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Question
Hi DR Teig,Can you tell me if ihave systoms of tmj. my right
cheek gets swollen and the cheek bone gets tender to touuh.It
also gets red and hot.My Dentist always adjusts my bite by
fileing my teeth he says i grind my teeth. I have a bite splint and do wear it but not all the time at night.Some of my crowns have metal showing through now from the fileing.Ifeel like my cheek is in a spasam.Is there any thing i can do .

also i had a apicoectomy on #5 tooth by entondontist 2 months ago and the gum above that tooth is numb and hard .how long does that last. is it normal for that to happen.Thank YOU Ann

Answer
Ann - A bite splint is used to relieve the spasms of the jaw muscles, but what is not normal is the redness of your cheek.  Overall it does sound like your jaw muscles are in spasm, but just placing a bite splint does not often totally eliminate the problem.  Grinding on the too, also, often does not completely eliminate jaw muscle spasms.  My suggestion is that you have yourself examined by a board certified oral and maxillofacial surgeon to fully determine the cause of your problems and help to eliminate them.

As far as the numbness of the gum above an apicoectomy, that can take many months and occasionally the numbness is permanent.  So have the doctor who did the surgery evaluate the area.  

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Joel S. Teig, DMD, Diplomate ABOMS, retired

Expertise

I am a board certified oral and maxillofacial surgeon and I am available to answer questions related to tooth extractions, implant insertion, facial recontruction, facial and oral tumor removal, TMJ dysfunction and various successful treatments, including surgery if all else fails, and occlusal discrepancy requiring orthognathic or jaw surgery.

Experience

Board Certified Oral and Maxillofacial Surgeon practicine for over 20 years. Assistant Clincal Professor and State University School of Dentistry.

Organizations
American Dental Association, American Association of Oral and Maxillofacial Surgeons, American Board of Oral and Maxillofacial Surgeons

Education/Credentials
BA -University of Connecticut DMD - University of Pennsylvania School of Dental Medicine

Awards and Honors
National Honor Society (OKU), Philadelphia County Dental Society, Mosby Book Award, Oral Surgery Honors, Summa Cum Laude

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