Jaw Pain: Causes and Treatments

When you experience jaw or facial pain, it is normal to suspect immediately that your teeth are the cause. Even though this may be true in many cases, there are also several medical conditions that can be contributing factors; this possibility makes diagnosis and treatment much more difficult. It is important that you consult both a dental specialist and your physician.

Treat the Cause, Not the Symptoms

Many patients who experience chronic jaw pain try to treat themselves with over-the-counter painkillers or prescription narcotics intended for the use of other family members. To properly treat the pain, you need a diagnosis; painkillers address the symptoms and not the cause. This can create other problems for the patient that complicate diagnosis. There are serious side effects from the overuse of painkillers: Taking excessive amounts of over-the-counter ibuprofen or acetaminophen can cause kidney necrosis and liver failure, respectively. Abuse of prescription narcotics can lead to addiction.

If you are experiencing jaw pain, it is very important for your dentist or oral surgeon to conduct a thorough exam. This often includes dental X-rays, CAT scans and sometimes blood work. A dental origin of the pain should be ruled out before blood work is performed.

Potential Causes and Treatments

The dental causes of jaw or facial pain include decayed or abscessed teeth, gum infection (periodontal abscess), teeth grinding, temporomandibular joint dysfunction (TMJ) and injury to your jaws. These causes can be treated by your dentist or oral and maxillofacial surgeon. Decayed or abscessed teeth will be treated with root canal, fillings, or extractions. Gum infections will be treated with antibiotics and deep scaling.

Temporomandibular joint dysfunction is the most difficult problem to treat because it has multiple possible causes. The pain could originate in the muscles of the jaw or a dysfunction of the joint. Misalignment of the teeth could be another contributing factor and can be corrected with braces. If the cause of the pain is due to the muscles, it may be treated with muscle relaxants, anti-inflammatory drugs and a mouth guard. Dysfunction of the joint may be treated with anti-inflammatory drugs and arthroscopic surgery.

Trauma to the jaws can cause injury to the bones, muscles, temporomandibular joint and teeth. These types of injuries can be treated with muscle relaxants, anti-inflammatory drugs and surgery. Additional medical causes of jaw or facial pain include dislocation of the jaw, arthritis, angina, cluster headaches, ear infections, cysts or tumors, heart attack, sinus infection, migraine, stress and trigeminal neuralgia.

Heart attack can be the most serious cause of facial pain. People most often experience chest pain with a heart attack, but this pain radiates to the jaw. Some heart attack patients will experience pain only in the jaw. Another condition that can cause jaw pain is angina; angina occurs when the heart muscle lacks oxygen.

Cluster headaches, ear infections and migraines are all conditions that cause pain to radiate to the jaws. Cyst or tumors in the jaws and sinus infections will cause pain that radiates to the teeth. Trigeminal neuralgia is a condition that causes excruciating jaw and facial pain. The pain is short-lasting and only on one side of the face. It can also be shooting, stabbing or electrical in nature. This condition may also mimic dental pain. Trigeminal neuralgia is often misdiagnosed, and many patients undergo unwarranted dental procedures. This condition can be treated with medication and appropriate surgical procedures.

As you can see, jaw pain has many causes. It is important not to treat only the symptoms but to seek professional help. Your dentist and physician should be involved early on to diagnose the problem and to develop the proper treatment plan.

This article is intended to promote understanding of and knowledge about general oral health topics. It is not intended to be a substitute for professional advice, diagnosis or treatment. Always seek the advice of your dentist or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment.

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Common Conditions During ADULTHOOD

As we get older, dental care for adults is crucial. Here are a few of the conditions to be aware of:

Gum disease – if your home care routine of brushing and flossing has slipped and you have skipped your regular dental cleanings, bacterial plaque and tartar can build up on your teeth. The plaque and tartar, if left untreated, may eventually cause irreparable damage to your jawbone and support structures, and could lead to tooth loss.

Oral cancer – according to the National Institute of Dental and Craniofacial Research, men over the age of 40 have the greatest risk for oral cancer. About approximately 43,000 people will be diagnosed with cancer of the mouth, tongue or throat area, and the ACS estimates that about 7,000 people will die from these cancers. The use of tobacco products and alcohol increases the risk of oral cancer. Most oral cancers are first diagnosed by the dentist during a routine checkup.

Dental fillings break down – fillings have a life expectancy of eight to 10 years. However, they can last 20 years or longer. When the fillings in your mouth start to break down, food and bacteria can get underneath them and can cause decay deep in the tooth.