EXTREEM Jaw pain

by Jason
(Drexel Hill, PA, USA)

On Nov 13 2009 I had all 4 of my wisdom teeth removed, i believe it took about 45 min for the surgery. Immediatly after i had numbness in my lip and tongue that lasted for an hour and went away, not much bleeding or pain for the first 2 days. Then on the 3rd day the pain started to get worse and by the fourth day i couldnt open my mouth more than 8mm. I have been back to the surgeon 3 times and he says its trismus and should be getting better, but its not. I have soreness in my throat, it hurts to stick my tongue out far, it hurts horribly to try to open my mouth any farther than the 8mm, i get blinding headaches and wake up at least once a night from the pain. I can feel the pain from the back of the roof of my mouth to the corner of the jaw joint into my ear and temple and even the back of my head slightly. I was on penacillin at first and finished that and have recently began taking clyndamycin hcl 150mg with no improvement. On my last visit i was told to try some streching excersizes and heat to the area. I CANT DO THE STRECHING to do so is excruciating to the point of bringing tears to my eyes. Does this sound like trismus, tmj, something torn, broken or dislocated? Im just looking for some more answers than my oral sergeon is giving me.

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Extreme Jason
by: Dr. Spainhower

Hello Jason, I know your situation is a very difficult one. Giving you an accurate diagnosis through this medium is only a guess.

My first thought was that you might have dry socket. If that's the case, you have another week or so of pain. I'm sure your Oral Surgeon has checked for that though.

In either account, what I would do for my patient in this situation is fit them with the Dentek night guard. It's easy to fit and small enough to put in a mouth that can only open 8 mm. I cut off the back ends of the guard for them before they leave my office.

Wearing that guard will help the Trismus. That's really the best thing that can be done. The guard should relieve pains in just 1-3 days. Although the trismus or locking closed of the jaw might take up to a month or so to open up. But at least the pain should be reduced wearing this modified type of night guard. You can even wear it during the day of appropriate.

Good luck Jason, and let me know how it works. If you do try my recommendation, follow the instructions exactly (except use the Dentek night guard) found on my "TMJ Appliance" page on this website.

I would recommend the Dentek guard in this case for you instead of the Doctor's Night Guard because of the difficulty to mold it to your mouth. Also it requires you to bite down hard, and that may not be the easiest thing for you right now...so try the Dentek found on my Online Store page.

Dr. Spainhower

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