I am having pain in the jaws, head, and shoulder. Can you tell me the reason for this?

Hi,

Welcome to icliniq.com.

I can understand your concern. I went through your question and CT (computed tomography) report (attachment removed to protect the patient's identity). Your CT report is normal, which means there is no major issue to be concerned about.

The problem looks muscle-related or tooth-related, which can be due to masticatory muscle pain. If you can upload intra-oral pictures of teeth in both open and closed positions, I can check for any cavities and malocclusions. Mostly, such pain is either due to carious teeth or malaligned teeth.

In your case, it looks like you are having a malocclusion-related issue. That means you need to continue the above-mentioned tablet Zerodol TH (Aceclofenac 100 mg and Thiocolchicoside 4 mg) for a week twice daily, along with capsule Cyra-D (Domperidone 30 mg and Rabeprazole 20 mg) once daily before breakfast for five days.

Secondly, you need to watch if you do night grinding or if you have any stress. If you are stressed, there is usually more stress on the masticatory muscles.

Also, take soft food and avoid hard meals and too much chewing for a week.

I hope this helps.

Regards.

Hi,

Welcome back to icliniq.com.

Yes, you have severe attrition due to malocclusion, which means your teeth (jaws) are not properly fitting and are causing pain. Also, you have mild marginal gingivitis. However, one thing is certain: you do not have any serious issue that requires such an investigation, such as CT or CBVT (cone beam volumetric tomography), etc.

I suggest you use the following antibiotics and toothpaste. Use it for five days, and you will feel better.

• Tablet Negox OZ.
• Toothpaste Senquel F.

If you find a dentist nearby, get an oral prophylaxis (dental scaling) done, or wait till the lockdown is over and get it done after that.

Hi doctor,

The clicking sound is secondary to malocclusion, and you have attrition also because of the same issue.

You also need to check if you are chewing on both sides or a single side. Single-sided mastication is also one of the causes.

Hi,

Welcome back to icliniq.com.

If the problem is not solved with the muscle relaxant, eating soft food, and using both sides while chewing, we can proceed further by using a mouthguard or orthodontic treatment.

Because there are no pathological changes in the TMJ (temporomandibular joint), the condition does not need any surgical intervention.

For both of the above-mentioned procedures, you need to wait and also need multiple visits to the dentist, which is not possible in this COVID-19 pandemic.

Hello,

Welcome back to icliniq.com.

Yes, it is safe to take them out because third molars are functionless. If the malocclusion is because of those two teeth, it is fine, but 100 % accuracy is not guaranteed.