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How Can Aggravating Pain And Inflammation In The Jaw And Lips Be Treated?

Posted on Wed, 27 Sep 2023

Question: My mother, 63, has been suffering from pain and inflammation in her jaws and lips. Please note that she oes not have any tooth present now. Tried for dentures but because of that pain she can not take the dentures.
This problem is there for almost 1.5 years now. And the problem is aggravating everyday. Now the problem is severe.
I have consulted here with three dentists. They have seen her but they are telling that they can not find any problem with the jaws and can not find any reason for that. Though they had provided with some creams/ointment to apply. The medications she has used so far (all suggested by them) are-
1) Lycored to take and Cloben-G to apply
2) Hexigel-Mucopain combination to apply
3) Zytee to apply
But unfortunately problem is being aggravated instead of cure!!
I am very upset with the treatment she is getting. Please suggest something such that she gets some relief from the pain!!
With regards,
-----------------------XXXX

Answered by Dr. Honey Arora (43 minutes later)

Brief Answer:
Please provide more details.

Detailed Answer:
Hi.
Thanks for the query..

Pain and inflammation in mouth and jaws can be due to a number of causes.

Please provide following details so that I can guide you better :

- Is she having inflammation only inside the mouth or outside also, also please click pictures and upload.

-Is there ulcers also present?

- Is she having a dry mouth?

- Is she allergic to anything?

-Is she taking any medicines for any diseases if at all she has any?

Please revert back with answers..

Regards.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Honey Arora (1 hour later)

thank you madam for quick reply.
1) Inflammation on the inside jaws and inside and outside part of the lips also.
2) i have consulted with doctors here. They have not seen any ulcer there. I have taken a pic and attaching the same.
3) Yes, you are right. She feels very dry mouth from the morning itself. And goes on drinking waters every few minutes!!!
4) She is taking the following medicines now----
a) Cetapin XR(500)- 2 times
b) Amtas(5)--once
c) Becosule-Z -- once
d) Selcal(500)--- twice
e) Vitamin D3(2k)--- once
f) Ativan(2) + qitipin(25) -- at bed time
g) Cremafin at bed time.

Please suggest.
With regards,
------------------------XXXX

Answered by Dr. Honey Arora (12 hours later)

Brief Answer:
Can be due to dry mouth.

Detailed Answer:
Hi.
Thanks for the reply.

From the image it does not look like inflammation as there is no significant redness or rawness inside mouth..

So the symptoms that you are explaining can be due to a condition known as Burning mouth syndrome.

This is commonly seen in indviduals having a dry mouth.

You can get Biotene mouthwash and she can gargle with it few times a day.
She can suck ice and do cool water
rinses.
She can use oral lubricant like artificial saliva drops and gels like Oralgel.

Hope this helps..

Regards.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Honey Arora (41 minutes later)

Thank you for the answer.
1) May i know, what is the reason for dry mouth?
2) What i have found is that "oragel" is basically benzocaine!! so it is a kind of relief, not a treatment for cure. So how long she can go on using it? will not this create further problem in future?
Is not there any treatment for cure?
With regards,
-------------------------XXXX

Answered by Dr. Honey Arora (1 hour later)

Brief Answer:
There can be many reasons.

Detailed Answer:
Hi.
Dry mouth is not a disease but a symptom of any underlying disease or side effect of medication..

As she is taking a number of medicines it can be due to it.

Cure depends on elimination the cause.

So once consult your Doctor and discuss about dry mouth so that he can evaluate and do necessary changes.

Also please read carefully.
I have not advised oragel it is ORAL-GEL that is not benzocaine but it is a mouth lubricant to reduce dryness in mouth..

Hope this helps.

Regards.

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Honey Arora (6 hours later)

Thank u madam.

1)I would like to know, which doctor to consult for diagnosing the cause of "dry mouth" , i mean whether "Dentist" or "General Physician"?
2) If for the time being, she takes the measures you suggested, will she get relieved from the pain and inflammation problem?

With regards,
------------------XXXX

Answered by Dr. Honey Arora (2 hours later)

Brief Answer:
Consult her treating Physician.

Detailed Answer:
Hi.
You can consult her treating doctor so that her medicine doses can be
re- checked and if needed adjustments can be done to reduce severity of dry mouth.

Yes, she will get relieved but it takes time and consistent management is a must.

Hope this helps..

Regards.

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

Above answer was peer-reviewed by : Dr. Prasad