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Suggest Treatment For Symptoms Of TMJ Disorder

Posted on Mon, 4 Jan 2016

Question: Hi, I'm having pain and discomfort near my ear, deep in the cheek. I consulted a doctor and he said it is TMJ disorder. I would like to consult the doctors here and get an opinion on the next steps. Will you be able to assist?

Answered by Dr. Honey Arora (2 hours later)

Brief Answer:
Seems like TMJ, needs more information..

Detailed Answer:
Hi..
Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concern..

As per your complain, symptoms that you have explained and the Orthopantomogram that you have attached seems that seems to be Temporomandibular joint disorder and I would like to know a few more details so that I can guide you better towards treatment..

Kindly answer the following questions:
1.Is there pain on both sides of the jaw or any one side, or is pain on any one side more than the other side?
2.Is there clicking sound on opening and closing the jaw?
3. Is the mouth opening restricted or reduced?
4. Is the pain always present or only on chewing?

Kindly answer the following questions so that I can guide you better..
If you wish to give any more information it is also welcome..

Wishing you a good health..

Thanks and regards..
Dr.Honey Nandwani Arora..

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Honey Arora (44 minutes later)

Hi Dr. Honey,

Firstly, thank you so much for taking time out to answer my query.

Please find below answers to your questions-

1.Is there pain on both sides of the jaw or any one side, or is pain on any one side more than the other side?
A: Pain is on the left side only. Noting felt on the right side.

2.Is there clicking sound on opening and closing the jaw?
A: Not always, difficult to say. Very faint on the left side, but rare.

3. Is the mouth opening restricted or reduced?
A: Compared to before yes. Gap of only two fingers between my lower and upper teeth.

4. Is the pain always present or only on chewing?
A: Since I've been on pain killer and meds its not there. I skipped the med last night and there was discomfort even while chewing.

Regards,
XXXX

Answered by Dr. Honey Arora (1 hour later)

Brief Answer:
TMJ on left side, needs medication as well as mouth guard/occlusal splint..

Detailed Answer:
Hi..
Welcome Again..

Thanks for the reply..

As per your answers as well as co-relation with your x-ray it seems like forward displacement of the condyle of the mandible [portion of the lower jaw that takes part in making jaw joint with base of skull]..

The treatment advised to you, that is wearing mouth guard is a correct line of treatment as it will help in gradually re-positioning of the jaw..

You will also be advised to continue taking the medication to relieve pain..

So, it will be better to start with the treatment for faster resolution..

Any further queries are welcome..

Thanks and regards.
Honey Nandwani Arora..

Note: Find out which dental treatment will work best for your teeth. Ask here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj