and rehabilitation

The launched purulent process affects not only the jaw, but also passes into the maxillary sinuses and orbits.In young children, inflammation often affects even the cranial fossa. This leads to additional serious diseases such as purulent sinusitis and meningitis. If left untreated, the inflammation will spread further and further, engulfing areas in the neck and chest, forming phlegmon. One of the most difficult outcomes is blood poisoning.

A typical complication of chronic osteomyelitis in children is the death of the rudiments of permanent teeth. The presence of fragments of dead hard tissue in the jaw can lead to necrosis.

Deformation of the jaw or delay in its growth and, as a consequence, a change in the shape of the face are not the only complications noticeable from the side. Osteomyelitis of the jaw can not only interfere with the functioning of the chewing apparatus, but also quite noticeably affect the appearance. Defects in bone tissue may prevent permanent teeth from forming, and due to weakening of the structure, the jaw may be subject to frequent fractures. The latter also threatens the formation of false joints. In the future, there may be such “echoes” as diseases of the temporomandibular joint (arthritis and arthrosis).

Rehabilitation in children after changes in the shape of the bone and the death of tooth buds occurs gradually. During the period when the bones of the skull are still forming, surgical intervention is minimized – temporary dentures are installed, and operations from a series of plastic surgery are also avoided. But physiotherapeutic procedures are used to help normalize the work of the temporomandibular joint. After the completion of the formation of the skull, if necessary, you can do plastic surgery and permanent dental prosthetics.

In addition, children who have been diagnosed with osteomyelitis of the jaw must be registered with a dentist and must visit him twice a year.

Diagnostics

The diagnostics are carried out in stages. First, data is collected when examining a patient. The doctor notes redness, swelling, the presence of seals, checks the stability of the teeth in the hole. By the cyanosis of the mucous membrane, he finds out where the focus of inflammation is, and by palpation determines the presence of purulent masses.

The doctor’s conclusions require radiographic confirmation.The image will show the location of the osteomyelitis focus, areas of destruction and compaction of the bone, necrotic fragments and dead tooth buds. However, in difficult cases of bone osteomyelitis, conventional X-ray may not be enough and the patient will be referred for tomography. In addition, in the presence of fistulas, fistulography may be required, during which a special substance is injected into the channels with purulent discharge, and then their fluoroscopy is performed.

The patient may additionally be referred for blood and urine tests to check for an increase in the level of proteins and leukocytes, which will confirm the diagnosis.With the help of a blood test, the course of the disease is also monitored, determining the onset of remission.

Treatment

After osteomyelitis is diagnosed, treatment includes the elimination of dead areas and pus, as well as antibiotic therapy to destroy the putrefactive microflora.

If the patient has odontogenic osteomyelitis, the tooth is removed, which has become the focus of infection. In this case, pus usually flows out of the hole naturally, but the doctor can make an additional hole for outflow, if the situation requires it.

After removal, the periosteum is opened to eliminate the formed abscesses. The cavities are cleaned of necrotic masses, treated with antibiotics and antiseptics. The therapy also includes the use of immunostimulating agents that help restore the body.

Children with osteomyelitis are hospitalized, as they need medical supervision and treatment, which can be provided in the department of surgery. The sooner the operation is performed, the more likely a speedy recovery is, and vice versa, delay in these cases can threaten with serious complications.

In chronic osteomyelitis, surgery is also provided to remove dead parts, such as the rudiments of permanent teeth. The necrotic fragments must be removed, otherwise they will support the inflammatory process. However, in the first place will be drug therapy: elimination of infection with antibiotics, neutralization of an allergic reaction with antihistamines and stimulation of immunity with strengthening agents. In addition, techniques such as laser physiotherapy are used.

Blood from the ear

Tsvetnoy Boulevard

Moscow, Samotechnaya, 5

around the clock

Preobrazhenskaya Square

Moscow, B.Cherkizovskaya, 5

Daily

from 09:00 to 21:00

Day off:

January 1, 2020

Dmitry Donskoy Boulevard

Moscow, Green, 28 building 1

Daily

from 09:00 to 21:00

Michurinsky prospect

Moscow, Bolshaya Ochakovskaya, 3

Daily

from 09:00 to 21:00

A tooth hurts badly – what, what to do and what will help

Probably everyone knows how much unpleasant sensations a toothache brings.She can be caught by surprise at night or before an important event, when there is no way to immediately go to the dentist. Consider why severe toothache occurs, which will help dull it before visiting the doctor.

Reasons

It would seem that a toothache cannot be confused with anything. A person experiences severe pain when closing teeth, chewing, and even at rest. However, some believe that the toothache is when the pain is actually caused by inflammation of the gums, maxillary sinus, or middle ear.With some heart conditions, pain may be felt in the back of the lower jaw on the left side. But let’s talk more about the causes of toothache.

Caries

At the initial stages of development, the disease has no obvious symptoms. As the caries progresses, it destroys the enamel and attacks the dentin, exposing the nerve. Severe pain and sensitivity appear.

Pulpitis

In simple words, inflammation of the pulp – the internal tissue of the tooth, consisting of blood vessels and nerves.Pulpitis is characterized by aching pain that worsens in the evening and at night.

Periodontitis

The disease is an inflammation of the periodontium – the connective tissue between the root and the bone socket. A person notes that a tooth hurts badly if he touches it with his tongue, bites food and even closes his mouth.

Teething of a wisdom tooth

The growth of the third molar in a row is accompanied by severe aching and pulling pain that radiates to the cheeks. In case of improper eruption, gum inflammation and serious complications are possible.

Injuries

Severe toothache caused by:

  • tooth root fractures;
  • chips;
  • cracks.

Mechanical damage occurs against the background of bruises, blows, falls, eating excessively solid food. The tooth hurts from trauma, as well as from inflammation if an infection has penetrated the pulp. The pain is sharp, dull, throbbing.

Failure of the filling

It happens that several years have passed after the filling, and a tooth begins to hurt badly.This happens if the filling has collapsed under the influence of external factors and an infection has penetrated into the “living” pulp. Another reason is poorly treated canals, as a result of which affected tissues remain inside.

Application of whitening pastes

Special teeth whitening products contain abrasive particles that thin the enamel. It becomes thin, cracks and crumbles, which is accompanied by painful sensations.

Inflammation of the trigeminal nerve

Prolonged exposure to the outdoors in cool windy weather can lead to this ailment.The pain is aching in nature.

What to do?

Sorted out the reasons. Now you need to know what to do if your tooth hurts very badly. Of course, you can take a pain reliever and relieve the pain. However, this is a temporary solution. When the drug wears off, the pain will return.

The best thing is to go to the dentist. He will conduct an examination and interview. To correctly determine the etiology, the doctor will ask what is the nature of the pain, where it is given: to the left or right side, etc. When the dentist identifies the cause, he will begin to treat according to the indications.

How to help yourself before visiting the doctor?

And what to do if a tooth hurts at night or before an important event, and there is no way to go to the dentist immediately. There is a solution. Consider effective, simple methods to relieve toothache before visiting a doctor.

Medicines

When we are in pain, we go to the pharmacy and buy pills. For toothache it is worth taking painkillers, for example:

  • Analgin;
  • Ibuprofen;
  • Indomethacin;
  • Ketans;
  • Solpadein;
  • Diclofenac;
  • Piroxicam;
  • Tempalgin etc.