What causes pain on the right side of face, ear, and jaw. How to identify teeth grinding symptoms. What are effective treatments for bruxism. How to prevent teeth grinding and protect oral health.

Understanding Teeth Grinding (Bruxism) and Its Impact

Teeth grinding, medically known as bruxism, is a prevalent condition affecting millions worldwide. It involves the clenching or grinding of teeth, often unconsciously, and can occur during both day and night. The American Dental Association (ADA) reported a significant increase in stress-related dental issues, primarily teeth grinding and jaw clenching, in 2020. This surge highlights the importance of understanding and addressing this condition.

Bruxism can lead to various oral health problems if left untreated. These include:

• Tooth damage (chipping, fracturing, or wear)
• Jaw pain and dysfunction
• Headaches
• Facial pain
• Ear discomfort

Recognizing the signs and seeking professional help is crucial for preventing long-term damage and alleviating associated symptoms.

Identifying the Signs and Symptoms of Teeth Grinding

Detecting bruxism can be challenging, especially when it occurs during sleep. However, several telltale signs may indicate you’re grinding your teeth:

• Waking up with a sore jaw
• Frequent headaches, particularly in the morning
• Increased tooth sensitivity or pain
• Tired or tight jaw muscles
• Pain resembling an earache (with no ear-related issues)
• Difficulty fully opening or closing the jaw
• Neck or facial pain
• Noticeable changes in tooth structure or wear

Additionally, your sleep partner might report hearing grinding or clenching sounds during the night. During dental check-ups, your dentist may observe signs such as:

• Chipped, loose, flattened, or fractured teeth
• Worn tooth enamel
• Gum recession

Common Causes of Teeth Grinding and Jaw Pain

Bruxism can stem from various factors, both physiological and psychological. Understanding these causes can help in developing effective treatment strategies:

Stress and Anxiety

Emotional tension and stress are primary contributors to teeth grinding, especially in adults. It often becomes a subconscious habit triggered by daily pressures and anxieties.

Dental Misalignment

Misalignment of teeth or an abnormal bite can lead to involuntary grinding as the jaw seeks a more comfortable position.

Sleep Disorders

Conditions like sleep apnea have been linked to increased instances of nocturnal bruxism.

Medications

Certain medications, particularly some antidepressants, can increase the likelihood of teeth grinding as a side effect.

Lifestyle Factors

Consumption of caffeine, alcohol, or tobacco, especially close to bedtime, may exacerbate bruxism.

Age and Development

In children, teeth grinding is often related to dental development, such as new teeth erupting or recent orthodontic treatments.

The Connection Between Posture and Jaw Pain

Poor posture doesn’t just affect your back; it can also contribute to jaw pain and teeth grinding. How does posture influence oral health? When you maintain improper posture, particularly forward head posture, it places extra stress on the muscles of the neck and jaw. This misalignment can lead to tension in the temporomandibular joint (TMJ), potentially triggering or exacerbating bruxism.

To improve posture and potentially alleviate jaw pain:

1. Be mindful of your sitting and standing positions
2. Use ergonomic furniture and accessories
3. Practice posture-improving exercises regularly
4. Take frequent breaks to stretch and realign your body

Effective Treatments and Solutions for Bruxism

Addressing teeth grinding often requires a multifaceted approach. Here are some effective treatments and solutions:

Dental Appliances

Custom-fitted night guards or splints can protect teeth from grinding damage and help realign the jaw.

Stress Management Techniques

Implementing stress-reduction strategies such as meditation, yoga, or counseling can help alleviate the underlying causes of bruxism.

Botox Injections

In some cases, Botox injections into the jaw muscles can help relax them and reduce grinding.

Dental Corrections

Addressing dental misalignments or bite issues through orthodontic treatments or restorative dentistry can help resolve grinding problems.

Lifestyle Modifications

Reducing caffeine and alcohol intake, especially before bedtime, and quitting smoking can significantly impact bruxism frequency.

Preventing Teeth Grinding and Protecting Oral Health

Prevention is key in managing bruxism and protecting your oral health. Consider these preventive measures:

• Practice good sleep hygiene
• Develop relaxation techniques before bed
• Avoid chewing on non-food items (like pens or pencils)
• Be mindful of jaw clenching during the day
• Stay hydrated to maintain muscle health
• Incorporate jaw exercises into your daily routine

Regular dental check-ups are crucial for early detection and management of bruxism. Your dentist can monitor any changes in your teeth and jaw health, adjusting treatment plans as necessary.

