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FAQ:  Jaw Pain



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Jaw Pain Ask The Periodontist Christopher McFarland Question:
Jaw joint pain after full mouth restoration: After having a full mouth restoration (32 teeth), I began experiencing pain in the jaw joint on only the right side of my face whenever I chew something.

Several attempts to grind down some of the new teeth have not helped. The teeth on the left side touch, but not the teeth on the right side.

Now the dentist wants to remove all of the caps on the teeth that he just put in several months ago on the right lower jaw and start over again.

What adverse risks are associated with this solution to my problem? He says removing the caps on the teeth is not a big deal and nothing like what I went through when he was gringing down the teeth to prep for installing the porcelain crowns. ...Visitor from SC

Answer:
Sorry to hear that after such a huge project that things haven't worked out well.

Pain in the jaw can come from several sources and I would want to be certain of the pain's origion before you start to redo things.

If the pain is coming from inside the joint, I would get a biteguard first and see if correcting the bite with an appliance solves the problem. If it does, then by all means redo the crowns.

If however, the pain is not resolved, you will need to look at other issues like possible damage to a nerve in a tooth (root canal). If you can isolate pain to one or two teeth when you bite down and it hurts in your jaw, that's a classic symptom for an abcessed tooth in the lower jaw.

Any time you cut on live teeth and expose them to treatment, you stand the risk of the pulps becoming inflamed. I'd want to be certain that this time the dentist had isolated the source of the problem and knows exactly what was going to correct things.

Christopher McFarland, DMD
Atlanta Prosthodontist - Periodontist
2530 Lawrenceville Highway
Decatur - Duluth - Atlanta, GA
(770) 492-0256

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