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Medical Forum / General / Dentistry / February 2007Post Crown Jaw and Ear Problem
I broke a tooth and had to have a crown placed on the tooth. The dentist used Litocain to deaden the tooth and apparently the needle damaged the muscle in my jaw. I woke up the next morning and was only able to open my mouth about an inch. I talked to my dentist and he told me that occasionally the needle will damage the muscle and that it will take about two weeks for it to heal. It has now been three weeks and I am still having problems with the jaw as well as fullness and some hearing loss in my right ear. My lower jaw still does not move freely, which makes it difficult to talk at times. I was wondering if anybody has experienced a similar problem and if they might have any advice. I am debating going in to see my doctor, but I am not sure what I should see him and for and what they can do. I am open to any suggestions. Thanks, Phil >I broke a tooth and had to have a crown placed on the tooth. The dentist >used Litocain to deaden the tooth and apparently the needle damaged the [quoted text clipped - 12 lines] > >Phil Sounds like "Trismus". Appropriate therapy would include anti-inflammatories, moist heat, and possibly skeletal muscle relaxers. This should resolve with time with little or no after effects. "Trismus" usually disappears in a few days. However, it is possible that just being open that long coupled with the pressure of the extraction has triggered a problem with your muscles, nerves, and TMJ. I would consider an NTI for a couple of weeks to see if that led to an improvement. Best guess over the net, D > I broke a tooth and had to have a crown placed on the tooth. The dentist > used Litocain to deaden the tooth and apparently the needle damaged the [quoted text clipped - 12 lines] > > Phil > "Trismus" usually disappears in a few days. However, it is possible > that just being open that long coupled with the pressure of [quoted text clipped - 5 lines] > Best guess over the net, > D Hey, D. I'd like to ask you a favor. Would you please explain to readers why the NTI can be useful in this type of case (trismus)? Sincerely, Webby > > I broke a tooth and had to have a crown placed on the tooth. The dentist > > used Litocain to deaden the tooth and apparently the needle damaged the [quoted text clipped - 16 lines] > > > > Phil I'm no Jim Boyd, so the answer may be a little boring. Basically lots of people clench and put enormous stress on their teeth, muscles, and the TMJ during different phases of sleep. If these structures undergo trauma, they need time to rest and heal themselves. An NTI helps lessen the stress and strain placed on these structures from the nocturnal parafunctional behavior. If you sprain an ankle you 'baby' it for a while. No NTI=continued stress from night time clenching=delayed healing. D > Hey, D. I'd like to ask you a favor. Would you please explain to > readers why the NTI can be useful in this type of case (trismus)? [quoted text clipped - 22 lines] >>> >>>Phil I recall when I was an anaesthesia resident, the head of oral surgery would quote a study that says the lack of free movement of the jaw resolves in such cases in all but 2 cases per 1000. Most cases heal completely within 8 weeks. Limited healing will take place after 8 weeks post injury, so that's the time to start thinking of other options to correct the relative trismus. But, there's no harm in waiting a bit longer because you never know...it just might take that extra time. By all means, keep your dentist informed. S/He may want to measure your opening so he can track your improvement. J Suljak DDS Thanks for the reply. Right now I am still having problems with both my lower jaw and right ear, which is really plugged and ringing like crazy. My lower jaw will not move to the left and it is making it very difficult for me to talk. The whole situation has also seemed to aggravate my vertigo, which I assume is related to my right ear problem. The cap was put on the lower right of my mouth. I talked to my dentist as well as one I know in my gym and they both said it should clear up in about two weeks. Since it has now been three weeks I do take some comfort in your eight week timeline. Thanks, Phil >I recall when I was an anaesthesia resident, the head of oral surgery would >quote a study that says the lack of free movement of the jaw resolves in [quoted text clipped - 8 lines] > > J Suljak DDS Right now I am still having problems with both my > lower jaw and right ear, which is really plugged and ringing like crazy. My > lower jaw will not move to the left and it is making it very difficult for > me to talk. The whole situation has also seemed to aggravate my vertigo, > which I assume is related to my right ear problem. The cap was put on the > lower right of my mouth. All symptoms that scream for an NTI. D > Right now I am still having problems with both my > > lower jaw and right ear, which is really plugged and ringing like crazy. [quoted text clipped - 7 lines] > > D And before there was an option for "an NTI", patients didn't have the option. W. The dark ages indeed. The truly sad part is that even now, many dentists do not get it. :-( Steve >>All symptoms that scream for an NTI. >> [quoted text clipped - 4 lines] > > W. > The dark ages indeed. > [quoted text clipped - 3 lines] > :-( > Steve Better one by one than none at all. Webby > >>All symptoms that scream for an NTI. > >> [quoted text clipped - 4 lines] > > > > W. Okay can somebody please explain what is an NTI . Thanks, Phil >> The dark ages indeed. >> [quoted text clipped - 16 lines] >> > >> > W. >Okay can somebody please explain what is an NTI . > >Thanks, > >Phil Learn more here: www.headachehope.com >>Okay can somebody please explain what is an NTI . >> [quoted text clipped - 4 lines] >Learn more here: >www.headachehope.com This may be a better starting place: http://www.headacheprevention.com/pages/HowItWorks.html > This may be a better starting place: > > http://www.headacheprevention.com/pages/HowItWorks.html My biggest (and probably only) beef with NTI marketing is that they place so much emphasis on headaches. Yes, it is a marvelous device to give many people almost a new lease on life. BUT, I make most of them for other reasons than headaches. D > > This may be a better starting place: > > [quoted text clipped - 9 lines] > > D I've been waiting for you to post that very thing, D! Thanks. W. >> This may be a better starting place: >> [quoted text clipped - 9 lines] > >D Same here, wish they would at least note the advantages of preventing abfractions, cusp fractures, and incisal edge wear. > >> This may be a better starting place: > >> [quoted text clipped - 12 lines] > Same here, wish they would at least note the advantages > of preventing abfractions, cusp fractures, and incisal edge wear. Maybe you should drop a note into the "suggestion box". The FDA's approval of the device for medically diagnosed migraine may have something to do with this; but, I don't know that to be the case. It can't hurt to ask if they would address dental benefits of using the device. ??? W. >> >> This may be a better starting place: >> >> [quoted text clipped - 20 lines] > >W. Good idea. Where's Chang when you need him ? > >> On Wed, 07 Feb 2007 18:05:48 -0600, Steven Fawks > >> <tuthjockey@myturbonet.com> [quoted text clipped - 28 lines] > > Where's Chang when you need him ? He's not hard to find. Shall we find him? Webby >> >> On Wed, 07 Feb 2007 18:05:48 -0600, Steven Fawks >> >> <tuthjockey@myturbonet.com> [quoted text clipped - 32 lines] > >Webby Sure, just forward a copy of our comments to him. That way it's much more likely to get attention. Howz his reconstruction going ? > >> >> On Wed, 07 Feb 2007 18:05:48 -0600, Steven Fawks > >> >> <tuthjockey@myturbonet.com> [quoted text clipped - 37 lines] > > Howz his reconstruction going ? Reconstruction is all complete and everyone involved is *completely* pleased!! :-) Will forward the comments along, right now! Webby >> >> On Thu, 08 Feb 2007 09:49:26 -0800, The Webby >> >> <tmjiatroepidemic@cox.net> [quoted text clipped - 48 lines] > > Webby The simple answer is the NTI is an approved medical device by FDA and therefore the manufacturer (NTI-TSS Inc.) is only allowed to label the device according to what FDA permits in the indications listed below. FDA 510(k) Premarket Notification #K010876 (FDA's Summary) of the NTI Tension Suppression System Indications for Use approved for marketing, June 21, 2001 Approved Indications for Use for the NTI Tension Suppression System (NTI-tss): 1. A device to be used in the prophylactic treatment of medically diagnosed migraine pain as well as migraine associated tension-type headaches, by reducing their signs and symptoms through reduction of trigeminally innervated muscular activity, and; 2. For the prevention of bruxism and TMJ syndrome through reduction of trigeminally innervated muscular activity BC > >> >> On Thu, 