When to Seek Professional Help for Jaw Pain and Teeth Grinding

While some cases of bruxism may resolve on their own, persistent symptoms warrant professional attention. When should you consult a dentist or healthcare provider? Consider seeking help if:

• You experience chronic jaw pain or headaches
• Your teeth show visible signs of wear or damage
• You have difficulty opening or closing your mouth fully
• Your sleep is consistently disrupted by grinding or clenching
• Over-the-counter pain relievers no longer provide relief

Early intervention can prevent more serious complications and help maintain overall oral health.

Long-Term Impact of Untreated Bruxism

Ignoring persistent teeth grinding can lead to significant long-term consequences. What are the potential long-term effects of untreated bruxism?

• Severe tooth wear and potential tooth loss
• Chronic jaw pain and TMJ disorders
• Persistent headaches and facial pain
• Changes in facial appearance due to muscle hypertrophy
• Increased risk of dental infections
• Sleep disturbances affecting overall health

Understanding these potential outcomes underscores the importance of addressing bruxism promptly and effectively.

Holistic Approaches to Managing Teeth Grinding

While traditional dental treatments are effective, many individuals find success in complementing these with holistic approaches. How can holistic methods help manage bruxism?

Acupuncture

This ancient Chinese practice may help relieve jaw tension and reduce grinding frequency.

Herbal Remedies

Certain herbs like chamomile or valerian root can promote relaxation and potentially reduce nighttime grinding.

Cognitive Behavioral Therapy (CBT)

CBT can help address underlying stress and anxiety contributing to bruxism.

Massage Therapy

Regular massages focusing on the jaw and neck area can alleviate muscle tension associated with grinding.

Mindfulness and Meditation

Practicing mindfulness techniques can help reduce overall stress levels and promote better jaw relaxation.

While these holistic approaches can be beneficial, it’s important to use them in conjunction with professional dental advice and treatment.

The Role of Diet in Managing Bruxism and Jaw Pain

Diet plays a significant role in overall oral health and can impact the frequency and severity of teeth grinding. How can dietary changes help manage bruxism?

Reducing Stimulants

Limiting caffeine, especially in the evening, can decrease muscle tension and grinding frequency.

Incorporating Magnesium-Rich Foods

Magnesium helps relax muscles, potentially reducing involuntary clenching. Foods high in magnesium include leafy greens, nuts, and whole grains.

Balancing Calcium and Vitamin D

These nutrients are crucial for dental health and may help strengthen teeth against grinding damage.

Avoiding Hard or Chewy Foods

Limiting foods that require excessive chewing can help reduce jaw strain and muscle fatigue.

Staying Hydrated

Proper hydration supports overall muscle health, including those in the jaw area.

Remember, while dietary adjustments can be helpful, they should be part of a comprehensive approach to managing bruxism, including professional dental care.

Technological Advancements in Bruxism Treatment

As dental technology evolves, new tools and treatments for managing bruxism are emerging. What are some innovative approaches to treating teeth grinding?

Biofeedback Devices

These devices monitor jaw muscle activity and alert users when they’re clenching, helping to build awareness and control.

Smart Night Guards

Advanced night guards equipped with sensors can track grinding patterns and provide data to dentists for more targeted treatment.

3D-Printed Dental Appliances

Customized, 3D-printed night guards offer improved fit and comfort compared to traditional models.

Neuromuscular Dentistry

This approach uses advanced technology to analyze jaw position and muscle function, allowing for more precise treatment planning.

Virtual Reality Therapy

VR applications are being developed to help patients practice relaxation techniques and manage stress-related bruxism.

While these technological advancements offer promising solutions, it’s essential to consult with a dental professional to determine the most appropriate treatment for your specific case.

The Impact of Bruxism on Overall Health

Teeth grinding doesn’t just affect oral health; it can have far-reaching consequences on overall well-being. How does bruxism impact general health?

Sleep Quality

Nighttime grinding can disrupt sleep patterns, leading to daytime fatigue and decreased cognitive function.

