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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Tooth Pain

Hi I had a tooth ache for a while and I saw my dentist and he said the x ray is fine and no problem with molars….I have has severe ear aches, tooth aches and have not been able to eat for few days as it hut=rts to chew or talk, ibuprophne is not working, the right side of my face is hyper sensitive to chewing and talking…..icing my jaw seems to help temporarily. not sure what's gong on.Thanks!

Mon, 23 Feb 2015
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Dentist 's  Response
Hello,
You seem to describe radiating jaw and muscle pain. Have you been clenching or grinding your teeth? This can cause TMJ dysfunction and muscle spasms that limit jaw movement. Try a soft diet and continue to take Antiinflammitory medication such as Tylenol or Motrin at regular intervals. Initial moist heat should help reduce symptoms.
If symptoms are prominent in the morning, you most likely grind at night. An occlusal guard can help stop this by breaking the grinding pattern and muscles will not spasm. See your dentist to discuss your symptoms and look for clinical signs such as excessive tooth wear. The joint also has a disc that can be out of sync And cause jaw deviation.
Diagnostic tests such as a panorex or cone beam X-ray can be considered to look for joint damage.
Excessive damage to your teeth can result in fractures. A severe case could include a split tooth that often can be difficult to diagnose. See if you can isolate a single tooth on the right side. Some infections will take time for symptoms to pinpoint the source. Swelling, pressure and hot sensitivity are all signs of an abscess. Have your wisdom teeth been evaluated or removed? Sinus, ear and oral infections can often cause mixed symptoms. You may need to check all areas to get a complete diagnosis.
Thankbyou for your inquiry.
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Suggest Treatment For Severe Tooth Pain

Hello, You seem to describe radiating jaw and muscle pain. Have you been clenching or grinding your teeth? This can cause TMJ dysfunction and muscle spasms that limit jaw movement. Try a soft diet and continue to take Antiinflammitory medication such as Tylenol or Motrin at regular intervals. Initial moist heat should help reduce symptoms. If symptoms are prominent in the morning, you most likely grind at night. An occlusal guard can help stop this by breaking the grinding pattern and muscles will not spasm. See your dentist to discuss your symptoms and look for clinical signs such as excessive tooth wear. The joint also has a disc that can be out of sync And cause jaw deviation. Diagnostic tests such as a panorex or cone beam X-ray can be considered to look for joint damage. Excessive damage to your teeth can result in fractures. A severe case could include a split tooth that often can be difficult to diagnose. See if you can isolate a single tooth on the right side. Some infections will take time for symptoms to pinpoint the source. Swelling, pressure and hot sensitivity are all signs of an abscess. Have your wisdom teeth been evaluated or removed? Sinus, ear and oral infections can often cause mixed symptoms. You may need to check all areas to get a complete diagnosis. Thankbyou for your inquiry.