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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Clicking Or Popping Jaw On Opening The Mouth Wide, Bad Bite, No Pain. Have Complete Set Of Teeth, No Impacted Tooth. What Treatment Is Advisable?

Hi, I want to ask the problem about my jaw . My jaw is clicking/popping for almost 4 years now everytime I open my mouth wide. Though until now, I don t feel any pain or caused me troubles but it just pops. It s kind of irritating as it is not normal like any other people I knew. I consulted several dentists for their opinion but they had different insights/procedure to treat it. Some say I need to wear splints or mouth guard then wear ortho .. some say I need my 3rd molars to be removed. As I am confused with the procedures and worried about the assurance of the treatments , I still need guidance. By the way, I only have 2 third molars (not impacted and grew in the right alignment) located in the ends of my lower jaw. I never been extracted and my teeth are complete. I also have no impacted tooth and all grew in right direction but I have spaces in teeth but not so much far apart. Most of the dentist also said that I have a bad bite. Sometimes I find myself in the morning with a different/abnormal bite but get backs to normal as minutes passes. Please advise me what to do/follow. I really appreciate it. thank you
Fri, 29 Jun 2012
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Dentist, Oral and Maxillofacial Surgery 's  Response
hi.from ur history it appears that basic problem is in the temporomandibular joint.clicking sound on opening widely is basically seen when the disc of tmj interfere in the movement of condyle, this condition is known as internal derangement of tmj.there r several ways of treating it.1.take muscle relaxant and analgesics for 2 weeks and avoid wide mouth opening. 2.tmj arthrocentesis can be done, in which lavage of joint done by normal saline and then hydrocortisone injection is given 3.in rare circumstances discoplasty and meniscoplasty can be done. 4.occlusal correction should be done and splints can be used.go to oral surgeon for ur problem.wish u good health
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Radiologist Dr. Ranjeet Jagdale's  Response
Jaw clicking can be a sign of temporomandibular joint problems and you probably have a slipped temporomandibular disc which would require complete evaluation with MRI
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Clicking Or Popping Jaw On Opening The Mouth Wide, Bad Bite, No Pain. Have Complete Set Of Teeth, No Impacted Tooth. What Treatment Is Advisable?

hi.from ur history it appears that basic problem is in the temporomandibular joint.clicking sound on opening widely is basically seen when the disc of tmj interfere in the movement of condyle, this condition is known as internal derangement of tmj.there r several ways of treating it.1.take muscle relaxant and analgesics for 2 weeks and avoid wide mouth opening. 2.tmj arthrocentesis can be done, in which lavage of joint done by normal saline and then hydrocortisone injection is given 3.in rare circumstances discoplasty and meniscoplasty can be done. 4.occlusal correction should be done and splints can be used.go to oral surgeon for ur problem.wish u good health