Tmj disorder. Today they are coming.

I understand 17 days of not being able to open mouth is very stressful, especially when your parents were away. What your OPG shows: 1. All 4 wisdom teeth are present. 2. Both upper wisdom teeth are distoangularly placed. 3. Both lower wisdom teeth are horizontally impacted - lying flat and pushing against the root of the adjacent 2nd molar. This type of impaction often causes food lodgment, gum infection in that area and can aggravate jaw muscle spasm. 4. Your jaw joints (condyles) are visible in OPG but OPG cannot diagnose TMJ disc problem. For clicking / locking, the gold standard is MRI TMJ. About your symptoms - inability to open mouth since 17 days, cracking / clicking near temple, severe pain when you try to bring upper and lower teeth together, feeling of bones displaced: This is suggestive of TMJ Internal Derangement - Acute Disc Displacement Without Reduction (TMJ Lock) with associated muscle spasm. Wisdom teeth do NOT directly cause TMJ disc displacement, but a horizontally impacted wisdom tooth infection can cause muscle spasm around the jaw which worsens TMJ pain. Why removing all 4 wisdom teeth RIGHT NOW is not the correct first step: When your mouth opening is already less due to TMJ lock, surgical removal of wisdom teeth will cause temporary swelling and mouth opening will become even lesser for 5-7 days. This can worsen your TMJ pain. Correct sequence recommended: Step 1 - Treat acute TMJ lock first: 1. Soft diet only - No hard, chewy food, no wide opening, no chewing gum. Avoid clenching teeth, keep lips together and teeth slightly apart. 2. Warm moist compress in front of ear / temple area 3-4 times daily for 10 minutes. 3. Avoid self-medication. Please take medicines / treatment ONLY as advised by the Oral & Maxillofacial Surgeon you visited 2 days back. 4. You need a detailed TMJ clinical examination - measurement of mouth opening in mm, checking deviation on opening, tenderness of joint and muscles. 5. As advised by your surgeon, you may need further imaging like CBCT / MRI TMJ (open and closed mouth) to see disc position. Step 2 - Wisdom teeth management: Once your mouth opening improves and acute TMJ pain settles, plan for removal of wisdom teeth ONE BY ONE, starting with the most symptomatic one, as per your Oral Surgeon's advice. Please tell / upload: 1. How much mouth opening do you have now? Can you place 2 fingers vertically? 2. Any swelling / pain / food lodgment in the back gum area around wisdom teeth? 3. Any habit of night grinding / clenching? 4. Any ear pain / headache? Please visit an Oral & Maxillofacial Surgeon in person TODAY with your parents when they return. If you have fever, continuous gum swelling, or mouth opening less than 15 mm, please visit on an urgent basis. Most cases of acute TMJ lock improve with conservative care when treated at the right time. Hope this helps. Take care