Sore jaw: drives why what to do
Sometimes in the face appear uncomfortable, often due to the fact that my jaw hurts. You must be particularly attentive to their condition, when the pain is permanent, periodically increasing or decreasing. In such situations, you need expert advice to avoid the development of inflammatory and other complications, which may adversely affect subsequent treatment of the patient.
Features of the structure
The human skull represented the facial and cerebral Department. In the facial Department is a series of bones connected together by joints, connective and bone tissue. The jaw is represented by the upper and lower division.
The whole jaw is covered with a compact substance, which is located within the spongy structure. The upper jaw consists of two halves connected to each other, more porous, stationary and firmly fixed in the region of the facial skull. Located inside the maxillary sinus, one on each side. The lower jaw characterized by more dense structure.
Lower jaw connects with the skull with the help of the joint, located in the region of the temporal bone. Temporomandibular joint (TMJ) is represented by education, in which the condylar process of the mandible is in the articular cavity of the temporal bone. Fixed joint or with support from ligaments and muscles.
In light of the fact that the ability to move the jaw apparatus characteristic only of the lower jaw, the performance for a range of important body functions. The man opens his mouth for eating, yawning execution and implementation of the conversation. Due to the mobility of the jaw bones and the presence on it of muscles, ligaments, it is possible to perform grimaces, movements of the chin.
The lower jaw, like the top gets it blood supply and is innervated by through a system of channels and their offshoots. Damage can be at different levels of the jaw and affect the different structure of the tissues of the mouth. This can cause discomfort and pain.
Why hurt the bone structure of the masticatory apparatus? Can cause jaw pain is caused can different reasons. Rooting can, both right and left. The severity of the morbid phenomena may be different and depends on the level of destruction of structures in the facial skull. Causes pain in the jaw, occur when the disease or due to trauma, usually in the maxillofacial region.
Pain in the jaw are noted in the following diseases:
- Osteomyelitis (inflammation of bone infection), abscess, cellulitis and other processes, accompanied by the spread of purulent infection in the mouth;
- Of joint damage in inflammatory, degenerative or traumatic characters: arthritis, arthrosis of TMJ;
- The defeat of the facial, carotid (carotidynia) of the arteries;
- Cardiovascular disease: myocardial infarction in the acute form;
- Tumors with a malignant current;
- Retrotope: redness of the ear combined with the pain;
- Eruption of wisdom teeth.
Earlier in the oral cavity of the dental procedures, especially extraction of the tooth and the establishment of orthopedic structures can also cause pain in the jaw area.
The establishment in the mouth the braces, thus improving the load causing pain in the jaw some time after fixation of the device and during the treatment period. The severity of pain in jaw may be different degrees of force. Fracture dislocation in the maxillofacial region also provokes pain.
Contribute can pain and a bruise of soft tissues of the face in combat sports: Boxing, karate and others. Jaw pain occurs on both the right and left sides and combined with the rapid appearance of swelling. The greatest discomfort is noted in the area of maximum impact of the blow. In children, sore jaw, it could be rickets.
Pain in the jaw and pain are the main symptoms of all observed pathologies in the maxillofacial region, and in the organism as a whole. In General, all the symptoms can be divided into categories in which they appear: traumatic injuries, tumors, neuralgia, cardiovascular disease, purulent infection. Each group of causes has its own characteristics as to why my jaw hurts.
Injuries of the maxillofacial region
Traumatic injuries most often on the face include fracture and dislocation of the jaw. If the patient notes pain in the lower or upper jaw, the inability to move my jaw and open your mouth, I suspect a fracture. The data of clinical examination of the oral cavity and exposed to x-rays confirmed the doctor a preliminary diagnosis.
The dislocation may be subjected to only the lower part of the jaw apparatus. At the exit of the lower jaw head from the glenoid fossa of the temporal bone, often forward, there are characteristic disease symptoms. Often the dislocation is bilateral, rarely with a specific area of the face. Characterized by difficulties with the process of opening and closing the mouth, talking, performing swallowing motions. Jaw pain accompanies the disease and is localized typically in the region of the affected joint. The appearance of asymmetry and severe swelling is more typical when a unilateral lesion.
For tumors like benign course and malignant, are characterized by pain occurs more often in the later stages of tumor development. Usually for a long period of time, the growth of the tumor goes unnoticed for the patient and his entourage. In the night period, with the decline of physical and mental activity of the organism, can be marked not strongly marked symptoms of pain. With progressive growth of tumors, the appearance of facial asymmetry, changes in the thickness of the jaws, difficulty with the process of opening mouth and chewing food.
Sarcoma, as one of the most frequently noted in malignant tumors of the oral cavity is characterized by a strong appearance of painful clicking in the jaw area, which is rapidly spreading to the neck and ear. Characterized by the presence of severe deformation of the face. With the progression of tumor growth observed decrease in sensitivity of the affected areas.
