Posts for: September, 2014
You’ve suddenly noticed a significant amount of pain radiating from your jaw, so severe you can barely bring your teeth together.
First things first: with this level of pain you should see us as soon as possible. There are a number of possible causes, but only a thorough examination will give us the correct diagnosis and answers we need to develop a plan to treat the cause and alleviate the pain.
With that said, here are a few possible causes for that severe jaw pain.
Injured or diseased teeth. Although the pain you feel seems to come from the jaw in general, the true source may be an individual tooth that’s been traumatized or infected. Because of the interconnectivity of nerves throughout the oral structure, the pain could be radiating from the teeth to the jaws. By effectively treating the affected tooth, we may in turn reduce the jaw pain.
Trauma around the joint. If you’ve taken a physical blow to the area around the jaw joint, the resulting swelling in the joint space is keeping the head of the jaw joint (the “condyle”) from seating in the space properly. You may also notice the upper and lower teeth in the back of your jaw won’t touch. As the swelling from the injury subsides (aided by anti-inflammatory drugs that also reduce pain), the joint should eventually return to its normal position.
Jaw fracture. The most common jaw fracture occurs in the area just below the condyle. The pain is usually much more severe than you might experience with indirect trauma. Fractures are normally treated by repositioning the broken bone and immobilizing the area to allow healing.
Joint dislocation. The injury you’ve sustained may have actually moved the condyle out of the joint space. If this is the case careful manipulation may be needed to reseat the condyle back into place, along with anti-inflammatory medication to reduce swelling.
TMJ or TMD. Muscle spasms can cause significant pain with similar symptoms, including limiting jaw movement. Only an examination with x-rays (to determine if it’s a soft tissue or bone-related injury) can narrow down the possibilities to the true cause. The sooner we make that determination and begin treatment the better you’ll feel — and the less likely the injury will result in irreversible damage.
If you would like more information on the causes of jaw pain, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Jaw Pain — What’s the Cause.”
Rock star Steven Tyler fell and broke his two front teeth while on tour with his band Aerosmith not long ago. But Tyler was back on stage the very next day, thanks to modern dental implant technology.
Dental implants are the most optimal tooth replacement system in use today. The reason we say “system” is because replacing teeth with implants involves two, or sometimes three, components: the implant itself, which replaces the root-part of the tooth; the dental crown that sits on top of it to replace the part of the tooth that's visible in the mouth; and a connecting piece placed in between the implant and crown, known as an abutment.
The implant itself, made of titanium, is placed directly into the jawbone with a minor surgical procedure. Titanium has the unique ability to fuse to bone, creating a very strong connection. An implant provides virtually the same function as a natural tooth root, including stabilizing the bone underneath and preventing its loss — something that naturally occurs when a tooth is lost.
This fusion process takes a period of weeks, which is why the implant needs time to heal before a permanent crown is attached. One reason for early implant failure is “loading” them with biting forces too soon. But in experienced hands, implants are extremely successful. Documented research and clinical studies indicate success rates of over 95% — which is higher than any other tooth replacement option. Once integrated and functional, implants can last a lifetime. That's why, though they are a bit more expensive initially than other tooth-replacement options, they are more cost-effective in the long term.
Of course, another advantage of implants is that they look and feel completely natural. Just ask Steven Tyler!
If you would like more information about dental implants, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Dental Implants.” Dear Doctor also has more on “The Hidden Consequences of Losing Teeth.”