Tmj symptoms after dental work that won't go away!

by Brad
(Illinois)

Good afternoon Dr. I've been getting some much needed dental work done (Fillings) this year. They started with the upper left quadrant (5 teeth) and then did the upper right (4 teeth). As soon as they did the upper right my jaw has had a dull achy pain, has been tense, clicking occasionally, and seems more difficult to open than before, esp in the AM. I went back 3 times to check the bite and they said it was as good as it could get and recommended a very expensive Night guard. After spending a couple thousand dollars already that's not something I wanted to hear. Is this common after having a lot of fillings done? It was about 1.5 months in between quadrants to make sure everything was even before we started another side.

Does this sound like something your Night Guard could fix? Is it permanent?

Comments for Tmj symptoms after dental work that won't go away!

Average Rating starstarstarstarstar

Click here to add your own comments

Jun 14, 2013
Rating
starstarstarstarstar
Too early to tell
by: Dr. Spainhower

Brad,

If indeed the pain was initiated by your dental appointment, then you need to relax the muscles. The SmartGuard can do that.

It is unknown why the exercises made your pains return. Although, if the fillings are high, then the jaw muscles avoid the new interfering contacts. This fatigues the muscles. Then when you perform TMJ exercises, that can cause more fatigue causing pain, that makes the symptoms worse.

So, when you swallow thousands of times per day, your teeth contact back there on those interfering contacts.

When you sleep, any back tooth interferences make you grind more, so keeping your back teeth from touching may be the key.

Also, you may have another factor that is unknown right now and the dental visit just pushed your jaw muscles over the top resulting in pain. So, wear a good night guard at night and get back to me to help reduce your pains and help diagnose what's the cause of your symptoms.

If you have jaw symptoms when you sleep and immediately when you wake up, then the night guard is most likely going to help you.


Sincerely,
Dr. Spainhower

Jun 14, 2013
Rating
starstarstarstarstar
Response
by: Anonymous

Thank you for the response Dr. S. The thing is that it's been 2 months since they finished and the dull pain continues. I did the tmj exercises a few days ago and my jaw has been hurting more since. This type of pain when I bite down has gone away after being easy on it for a week or so. But It managed to come back when I did the excercises so i'm not sure what that means. I think I might've aggrivated something while doing them. The constant dull pain by my ear when fully extending my jaw has yet to go away.

Jun 14, 2013
Rating
starstarstarstarstar
Pain after dental work
by: Dr. Spainhower

Hello Brad,

Having pains after dental work done is somewhat common. Yes, the fillings done on the right quadrant may in fact need more adjustments. I know I've missed the adjustment from time to time, and when you have multiple teeth fixed, the possibility of changing the bite a little increases.

However, you may be experiencing trismus due to the fatigue of holding your mouth open during the appointment. So, if your dentist has rechecked the contacts and they might be good.

So, I can't tell you for sure what is causing your pains and discomforts, but yes, the SmartGuard will reduce your pains in either case. You'll notice a reduction in pains right away even starting with the first night.

It usually takes maybe 1-3 days to notice a reduction in pain.

If you do order the SmartGuard, it will be shipped out asap. You can order it on www.simpletmjtreatment.com.

Let me know if you have any other questions.

Sincerely,
Dr. Spainhower

Click here to add your own comments

Join in and write your own page! It's easy to do. How? Simply click here to return to Ask Dr. Spainhower a Question.