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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Deep Tear At The End Of The Jawline?

Hi Doctor, There is a deep tear on the inside of my mouth at the end of the jaw where the upper & lower jaw meet. It has some discomfort to offer me on opening the jaw. My mouth doesn't open fully. Please tell me if there is anything to worry. My age is 49yrs. I am 5 ft 5 inches tall. My weight is about 75kgs. I am otherewise fine having no concerns. Regards, Mamta

Mon, 30 Jun 2014
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Dentist 's  Response
Hello,
I have read your inquiry. I am concerned that you describe a deep tear and do not tell me the circumstances that caused this condition. If you have had trauma to the jaw and it does not function properly, please consult an oral surgeon. You may have damage to the TMJ joint.
If you have a cut or ulcerated conditon with inflammation, you can take steps to reduce inflammation and reduce discomfort. If the area is infected or gets worse, please seek professional care with your dentist or oral surgeon.
Rinse with warm salt water to cleanse and soothe the area. Avoid any irritants such as smoking, alcohol, acidic foods and liquids, spicy, crusty and hard foods. Do not stess the jaw and keep a soft diet. Keep well hydrated to assist healing. Follow proper nutrition with balanced vitamins. Vitamin B complex is helpful to healing. There are gels available with benzocaine or other anesthetic medications to offer relief if you experience great discomfort. Take some anti-inflammatory medication such as Tylenol, Advil or Benedryl. Follow good daily dental hygiene.
Plan to visit your dentist if area does not improve in afew days or condition becomes worse. You may need prescription medication such as an antibiotic to treat an infection. You may have an undiagnosed dental condition contributing to this damaged area. A prescription rinse combination of pain relief, anti-inflammatory medication and anesthetic may be very helpful with the location of your damaged area. Anti-fungal medicine can be included in the rinse if needed.
Thank you for consulting Healthcare Magic. I am available for additional questions. I hope you find my recommendations helpful and will feel better soon.
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Dentist Dr. Dr. Krishnakumari's  Response
Hello!Thank you for posting here.

You did not mention why that tear appeared and how long it is persisting.
This must be secondarily infected.Take metronidazole 400 mg thrice daily for 3 days,Novamox500 twice daily.Also take a OTC pain killer to temporarily limit pain.
Apply topical quadragel ointment on the area of cut.Apply this before food thrice daily.This will reduce the pain while chewing.

Regards.
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What Causes A Deep Tear At The End Of The Jawline?

Hello, I have read your inquiry. I am concerned that you describe a deep tear and do not tell me the circumstances that caused this condition. If you have had trauma to the jaw and it does not function properly, please consult an oral surgeon. You may have damage to the TMJ joint. If you have a cut or ulcerated conditon with inflammation, you can take steps to reduce inflammation and reduce discomfort. If the area is infected or gets worse, please seek professional care with your dentist or oral surgeon. Rinse with warm salt water to cleanse and soothe the area. Avoid any irritants such as smoking, alcohol, acidic foods and liquids, spicy, crusty and hard foods. Do not stess the jaw and keep a soft diet. Keep well hydrated to assist healing. Follow proper nutrition with balanced vitamins. Vitamin B complex is helpful to healing. There are gels available with benzocaine or other anesthetic medications to offer relief if you experience great discomfort. Take some anti-inflammatory medication such as Tylenol, Advil or Benedryl. Follow good daily dental hygiene. Plan to visit your dentist if area does not improve in afew days or condition becomes worse. You may need prescription medication such as an antibiotic to treat an infection. You may have an undiagnosed dental condition contributing to this damaged area. A prescription rinse combination of pain relief, anti-inflammatory medication and anesthetic may be very helpful with the location of your damaged area. Anti-fungal medicine can be included in the rinse if needed. Thank you for consulting Healthcare Magic. I am available for additional questions. I hope you find my recommendations helpful and will feel better soon.