Chronic Pain

Persistent jaw clenching can result in chronic headaches, neck pain, and even back pain.

Digestive Issues

Severe bruxism can affect chewing ability, potentially leading to digestive problems.

Psychological Impact

The pain and discomfort associated with bruxism can contribute to mood disorders and increased stress levels.

Cardiovascular Health

Some studies suggest a potential link between severe bruxism and increased risk of cardiovascular issues, though more research is needed.

Understanding these broader health implications underscores the importance of addressing bruxism promptly and comprehensively.

Coping Strategies for Living with Bruxism

While treatment is essential, developing coping strategies can help manage the daily challenges of living with bruxism. What are some effective ways to cope with teeth grinding?

Stress Management Techniques

Incorporate stress-reduction activities into your daily routine, such as deep breathing exercises or progressive muscle relaxation.

Jaw Exercises

Regular jaw exercises can help relax muscles and improve flexibility, potentially reducing grinding frequency.

Heat and Cold Therapy

Applying heat or cold packs to the jaw area can help alleviate pain and muscle tension.

Sleep Hygiene

Establish a consistent sleep routine and create a relaxing bedtime environment to promote better sleep quality.

Support Groups

Connecting with others who experience bruxism can provide emotional support and practical tips for managing the condition.

Remember, while these coping strategies can be helpful, they should complement, not replace, professional dental treatment for bruxism.

Causes & What You Can Do About It

How To Stop Grinding Your Teeth: Tips & Techniques

By manager
•
02 Mar, 2023

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

Jaw Pain – Causes, Symptoms and Managing the Pain

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Jaw pain can quickly escalate from a mild annoyance to a persistent, disruptive ache. Don’t let yourself suffer from prolonged jaw pain — see a dentist.

If you’re suffering from pain in your jaw, you’ll probably agree it makes everyday tasks much harder than they should be. Just talking and eating can be painful ordeals when you’re battling jaw pain, let alone focusing on your daily tasks. Jaw pain can make it hard to open your mouth and radiate into other parts of your face and head, causing earaches and headaches too.

What causes jaw pain?

Everything in and around your mouth is connected, from the teeth themselves to the temporomandibular joint. There are all sorts of reasons jaw pain can occur, and the issue may not even be in the jaw itself.

One common and concerning cause of jaw pain is known as temporomandibular joint disorder (TMJ). This disorder can result from trauma such as a sports injury, prolonged bruxism (or teeth grinding), arthritis or even genetics.

Other causes we’ve seen for jaw pain include:

• Poor jaw or teeth alignment (malocclusion).

• Heavy chewing

• Dental infection

• Stress or anxiety

• Sinus infection

• Impacted wisdom teeth

• Heart attack, particularly when pain is on one side of the face

• Tumours or cysts.

Symptoms of jaw pain

Persistent, throbbing pain in and around the jaw is the most obvious symptom of prolonged jaw pain, however it can also create other difficulties. Minor jaw pain, such as that cause from chewing something hard, will likely fade quickly and isn’t cause for concern. Throbbing pain that persists over a day or two is cause to see a dentist, no matter whether the pain is dull or sharp.

Where you experience jaw pain can vary depending on the cause. Your jaw pain may be localised to the left or right side of your face. This localised jaw pain may be more common following a tooth extraction on that side, as a result of severe tooth decay, or due to wisdom teeth impaction.

You might also find jaw pain can spread up to your ears, causing inflammation and further pain. Jaw pain can even spread downwards around the neck. Inflammation around this part of the face can make even simple actions like turning your head uncomfortable.

You should also look out for signs of popping or clicking in the jaw, or around the temporomandibular joint, which is where your jawbone connects to your skull, below your cheekbone and near your temples. This may be a sign of TMJ disorder, which should be diagnosed by your dentist.

Other common symptoms that accompany jaw pain are: 

• Difficulty talking, eating or chewing

• Jaw “locking” open or closed

• Earaches, headaches and facial swelling

• Swollen lymph nodes

• Fever.

Treating jaw pain at home

Some jaw pain will pass with a bit of time and rest. If you’re just beginning to experience jaw pain and it is not currently severe, you may be able to alleviate some of the pain by taking an over-the-counter anti-inflammatory like ibuprofen.

