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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In The Jaw, Not Able To Eat. Suffered Depression And Anxiety. Is The Pain Psychological?

Hello, My sister just got out of a psych hospital for depression , anxiety , and pain related to bone spurs of her jaw. She had her upper teeth pulled for dentures . It has been 3 months of excruiating pain, embarrassement, and the inability to eat. I feel that the oral surgeon didn t do a good job. She had an appt. yesterday and said this was all in her mind and that he d have to redo the process!!! What has happened to her mouth? Why can t the doctor do something? Finally, should she seek a second opinon? Thank you.
Sat, 30 Mar 2013
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Dentist 's  Response
Hi,

Thanks for asking the query,

Pain in the jaw can be tooth infection radiating its pain to jaws, muscle pain or due to neurological pains . You say that the upper teeth are extracted , so what is the need to redo the procedure?

You visit to Oral and Maxillofacial Surgeon and do complete clinical evaluation of teeth, TMJ , Look for any neurological disorders .
If the teeth is extracted you can replace it by fixed or removable dentures.

Take a complete course of antibiotics and analgesic .
Take a good balanced diet .
Drink lots of water and keep yourself hydrated .
Maintain a good oral hygiene , use antiseptic mouthwash gargles twice daily.

Hope this helps out.

Regards..
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Dentist Dr. Farah Hussain's  Response
hello there ,

As you have mentioned your sister is a victim of depression and anxiety , feeling of pain in the jaws and teeth can be psychological in such people. but we cannot ignore the condition and it needs to be evaluated before confirming .

i would suggest you to get an OPG RADIOGRAPH done for her , this imaging will show the entire picture of both the jaws and all the teeth .

any infection with the teeth , gums and the level of bone can be evaluated and accordingly the necessary treatment can be planned.

Diagnostic radiographs are must before starting any treatment. If the x ray is normal , the symptoms can be considered as psychological.

i hope this information helps you ,

take care.
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2 Doctors agree with this answer

Dentist Dr. Bindiya Bhaskar's  Response
Hello,

Thanks for writing in.

Since your sister is under treatment for psychological disorder,the pain may or may not be experiencing.
The final judgement can be done after clinical examination.
I Would suggest you to get a check-up done.
If the extraction socket has not completely healed,warm saline and betadine rinse has to be done.
Take complete course of antibiotics-analgesics .
Maintain good oral hygiene.
Infected tooth if present,has to be restored or removed depending on severity of lesion.
The dentures has to be placed only when the socket has completely healed.
Take care.
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Pain In The Jaw, Not Able To Eat. Suffered Depression And Anxiety. Is The Pain Psychological?

Hi, Thanks for asking the query, Pain in the jaw can be tooth infection radiating its pain to jaws, muscle pain or due to neurological pains . You say that the upper teeth are extracted , so what is the need to redo the procedure? You visit to Oral and Maxillofacial Surgeon and do complete clinical evaluation of teeth, TMJ , Look for any neurological disorders . If the teeth is extracted you can replace it by fixed or removable dentures. Take a complete course of antibiotics and analgesic . Take a good balanced diet . Drink lots of water and keep yourself hydrated . Maintain a good oral hygiene , use antiseptic mouthwash gargles twice daily. Hope this helps out. Regards..