My jaw hurts on the right side
Everyone in their lifetime has ever faced, pain in the jaws. That a sore jaw on the right side, there is nothing strange — people of different ages are suffering from this disease with astonishing frequency. Pain accompanies the processes of chewing, swallowing, yawning, interferes with conversations in everyday life brings trouble. Pain may be present in both jaws or only in the top and bottom. To find out why my jaw hurts will help the dentist, maxillofacial surgeon or neurologist.
The nature and intensity of pain
Scientists from different countries have found that everyone has their feeling pain. Depending on lifestyle, bad habits, gender, age and even race of patient discomfort can be perceived by different people uniquely.
Pain manifestations depend on many different factors:
- the age of the patient;
- individual pain threshold;
- sensitivity to analgesics and anti inflammatory drugs;
- the presence of concomitant diseases;
- pregnancy and lactation;
- fractures of both jaws in history;
- shake and open craniocerebral trauma in anamnesis.
In the primary treatment the physician must accurately describe the nature of the pain: its occurrence in connection with chewing or swallowing, co-morbid conditions, duration (short pain lasts up to 5 minutes, the middle 30, and a long — more than 1 hour), intensity (mild pain patient takes no medication, with medium and high intensity can’t do without tablets). You should also clarify whether the pain in other parts of the body, and reacts if the pain is on taking pain medicine.
Pain is classified by nature as follows:
Infectious and inflammatory causes
Infectious diseases are often accompanied by lesion of bone structures of the masticatory apparatus. In the event of infection in one area of the body it is spread through the blood throughout the body, which can lead to the development of purulent processes in the lower jaw.
Pulpitis. Inflammation of the pulp is a severe complication of tooth decay when inflammatory infectious agent penetrates into the pulp of the tooth, which is a soft tissue that nourish the tooth enamel. The lower jaw is throbbing pain, which does not allow the person to eat normally and disrupts the General rhythm of pain. The teeth become incredibly sensitive to temperature changes and contact with liquid or solid food.
Periostitis. Inflammation of the periosteum of the lower jaw, otherwise known as periodontitis, complicates the majority of indolent inflammatory diseases. The clinical picture is characterized by an unusually high rise temperature curve, chills, weakness, lethargy, nausea and vomiting; in severe cases there are cramps. In the lower jaw develops a throbbing pain high intensity radiating into the orbit, temporal region, paranasal sinuses.
Abscess of the jaw. The diagnosis of «abscess of the jaw» is often a complication of the underlying disease, which passed into a chronic form. The pain is aching in nature, accompanied by General intoxication phenomena: the rise of the temperature curve, nausea, vomiting, dizziness, lethargy and weakness. And jaw palpated tight painful infiltrate with distinct borders.
Arthritis and arthrosis. Arthritis is a disease of an inflammatory nature, affecting the temporal mandibular joint. At the opening of the mouth there is intense pain accompanying each subsequent movement. Osteoarthritis is characterized by degenerative-dystrophic changes in joint tissue, leading to functional overload and to reduce lead ability. Besides the aching pain in lower jaw it is accompanied by sensations of numbness and lethargy of the knee after a long sleep and silence. For the differential diagnosis between arthritis and osteoarthritis should seek the advice of a specialist.
Boil. Boils and carbuncles develop in the head often enough. The reason for this — the rich blood supply of the face and scalp, through which the pathogen circulates in several areas: brain, cervical, upper and lower vessels of the face. Localization of furuncle in the temple leads to compression of the lymphatic and blood vessels, which is accompanied by painful and discomfort in the jaw. At the first suspicion of purulent process, it is recommended to remove and resect the boil, so further progression can lead to meningitis.
Abscess of the jaw. Cellulitis is a diffuse purulent lesions of the skin, subcutaneous fatty tissue and cellular spaces of the face, breaking a bone. The lower jaw is enlarged, edematous, sharply painful on compression. The patient complains of fever, absence of appetite, sharp pain in the lower right corner of the mouth. Missing the opportunity of eating.
Osteomyelitical defeat. Osteomyelitis of the jaw is a severe, infectious-toxic defeat of the functional components of bone, leading to its destruction purulent. Along with General intoxication symptoms is characterised by limitation of the ability to open your mouth, swallow and chew your food, the presence of diffuse pain, radiating to the nose, corner of the mouth and putrid odor from the skin of the patient.
Articular dysfunction. Develops in elderly and senile patients and in athletes, the jaws that are exposed to high trauma. The pain occurs after prolonged chewing, talking or physical stress. Often pain accompanied by clicking and crunching of the affected joint.