Chronic jaw pain caused by bodily stress may be reduced through calming techniques such as yoga or meditation, or addressing major stress factors in your life. Reducing your intake of caffeine may also help to remove tension.

Sudden jaw pain, such as from an injury, may be reduced by applying ice or moist heat to the site of the pain.

Home treatment should only be used temporarily. If you’re experiencing constant or extreme jaw pain, it’s crucial to book an appointment with your dentist as soon as possible for a professional diagnosis.

When to see a dentist

If your jaw pain lasts more than a day or two, it’s time to see a dentist. Of course, if the pain is still new but especially severe, it’s a good idea to call Kowhai Dental and ask about an emergency dental appointment.

The sooner you book an appointment with Kowhai Dental, the sooner we can treat your pain. Request an appointment online or call us on 09 430 0707.

What to expect

When you come to Kowhai Dental for jaw pain, we’ll start by consulting with you about the severity and location of the pain, as well as any other symptoms you may be experiencing.

It’s important to think about exactly where the pain is and what you think could be causing it, as this can help us identify the issue sooner. Think about your answer to the following questions:

• Have you suffered trauma to your face recently?

• Is the pain localised to a specific area?

• When did the pain start?

• Have you noticed other symptoms, like earache or jaw popping?

• Do you grind or clench your teeth?

Beyond these questions, we’ll most likely perform a full examination of your teeth and may need to take an X-ray. We can do this in our clinic during the same appointment, so there’s no need to worry about delays. 

Once we’ve identified the issue, we’ll talk you through your treatment options and help you decide what course of action you’d like to take.

Related treatments

Root Canals →

Tooth Extraction →

Orthodontics →

Night and Sports Guards →

Jaw pain

How do I get rid of jaw pain?

The best way to treat jaw pain at home is to use an over-the-counter anti-inflammatory such as ibuprofen. However, there is no way to immediately get rid of jaw pain. The jaw may simply need some time and rest, or otherwise will need to be examined by a dentist.

What is TMJ pain and what does it feel like?

TMJ pain is pain related to the temporomandibular joints, where your jaw connects to your skull. These joints are responsible for a lot of complex movements in eating and talking, so get a lot of use.

TMJ pain may radiate from the joint itself down into the jaw and the ears. The pain is often dull and throbbing. You might also experience popping or locking of the jaw when opening or closing your mouth.

Why does my jaw hurt on one side?

Jaw pain on one side of the face may be due to a nearby dental cavity or infection, localised trauma, or an impacted wisdom tooth. In severe cases tumours or even heart attacks can cause jaw pain on one side of the face.

Why does my jaw hurt by my ear?

Your jaw connects to your skull at the temporomandibular joints, which are located next to each of your ears. TMJ disorder or pain due to heavy chewing may be felt most strongly at the joints.

Which side of the jaw hurts during a heart attack?

Jaw pain related to a heart attack is commonly reported occurring on the left side of the face, however can sometimes affect the right side instead. If you’re experiencing a heart attack, the pain will most likely be diffused and it will be harder to locate the exact site of it.

You may also feel dizziness, confusion, flushing and intense perspiration in the case of a cardiac event. If you suspect a heart attack, call an ambulance immediately.

Will jaw pain go away?

Most jaw pain will pass with time, and may be a case of overexertion of the jaw. If your jaw pain doesn’t go away with a bit of rest over one or two days, book an appointment with Kowhai Dental as soon as possible.

How can I relieve TMJ pain?

Some exercises and pressure points may help to reduce the pain of TMJ temporarily.

For a jaw relaxation exercise: Touch your tongue to the roof of your mouth just behind your front teeth, then gently open and close your mouth. Repeat as needed.

For a jaw pain pressure point: Place your thumb under your chin and apply pressure while opening your mouth. Hold for up to five seconds before closing your mouth.

What causes TMJ to flare up?

Teeth grinding, external trauma, excessive chewing and overextending the temporomandibular joint can all cause TMJ disorders to flare up and create jaw pain.

How should I sleep with jaw pain?

Sleeping on your back is often the most comfortable for those suffering jaw pain. Sleeping on your back offers better support for the head, neck and shoulders and doesn’t put pressure on your jaw. Most people are less likely to grind or clench their teeth when sleeping on their back.

