Is my TMJ damaged? Do I have tmd?

2020-07-29 11:50:38
I am having lower jaw pain under the ear, jaw with swelling over the jaw line.Went to different doctors. ENT,Endo,dentist,OMFS.I am currently living in USA.Dentist said it could be because of upper WT or tooth crack in #46,TMJ issue.Removed my upper wisdom tooth 3 weeks back.still have same symptoms. OMFS told me to see TMJ specialist.I also have pain on side of the neck with swelling. it hurts sore on top of the head.Right side. Went to a TMJ specialist today. He said my jaw joint bones on right side scratching each other and left side is ok. He said why my OMFS and dentist missed it.He gave me a treatment plan and which is very very expensive.For 6 months.He said I need to wear hard guard and soft guard.I am attaching the pan xray. Does my joint damaged?What is the recommended treatment for this?I even don't know if TMJD cause jaw swelling, pain/Swelling in neck and top of head. Not sure if everything because of tooth crack or TMJD.Attaching the images. is it damaged?
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Myslef Dr. Shikha Goyal, I am an  Oro- facial pain specialist from Nair hospital, Mumbai, India. You can connect with us on my page with additional details of your problem. I will try to provide you with right diagnosis and guidance to go forward with the treatment.

Answered2020-07-30 13:14:53

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Hello, The word TMJ Disorder suggests involving your temple region and the mandible i.e lower jaw. So pertaining to pain thats in the same region that you are depicting . So if thats your diagnosis after thorough clinical and radiological evaluation then you surely need to look into it for resolution of the problem. Pain can be a cause for TMJ related thing as well as tooth now there can be multiple things to manage your pain initially . For example keeping your joint warm with protective clothing ,applying a warm pack or using some drugs i.e muscle relaxant or a painkiller or combination of both which are usually prescribed.   My assumption on the radiographic picture of yours is there isn't any thing much to bother about teeth. Next thing is your swelling - an apparant swelling indicates an infection with increased temperature of the skin and redness in this case you should look for antibiotics and here you should avoid application of hot fermentation/compression  or hot food / beverages because this tends to flare the infection. This can be in your tooth ,neck(tonsils), parotid (salivary gland right in front of your ear) below which lies your tm-joint Comming to your mouth guards yes its one of the treatment options available effective in cases were patients compliance in good.
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Stress plays an important role in your case Try to relax keep your joint warm with some warm clothing rule out infectious teeth and other possible factors associated in that region and finally if its tmj at the end go for definitive treatment for the same .

Answered2020-07-30 08:16:10

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