Please help me identify the reason for pain in my jaw and face.

Hello,

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I have gone through the files uploaded (attachment removed to protect the patient's identity). Having looked at the picture and the X-rays, there are no cavities. There is some generalized bone loss and the widening of PDL (periodontal ligament) spaces. This is indicative of high forces being applied on your teeth due to one of the following reasons. Bruxism, Clenching, Stress, Interferences in teeth and Malocclusion are some reasons. These are some common causes. To begin with, you will require a nightguard or splint; so that your pain reduces. Also, after two to six months of splint wear, it needs to be checked if you have any bite disturbances, which will need to be corrected by braces or multiple caps. Till you get a splint or night guard, I suggest you can take a painkiller available over the counter to manage pain. You can also apply mild heat to the jaw joint area when facial pain occurs. You can also visit a physiotherapist and undergo TENS (transcutaneous electrical nerve stimulation).