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Medical Forum / General / Dentistry / August 2005

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TMJ and Wisdom Teeth...

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DentallyChallenged - 10 Aug 2005 18:57 GMT
I understand there is a connection, but usually it is BEFORE the wisdom
teeth are removed.

I had my wisdom teeth removed (all 4) about a month ago, and now I have
a pain in my right ear when I open my mouth wide (it's also sensitive
to external pressure/touch).

Is this a normal occurence? TMJ was never mentioned as a possible
complication from the surgery. Also, is it possible for it to be TMJ in
just one side of the face?

Thanks.
The Webby - 10 Aug 2005 18:58 GMT
> I understand there is a connection, but usually it is BEFORE the wisdom
> teeth are removed.
[quoted text clipped - 8 lines]
>
> Thanks.

Not to seem rude, but what do you mean by "TMJ"?
DentallyChallenged - 10 Aug 2005 19:17 GMT
By "TMJ" I mean pain in the temporal mandibular joint.

As far as clinching in my sleep - I've gone 32 years w/out having a
problem. I find it hard to believe I just started doing it now, but I
guess it's possible.
Steven Fawks - 10 Aug 2005 21:04 GMT
> By "TMJ" I mean pain in the temporal mandibular joint.
>
> As far as clinching in my sleep - I've gone 32 years w/out having a
> problem. I find it hard to believe I just started doing it now, but I
> guess it's possible.

Right.  It is unlikely that you just started.  However, the clenching
may not have demonstrated any clinical symptoms until your joint and
teeth underwent trauma (you can't extract 4 wisdom teeth without trauma).

Once the joint, muscles, tendons, and bone have been injured, the
clenching perpetuates the inflamation and pain.

NTI, ibuprofen, and time.

JME,
Fawks
The Webby - 10 Aug 2005 23:20 GMT
> By "TMJ" I mean pain in the temporal mandibular joint.
>
> As far as clinching in my sleep - I've gone 32 years w/out having a
> problem. I find it hard to believe I just started doing it now, but I
> guess it's possible.

Thanks for the response.  I noticed that you had some replies from
others who are very familiar with what you're referring to.  Yes, the
temporomandibular joint's acronym is often mistakenly used as a term for
a diagnosis.

Hope you feel better soon,
Webby
Dr Steve - 10 Aug 2005 19:08 GMT
Separate entities which could occur at the same time.

TMJ (temporal mandibular joint) problems are virtually always related to
muscle spasms.  There are some problems due to tumors, trauma, developmental
defects, etc., but mostly it is due to patient's clenching with great force
(especially at night during sleep).  Many patients do not even realize they
are clenching during sleep.

Signature

~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>I understand there is a connection, but usually it is BEFORE the wisdom
> teeth are removed.
[quoted text clipped - 8 lines]
>
> Thanks.
W_B - 10 Aug 2005 19:49 GMT
>Also, is it possible for it to be TMJ in
>just one side of the face?
>
>Thanks.

It is almost always only on one side.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
DentallyChallenged - 11 Aug 2005 14:38 GMT
Just in case any of you were curious, I had a previously scheduled appt
with my MD (internal medicine) so I asked him about it. He looked in
the ear and apparently I've got some type of ear infection. Apparently
the two are often mistaken for the other. RX'd some drops and told me
to take ibuprofen for pain.

Thanks folks.
Joel344 - 11 Aug 2005 14:44 GMT
WoW! Thanks.

The old joke is that if he looks into one ear and sees
daylight on the other side ... well that's bad.

Joe

--
Joel34
W_B - 11 Aug 2005 16:42 GMT
>Just in case any of you were curious, I had a previously scheduled appt
>with my MD (internal medicine) so I asked him about it. He looked in
[quoted text clipped - 3 lines]
>
>Thanks folks.

The patient may have as many diseases,
as he or she pleases.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
DentallyChallenged - 11 Aug 2005 17:07 GMT
Sounds like a dig at me... I'd like it noted in the record that I
phrased my original post in the form of a QUESTION.
W_B - 11 Aug 2005 17:12 GMT
>Sounds like a dig at me... I'd like it noted in the record that I
>phrased my original post in the form of a QUESTION.