Should I see a doctor or dentist for jaw pain?

The jaw is within the purview of dentists and orthodontists, so most issues around the jaw can be more easily diagnosed by a dentist.

While some causes of jaw pain such as cardiac events or tumours may be better treated by a doctor, your dentist is best equipped to identify most common causes and will refer you to a doctor if the issue is not dental.

Can a night guard make TMJ worse?

If you simply buy a sports guard from the supermarket, there is a good chance that it will worsen TMJ conditions. However, a professionally fitted night guard is designed to reduce teeth grinding, protecting the biting surface and temporomandibular joints.

What can a dentist do for TMJ?

There are a range of different treatment options for TMJ. Your dentist will talk you through the options available to you and help you decide what you’d prefer.

Some examples include orthodontics, such as a plate or braces to correct your bite. In some cases, a dentist may recommend filing and polishing existing teeth, or replacing missing teeth to likewise correct the bite.

Jaw Pain

When the face hurts

Science

V.M. Tyurnikov
Candidate of Medical Sciences, Senior Researcher

State Research Institute of Neurology RAMS

last millennium healer Aretaeus. He described in detail the disease, which proceeds with excruciating attacks of pain in half of the face.

The prevalence of trigeminal neuralgia (TN) is quite high and amounts to 30 – 50 patients per 100,000 population, and the incidence according to WHO is in the range of 2 – 4 people per 10,000 population. According to WHO, more than 1 million people worldwide suffer from trigeminal neuralgia.

More often this suffering occurs in women in the right half of the face at the age of 50 – 70 years. Various vascular, endocrine-metabolic, allergic disorders, as well as psychogenic factors contribute to the development of the disease. But most often the cause of the disease can not be found.

Tormenting attacks of pain in the face (lips, eyes, nose, upper and lower jaw, gums, tongue) can occur spontaneously or provoked by talking, chewing, brushing teeth, touching certain areas of the face (trigger points). Their frequency varies from single to tens and hundreds per day. During the period of exacerbation, more often in the cold season, attacks become more frequent. This pain is so strong that patients cannot concentrate on something else. Patients at this time are in constant tension, close on their feelings and exist, not noticing anything around, only constantly waiting for the next attack. Sometimes patients, unable to endure more pain, commit suicide. Even during periods of remission, patients live in fear, fearing an exacerbation of the disease, walk with their heads covered even in summer, do not touch the affected half of the face, do not brush their teeth, do not chew on the side of the lesion.

The first visit is often not to a neurologist, but to a dentist. This is due to the fact that the area of ​​distribution of pain is located not only on the face, but also in the oral cavity. Very often, on the affected side, healthy teeth are removed by mistake.

Despite the fact that the disease has been known for a long time, there is still no consensus on the causes of its occurrence.

Many researchers now believe that neuralgia can be triggered by pressure from a blood vessel (artery or vein) on part of a nerve, thus causing a change in the nerve sheath (demyelination). A change in the nerve sheath, in turn, leads to a change in the passage of nerve impulses, causing the appearance of pathological excitability of the nerve and, ultimately, pain. The cause of a local change in the nerve sheath can also be pressure from the tumor on the nerve, pressure from the wall of the narrowed bone canal through which the nerve passes. The shell can also be damaged in viral diseases (herpes) or in multiple sclerosis.

The treatment of trigeminal neuralgia is varied. Anticonvulsants are prescribed to prevent the development of an attack of pain (carbamazepine, finlepsin, tegretol), vascular drugs, antispasmodics, sedatives. Physiotherapeutic procedures are widely used (applications with paraffin, Bernard currents), acupuncture.

Traditional medicine recommends:

• Yarrow (herb): 1 tablespoon dry herb to 1 cup boiling water. Leave for 1 hour. Take 1 tbsp. spoon 3-4 times a day.

• Highlander amphibians (root): 1 teaspoon of the root boil for 10 minutes in 1.5 cups of water, leave for 2 hours, strain. Take 1/2 cup 3 times a day.

• Cut a hard-boiled egg in half and immediately apply both halves to the place where the pain is most felt. Wait for the egg to cool, the pain should disappear.

