Dentistry/TMJ

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Question
Good morning,Doctor Joel,S.Teig!

It happenned during my last dentist appointment. When my dentist was making impressions for a crown,she asked me to close my mouth very hard for a few minutes. When I pressed my teeth together very  hard,( i think that I overdid it)and then opened my mouth,I felt some strange pain in  the right side of my jaw and throat where I have a gland , and it was painful to open it back.After that I have been feeling pain for 3 weeks now.Sometimes it is o'k,but sometimes  it is very painful in my right jaw, throat, and ear when I moving my mouth:chew, swallow ,or just  open it for brushing teeth.I noticed that In the morning, it  is more painful than in the evening.I went to TMJ doctor he did a lot of different diagnostics,x-rays,and then he said that he needs to do more diagnostics .He made impressions for mouth exacerbation,explained that I need to change them and have special treatments throughout my lifetime, and then send me to do a cat scan.

Please,Doctor Joel,S.Teig,I would like to hear your oppinion.

Respectively,
Violeta

Answer
Violeta - Of course, without examining you I cannot be sure, but from your description on how the problem began, it sounds like you are suffering from spasms of the jaw muscles.  I believe in a simple approach to try to reverse the spasms.  My suggestion you need to try two simple treatments on you own.

1) Immediately begin a regimen of warm salt water rinses deep on the back sides of your mouth for about 4-5 minutes, 4-5 times a day.  

2) Use two warm moist wash cloths that is repeatedly being kept warm and moist by dipping it in warm water.  Place each from the temple (right and left at the same time)region to the bottom of your jaw on both sides.  Do this for about 5 minutes, 4-5 times a day.

I know it sounds like a lot of work, but if you do this, you should feel an improvement within a week.  What the dentist proposes seems excessive, since this recently began.  Try the two things I suggested and get back to me within a week and let me know if you see an improvement.

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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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