Since you haven't quoted what you are answering,
we have no idea what you are talking about.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
DentallyChallenged - 11 Aug 2005 17:31 GMT
Well, "having no idea" seems a bit of a stretch doesn't it? You have
"some" idea I'm sure...
HOWEVER... I did reply directly to your post.
The Webby - 11 Aug 2005 17:36 GMT
> Well, "having no idea" seems a bit of a stretch doesn't it? You have
> "some" idea I'm sure...
> HOWEVER... I did reply directly to your post.

If you are replying to a post in particular, you need to leave some
quoted material behind along with the post's author being noted as above.

TW
Dr Steve - 11 Aug 2005 19:08 GMT
Most of us read this NG with a news reader that removes any post which has
been read.  We can only bring the messages back by bringing all the messages
back (usually hundreds of messages).  So we seldom if ever bring back any
read messages.  Our normal protocol (for the regulars here) is to simply set
your newsreader so that the message you are replying to is included in your
message.  Editing out any extra information which is not needed to
understand the reply is always appreciated.

Signature

~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>
>> Well, "having no idea" seems a bit of a stretch doesn't it? You have
[quoted text clipped - 5 lines]
>
> TW
W_B - 11 Aug 2005 19:40 GMT
>Well, "having no idea" seems a bit of a stretch doesn't it? You have
>"some" idea I'm sure...
>HOWEVER... I did reply directly to your post.

That's what I though.

Another axiom of pathology is:
If you hear hoofbeats, think horses, not zebras.

"The patient may have as many diseases,
as he or she pleases." is a direct quote from
one of my pathology professors.

I think you can figure it out from here.

--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
DentallyChallenged - 11 Aug 2005 20:48 GMT
> That's what I though.
>
[quoted text clipped - 6 lines]
>
> I think you can figure it out from here.

So let me see if I understood this from the beginning - I am after all
only a computer engineer, and not a Dentist (the air of pomposity flows
freely from you).

The statement "The patient may have as many diseases, as he or she
pleases" was the statement I referred to. As my original reply
indicated, I believe this to be an insult directed at me (is there
another way to take that?). With that in mind, my next comment "My
original post was phrased in the form a question" was meant to show
that I did not know whether it was a TMJ related dysfunction - hence
the QUESTION.

In response to your comment "If you hear hoofbeats, think horses, not
zebras". Let's review: I had 4 wisdom teeth extracted 4 weeks ago,
developed an infection, had it drained and cleaned, then developed pain
IN THE AREA OF THE TMJ and that is somehow supposed to be a foolish
conclusion to believe the two (extraction & pain) are related?
I called my OS to ask his opinion after I posted here and he said
"sounds like it could be related, setup an appointment and we'll check
it out". I went to the MD (again, scheduled for different reasons) told
him about it and when he did some "pressing, squeezing, etc." said
"Yeah, the pain seems to be localized in your TMJ area". Then he said,
"let's look in the ear just in case..." well, I already mentioned the
rest of that conversation. Finally, someone (whom I assume is a fellow
member of your profession) also believed the two were related.

It's unfortunate that those 3 people didn't have access to the vast
array of wisdom which comes by way of clever axioms. Next time perhaps
I can save a load of time and contact your pathology professor
directly, I'm sure (s)he can lead me towards the horses, and away from
the zebras.
W_B - 11 Aug 2005 21:21 GMT
>> That's what I though.
>>
[quoted text clipped - 15 lines]
>indicated, I believe this to be an insult directed at me (is there
>another way to take that?).

It was not an insult, the statement is a reminder for practitioners
to realize that more than one pathological process can be going
on at the same time.

You just took it wrong. I tend to be terse, but most of the regs
usually know what I mean.

>With that in mind, my next comment "My
>original post was phrased in the form a question" was meant to show
[quoted text clipped - 14 lines]
>rest of that conversation. Finally, someone (whom I assume is a fellow
>member of your profession) also believed the two were related.

It can be, but not necessarily so.
Hence, "The patient may have as many diseases,
as he or she pleases"

>It's unfortunate that those 3 people didn't have access to the vast
>array of wisdom which comes by way of clever axioms. Next time perhaps
>I can save a load of time and contact your pathology professor
>directly, I'm sure (s)he can lead me towards the horses, and away from
>the zebras.

You have a direct line to the afterlife ?
Interesting.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
 
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