For the treatment of neuralgia, laser radiation is applied on the skin over the fields in the area where the branches of the trigeminal nerve exit the skull.

A number of authors recommend efferent methods of therapy (plasmapheresis, hemosorption). Despite the variety of conservative methods of treatment, including drug therapy, physiotherapy, traditional medicine, the main method of treatment today remains surgical. The operation relieves the patient of pain forever or for a long time. But it is pain that is the main complaint of the patient.

To get rid of pain or reduce pain, at least for a short time, alcohol-novocaine blockades are widely used at the exit points of the branches of the trigeminal nerve on the face. Unfortunately, even with an effective blockade, it lasts for a short time and the pain resumes. The therapeutic efficacy of repeated blockades decreases each time, the duration of remission (cessation of pain) also decreases.

The search for the most effective and safe surgical treatment for trigeminal neuralgia has been going on for more than a century. The first attempts at surgical treatment were made in the middle of the 18th century and were often dramatic, ending in death. To influence the trigeminal nerve, a craniotomy was performed, often accompanied by life-threatening bleeding. After the operation, many patients developed complications, accompanied by paresis, paralysis, visual impairment. Even in the 50s-60s of the 20th century, after operations with open access, a large percentage of serious complications was observed, and postoperative mortality reached 2-3%. Surgical methods of treatment gradually improved, became more and more safe.

Two methods of surgical treatment are currently widely used in the world.

First – microvascular decompression of the trigeminal nerve root. Microvascular decompression consists in trepanation of the posterior cranial fossa, revision of the relationship of the trigeminal nerve root, superior and inferior anterior cerebellar arteries, and superior petrosal vein. When the root is compressed by the vessels, they are isolated, and a gasket is placed between the vessels and the root, preventing contact between them and the impact of the vessel on the root.

However, neurovascular conflict is not always the cause of the disease. In addition, in patients suffering from severe concomitant somatic pathology, and patients in old age, this operation is risky.

Currently, in our country and abroad, one of the most common methods of treating trigeminal neuralgia is percutaneous radiofrequency destruction of the trigeminal nerve roots.

This method is the most effective and has practically no serious complications. Radiofrequency destruction is based on the physical principle of thermocoagulation and is based on the effect of thermal energy release when ultrahigh frequency currents pass through biological tissues. An electrode connected to a current generator is brought to the site of destruction through an insulated cannula. The intensity of tissue heating depends on its resistance. An electric current passes between an active or damaging electrode immersed in body tissues and an indifferent or scattered electrode. Heat production, and consequently tissue destruction, occurs only around the uninsulated tip of the active electrode. The main advantage of the radiofrequency thermal destruction method is that the size of the damage zone can be adequately controlled, and the electrode with a temperature sensor registers the temperature in the damage zone. It is possible to set the exact time of damage, and the control of electrical stimulation and the level of resistance allows you to correctly and accurately place the electrode. The use of local anesthesia provides a short recovery period, and, if necessary, repeated sessions of radiofrequency thermal destruction are possible.

The criteria for selecting patients for radiofrequency destruction are the duration of the pain syndrome for more than 4-12 months; unstable effect or its absence after ongoing drug therapy; the absence of gross violations of the anatomical relationships in the skull.

Neurosurgeons continue to improve existing surgical procedures, striving for an ideal surgical operation that would be safe for the patient, relieve pain forever, without causing any complications.

In recent years, new approaches to the treatment of trigeminal neuralgia have appeared:

• Stereotactic radiosurgery (Gamma Knife) is a bloodless method of destroying the sensitive root using focused gamma radiation.

• Epidural neurostimulation of the motor cortex of the brain: a special eight-pin electrode is placed under the skull bone on the brain membrane. Regression of pain occurs within a few minutes and continues for many hours after the cessation of electrical stimulation. The effectiveness of this method is explained by an increase in cerebral blood flow in subcortical structures.

Thus, today medicine has a large range of conservative and surgical methods for the treatment of trigeminal neuralgia.

At the initial stage of the disease, after a standard neurological and general examination, drug therapy, physiotherapy, blockade of the peripheral branches of the trigeminal nerve are recommended, and only after a few months of ineffective treatment, one of the neurosurgical methods of treatment is indicated.