The appearance of neuralgia can be caused by lesions of the trigeminal, superior laryngeal and glossopharyngeal nerves. To a certain extent contribute to the occurrence of pain may congenital and acquired pathology of the jaws, in which the innervation of certain areas is not carried out in a proper degree. The symptoms of neuralgia is determined by the location of the nerve and the corresponding zones of innervations.
Trigeminal neuralgia is seen in the patient the presence of a strong, shooting pain in the ear and jaw. Pathology is observed only from one side of the face, the greatest strength of the pain is indicated when affecting the arteries and veins, often in the region of the skull base. So often the doctor can be difficult to diagnose neuralgia and diseases of the teeth.
For the superior laryngeal and glossopharyngeal nerve is characterized by pain in the region of the larynx and tongue. It is significant also radiation of pain to other areas of the maxillofacial Department. The patient noted the onset of cough, hiccups. Increases salivation. The appearance of disease symptoms is indicated often during the night. Painkillers have no effect. With a sharp turning of the head there is a zeroing and pain.
Pathology of the cardiovascular system
Various diseases of the heart and blood vessels can determine the occurrence of pain in the maxillofacial region. The most common among them is myocardial infarction and stroke. Each of these pathologies requires emergency intervention specialists your profile.
Acute myocardial infarction is characterized by the presence of lesions of the coronary vessels, thrombosis and spasm of the arteries of the heart, which ultimately leads to disruption of blood supply to part of the heart muscle and to his death (necrosis). The sooner you get qualified help, the more likely the recovery of the body. Besides the fact that reduce can jaw, there is a feeling of lack of air, severe heart pain. As well as increased sweating.
If driving the jaw, it can talk about the presence of angina. The pain is initially localized behind the breastbone, begins to spread on the face, capturing also the carotid and facial arteries.
Characterized by the appearance of panic attacks. The patient is afraid to make a move, because of the rapid movement symptoms of chest pain intensify. Assistance is provided in such diseases ambulance or cardiologist.
Inflammatory diseases of the oral cavity infection
Pain in the lower jaw or the upper segment can be caused by infection entering through the destroyed carious teeth, periodontal pockets, open wounds of the oral cavity. Admission is exogenous in relation to the jaw. Inside pyogenic bacteria can penetrate in the jaw with inflammatory diseases of organs and systems of the body through the blood and lymph. Boils, abscesses and cellulitis may also be the source of the infectious flora.
The most severe inflammation in the oral cavity is osteomyelitis. In this disease affected the cancellous bone and the infection, penetrating through the bone system of channels suitable to tooth tissue and other parts of the face. Outwardly, it may be a pain in the tooth, enlargement and tenderness of lymph nodes, swelling of the face in the affected area. Often, the patient noted headaches and a General decline in health.
What to do when the pain is
In order to determine the tactics of intervention, namely what to do if it hurts in the jaws, you must first identify the cause of disease. Understand yourself why driving the jaw extremely difficult. This is due to the fact that at home to carry out a full clinical and additional examination is not possible. Therefore, the appearance of the first symptoms, which reduce the symptom is localized in the jaw apparatus, are advised urgently to contact the dentist. Since the cause pain in the jaw area can be a lot that needs to be carried out a number of not only clinical, but also additional research.
Additional ways to diagnose the cause of the pain:
- Analysis of blood, urine;
- Skull x-rays;
- Computed tomography (CT);
- Magnetic resonance imaging (MRI).
In addition to the dentist, the patient must pass the inspection of other specialists. The entire set of procedures performed and the cardiologist, neurologist, internist, surgeon, traumatologist. After clarification of the main causes of pain prescribe treatment, as the disease itself, and some of its symptoms.
When driving the jaw, the treatment is performed depending on the cause. In relation to traumatic injuries conduct a number of activities. Dislocation of the TMJ should reduce. The fracture needs to be in a short time it is operated. When the contusion of the soft tissues of the maxillofacial region applied cold compresses.
Heart condition combined with pain at the bottom or top jaw needs to be diagnosed as early as possible from the onset of the first symptoms. If you suspect a heart attack, stroke or angina cause ambulance. Shooting sharp pain in neuralgia, sore upper or lower jaw, especially when a sharp turn must be viewed by a dentist in conjunction with a neurologist.
Inflammatory diseases infectious causes are treated in mandatory with the use of antibiotics. Pathology of hard dental tissues in the oral cavity is eliminated, depending on the clinical situation. If the tooth can still be saved by his cure and restore the affected by the process of crown restoration material or orthopedic design. If it is impossible to save the tooth body perform its extraction.
A wisdom tooth that causes pain when the leg save or delete depending on the situation. X-ray examination allows to more accurately specify the position in the bone of the tooth and its future in terms of treatment. Sometimes incising the mucosa of the hood over the part of the crown facilitates the patient’s condition.
Symptomatic treatment for pain of the facial area is the use of painkillers. If the cause remains unclear, the doctor may also prescribe antidepressants. So the sooner from the onset of the first symptoms of pain in the jaw apparatus to come to the doctor, the better chance for a speedy recovery and prevention of complications, sometimes irreversible.