The reasons associated with damage to nerves and blood vessels
Peripheral innervation and blood supply of internal organs, systems and the musculoskeletal system is an important part of the normal functioning of the body. Due to damage of vessels and nerves can cause severe and potentially dangerous disease.
Trigeminal, glossopharyngeal nerve and verkhneportovaja
Neuralgia is a group of diseases characterized by lesions of the peripheral nerves. When damage to the nerve supplying their branches, the area of the body, is the formation of pain in the region of the passage of the nerve and its branches. Pain attacks are characterized by a high intensity, patients describe this pain as burning, reminiscent of the shocks. The skin at the site of innervation of red, painful. By the end of the disease jaw pain gradually subsides and manifests only a slight stinging attacks, causing the patient to wince.
Arteriitis. Inflammation of the walls of blood vessels supplying various organs and tissues, developing arteritis. The disease is very difficult to diagnose because it manifests itself only an intense pain in the region perfused area. With the defeat of the temporal mandibular artery develops temporal arteritis — acute pain in the right lower jaw, radiating to the teeth, the wings of the nose, pharynx and soft palate.
The reasons associated with neoplastic diseases
Neoplastic diseases are the scourge of the 21st century. To date, the mortality from cancer of various etiologies is not less than 35%. Tumor lesion of the mandible may be primary (when cancer originates in the bone) or secondary (when cancer cells originate in a different organ, and in jaw fall with blood flow).
Benign tumors of the jaw. Hemangioma — it is also a vascular tumor of the face, often combined with a lesion of the soft palate, tissues of the face and orbit. Manifested by increased bleeding of the mucous membrane of the mouth, ulcers on the cheeks and the gums, the instability of the teeth in the jaw hole, cramping pains in the jaw bone.
Cementoma tumor associated with the root of a molar tooth. Virtually asymptomatic, but the patient suffers from pain in the lower tooth row and jaw. During the inspection observed a dense, nasleduemoe education on his chin. The disease runs for a long time.
Ameloblastoma is the most common non-malignant education that affects the body, the angle or branch of the mandible. The pain is gradually increasing in nature due to which it is often confused with a toothache, which causes considerable difficulties in diagnosis. In severe cases, the tumor may be complicated by purulent-necrotic processes. When ameloblastoma there is a likelihood of abscess or even cellulitis of the face.
Maxillary giant cell tumor occurs in young people under the age of twenty. Formed a pronounced asymmetry of the face, a deviated septum, jaws. The skin over the tumor, covered with sores, peel and disintegrate. Characterized by frequent pathological fractures of the skull bones, pain in lower jaw.
Malignant neoplasms. For cancer of the jaw main symptom is a pathological fracture of the body of the jaw, accompanied by pain. Lymph nodes surrounding the tumor tissue would be destroyed that is accompanied by intense inflammatory reactions.
Carcinoma of the mandible occurs at lightning speed. In the area of lesions observed ulceration of the skin, swelling and change of muscle and joint structure. Bone substance is destroyed, causing a change in the contours of the face and skull.
Traumatic causes of pain in jaw
The most common causes of all pathological conditions that occur in the human body, are traumatic injuries of the organs and tissues. Often pain in the jaw on the right is the companion of some sort of trauma.
Injury of the jaw. A bruise is a traumatic lesion of soft tissue not involving bone. It is found in people involved in dangerous sports, e.g. MMA, martial arts. The most typical time of year for such injuries — winter.
The main symptoms of a bruise are swelling of the jaw on the right side, soreness and swelling, and later bruising. If you suspect a contusion should undergo radiographic investigation of the jaws to avoid serious consequences.
Dislocation of the jaw. Is a fairly common injury. The main reasons are:
- intense yawning;
- the abrupt opening of the mouth;
- trying to bite off too big a piece of solid food or put it in your mouth a light bulb.
Typical symptoms are the inability of the self-closing mouth, without the assistance of professionals, profuse salivation, impaired swallowing and speech, severe pain in the region of the temporal mandibular joint, an offset jaw at the wrong angle: lower jaw as if «hanging» in limbo.
The fractured part of the mandible — a violation of the integrity of the bone. With a uniform rate occurs as public and private. Intense unbearable pain, the presence of blood in the mouth, the movement of the dentition, pronounced swelling and discoloration of the skin come across the thought of the traumatic diagnosis. For the differential diagnosis with an injury or fracture of the mandible required to carry out radiographic or ultrasonic examination of the patient.
Dentures or braces. At the initial installation of a denture or tightening of braces can cause discomfort, described by patients as pain in the jaw on the right. This pain indicates a composite functional shift in the dentition and is not a sign of any pathology. But if pain during the first few months do not lose their intensity or increase, it is recommended to immediately visit a dentist or orthodontist.