08 Feb 2007 09:49:26 -0800, The Webby > >> >> <tmjiatroepidemic@cox.net> [quoted text clipped - 71 lines] > > BC So.... I see a door *and* a window. If I can see them, I am certain that others see that much and more!! (I feel an important discussion coming on...) W. > 2. For the prevention of bruxism and TMJ syndrome through reduction of > trigeminally innervated muscular > activity > > BC There ya go. Lots more of these cases in the everyday dental practice. Multiple patients *every single day*! (lots of them might also have a few headaches, but that's not why they came to the dentist) JMO, Steve >> >> >> On Wed, 07 Feb 2007 18:05:48 -0600, Steven Fawks >> >> >> <tuthjockey@myturbonet.com> [quoted text clipped - 44 lines] > >Webby Glad to hear it. Thanks Sensitive teeth and TMJ pain as well! D >>BUT, I make most of them for other reasons than headaches. >> >>D > Same here, wish they would at least note the advantages > of preventing abfractions, cusp fractures, and incisal edge wear. hygienist wrote: > Sensitive teeth and TMJ pain as well! > [quoted text clipped - 6 lines] >> Same here, wish they would at least note the advantages >> of preventing abfractions, cusp fractures, and incisal edge wear. I've been lurking a bit and just thought I'd chime in on this post. I know how great NTI's are for TMJ etc. I've not had one (my sis thinks I should get one, but the only time I had severe night clenching (and all day too) was when I was anxious about the dentist, yah a bit of phobic here. I did get TMJ for a bit, but it resolved after I stopped seeing the dentist and wasn't so anxious about it. Plus, that dentist was not the right one for me--didn't care about the TMJ (not sure he believes in it), and didn't really want to treat me cause I was a phobic. I only saw him twice, once for a cleaning (hygienist did that) and check-up, and then for a couple small fillings. (on a side note, I have since just found a wonderful oral sedation dentist who specializes in phobics, and despite not having gone for five years, I have no cavities, and can get by with just some valium for anxiety for some teeth cleanings. I know I will feel comfortable getting regular six month check ups with her, and teeth cleanings with her hygienists, and my insurance covers it all. How great is that? I know I am a challenging dental patient, and it is great to find an awesome dentist who understands my needs. I think many of the dentists who take their time to post here are in that crew as well). Well, my sister had horrid TMJ (much better now with her NTI) and had obvious signs of severe teeth grinding at night (I can totally hear her still grind with her NTI, but it offers great protection). (she's not even 30 yet BTW). Her first NTI was a standard one (molded to fit and such of course, not some OTC horseshoe or hockey mouth guard), and she BIT RIGHT THROUGH IT one night. She now has an extra heavy duty metallic reinforced (in spots) one, that she guards VERY carefully (it's not cheap), and her jaw and teeth are much better off for it. If my anxiety gets any worse (I do have other anxiety disorders) and I find that I am clenching more often at night, and the jaw starts hurting, I DEFINITELY plan to ask my great dentist about an NTI. Emily Okay I went to the doctor yesterday and was told that my jaw is out of line. I can move my lower jaw to the right but not to the left and this seems to be what is causing my ear problems and making the right side of my face numb. They put me on 800 mg three times a day as well as a muscle relaxant at night and moist heat on the right side of my jaw. I was wondering if any body might have some suggestions to accelerate the healing. Thanks, Phil > Sensitive teeth and TMJ pain as well! > [quoted text clipped - 6 lines] >> Same here, wish they would at least note the advantages >> of preventing abfractions, cusp fractures, and incisal edge wear. NTI www.headacheprevention.com >Okay I went to the doctor yesterday and was told that my jaw is out of line. >I can move my lower jaw to the right but not to the left and this seems to [quoted text clipped - 17 lines] >>> Same here, wish they would at least note the advantages >>> of preventing abfractions, cusp fractures, and incisal edge wear. > Okay I went to the doctor yesterday and was told that my jaw is out of line. > I can move my lower jaw to the right but not to the left and this seems to [quoted text clipped - 6 lines] > > Phil An NTI. Steve |
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