Indications for each of them depend on the duration of the disease, the age of the patient, the presence of concomitant diseases. The success of surgical treatment depends on a clear diagnosis, careful selection of patients and strict adherence to surgical technologies.

© Newspaper “Academy of Good Health”, 2005, No. 8

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Inflammation of the trigeminal facial nerve – symptoms and treatment

Inflammation of the facial nerve is an unpleasant ailment that does not go away painlessly. The main complaints of patients are sharp attacks of pain in the face, in the upper and lower jaws.

Such inflammation is considered one of the most common among facial pains. Most often, the disease proceeds without a trace, but if treatment is neglected, paralysis may occur.

The disease occurs more often in women over 50 years old, men are treated with such an ailment much less frequently. The risk group also includes people with a genetic predisposition, for example, with a narrow bone canal. Due to this anatomical feature, the risk of pinching in case of circulatory disorders and various inflammations is increased.

What is the facial nerve?

The trigeminal nerve, also known as the facial nerve, is the largest of the twelve cranial nerves. It originates in the ear, after which it branches, the first path reaches the frontal part, the second is located at the jaw. The nerve goes around almost the entire surface of the human face, it literally controls it.

Each person has two facial nerves – one on each side of the head. It is in contact with other cranial nerves and has hypersensitive fibers.

Doctors divide the disease into two types – primary and secondary. The primary one manifests itself as a complication from a cold, in which case the normal nutrition of the nerve is disrupted. Secondary occurs with severe intoxication against the background of inflammatory or infectious diseases, as well as tumor processes.

Causes of inflammation of the trigeminal nerve on the face

It is usually caused by an infection or bacteria. List of reasons why inflammation of the facial nerve may occur:

• Temporomandibular joint injuries
• Tumors (benign and malignant) of the brain and face
• Anomalies in the development of the skull
• Injuries of the skull – birth, fracture, bases, damage to the face or jaw
• Poliomyelitis
• Pulmonary tuberculosis
• Otitis
• Sinusitis
• Chronic caries
• Inflammation after extraction or treatment of teeth
• Hypertension
• HIV and AIDS
• Poisoning
• Inflammation of the middle ear
• Severe hypothermia of the head
• Hormonal changes in women
• Inflammation of the gums
• Ramsay Hunt Syndrome
• Stroke
• Bell’s Palsy

Causes range from minor to life-threatening illnesses. Each of the reasons determines the further treatment of the patient. In some cases, special tests are carried out for diagnosis – auditory, lacrimal, infectious, salivary or gustatory. Thus, the work of receptors and sensory organs is checked.

Symptoms of trigeminal inflammation

The main symptoms of neuralgia of the facial nerve experts include short-term, but acute and intense pain in different parts of the head. Shooting attacks spread over the entire surface of the face – lips, eyes, nose, upper and lower jaws, gums and tongue.

Patients also report the following symptoms:

• Metallic taste in mouth
• Muscle weakness
• 2-3 days before facial expressions are affected, pain occurs behind the outer ear, spreading to the face, occiput and eyes
• Facial asymmetry
• Inability to close the eye on the affected side
• Downturned corner of the mouth
• Dry mouth
• Unintelligible speech
• Downward strabismus
• Uncontrolled tearing
• Disruption of taste buds
• Increased salivation
• Spasms of facial muscles
• Increased or decreased sensitivity of the face
• Temperature rise

Due to discomfort and pain, the patient begins to develop a phobia and increased anxiety. He tries to avoid postures and movements that provoke discomfort.

Diagnosis of inflammation of the trigeminal nerve

Depending on the affected area and the set of symptoms, a strategy for diagnosing the disease is determined. To determine the location of nerve damage, the severity and dynamics of recovery, doctors prescribe a method of hardware diagnostics, for example, electromyography. MRI and CT are used to determine the presence of tumors in the brain.

Also, the patient may be referred for a general or biochemical blood test, x-ray of the lungs, ultrasound of soft tissues or ophthalmoscopy.

You can be sure of the quality of the procedures performed in the clinic and the high accuracy of the results of MRI, CT and other methods of diagnosing various diseases. Medunion conducts all types of magnetic resonance imaging: the head, spine, abdomen and joints using modern equipment.

Treatment for inflammation of the facial nerve

Medical treatment

Treatment of trigeminal neuritis is complex. The disease is first treated with medication – the patient is prescribed drugs that will alleviate the situation. These include painkillers, decongestants, vasodilators and B vitamins. Most often, the recommended medicines are tablets, but you can speed up the recovery process through the use of ointments and gels. Sometimes doctors prescribe an appointment for intramuscular injections.

In special cases, the process of recovery of the facial nerve can be slowed down. Then the patient is prescribed glucocorticosteroids, which improve the metabolic processes of the nervous tissue. Also, various biostimulants and hyaluronidases contribute to a speedy recovery.

You can not prescribe drugs to yourself. Be sure to see a neurologist or neuropathologist at the first symptoms to determine the diagnosis and treatment strategy. Preparations for recovery are recommended to patients on a case-by-case basis, paying attention to the presence of chronic diseases, the characteristics of symptoms, and so on.

Surgical treatment

Another way to treat the facial nerve is surgery. However, doctors rarely turn to this option – only when the trigeminal nerve is ruptured. Also, the operation is required in the absence of the effect of the conservative method after six months or a year. Surgical intervention is relevant only during the first year of the presence of the disease, later the muscles on the face irreversibly atrophy.

The process of the operation – specialists stitch the damaged section of the facial nerve to restore its motor function.

Massage

The next method of treatment is massage in the treatment of the facial nerve. The purpose of this method is to remove edema, improve blood circulation, restore sensitivity and conduction of nerve impulses. Massage is contraindicated in tuberculosis, oncology, atherosclerosis and elevated temperature.

Initially, the masseur works only with the healthy side of the face, the collar zone, the neck and the area above the shoulders. Basically, the master uses rubbing, stroking, kneading and vibration.

For noticeable desired changes, it is necessary to conduct ten to twenty massage sessions from five to fifteen minutes. The duration is determined based on the degree of inflammation of the trigeminal nerve, the objectives of therapy and the dynamics of recovery.

Physiotherapy

The next method of treatment is physiotherapy. It alleviates the severity of symptoms, helps to activate metabolic processes in tissues and restore the functions of the facial nerve.

Doctors prescribe such a course of treatment from the first days of the appearance of neuritis. The list of physiotherapy includes:

• Ultrasound
• Laser blood irradiation
• Drug electrophoresis
• Microwave therapy
• Exposure to ultra-high frequency electricity
• Ozokerite treatment
• Myoelectrostimulation
• Darsonvalization

Such a complex is indicated for the first week of treatment. Doctors prescribe it together with medication. Such a tandem helps to speed up the process of facial nerve recovery. And its most important advantages are the absence of side effects and painlessness.

Alternative methods

There are also alternative treatments. These are procedures aimed at restoring facial muscles and eliminating the symptoms of facial neuritis. These procedures include:

• Clay or paraffin masks
• Acupuncture
• Reflexology
• Injections to correct muscle disorders
• Therapeutic baths
• Taping – stretching the face with adhesive plasters
• Immunosorption – purification of blood from antigens and antibodies
• Biofeedback – facial muscle training

Facial gymnastics

Also, in conjunction with complex treatment, you can do gymnastics for the face. Before this, it is necessary to consult with a specialist, the doctor will make an individual list of exercises, based on the severity of the process, the site of the lesion and symptoms. Usually such gymnastics takes about ten minutes a day.

The standard set of exercises includes relaxation and tension of individual muscles of the face. For example, to restore articulation, it is recommended to pronounce the sounds “y”, “o”, “and”. After that, it is necessary to bring the lower lip under the upper teeth and reproduce the sounds “v” and “a”.

Gymnastics for inflammation of the trigeminal nerve:

1. Close your eyes
2. Raise eyebrows up
3. frown
4. Squint
5. Smile with closed mouth
6. Smile with open mouth
7. Puff out cheeks
8. Pull them back in
9. whistle
10. Widen the nostrils
11. Curl lips
12. Raise upper lip and return to starting position
13. Lower lower lip and return to starting position
14. Take a mouthful of water
15. Rinse mouth
16. Close your mouth
17. Drive the tip of the tongue along the gums
18. Move tongue right and left

Disease prevention

Doctors recommend eliminating effects on the body that cause inflammation of the trigeminal nerve.