What causes chewing difficulty accompanied by a sound while opening the mouth?

Hi,

Welcome to icliniq.com.

I understand your concern.

I will be answering your query shortly. Please check your follow-up messages. I am a maxillofacial surgeon. Do not worry.

Regards.

Hi,

Welcome back to icliniq.com.

I understand your query and concern.

Good, you clarified the medical history. What does movement with the woman mean? Any impact on the temporomandibular joint, or is it any sexually related trauma? That is the cause. Is it? Or any hit to the joint? That is what I wanted to clarify because then individuals will be prone to oral infections too, and I need to prescribe different them. So the joint is moving to the left more now, which I understood. Please clarify this clearly. Thank you for your patience too. As you are concerned for your friend so much, I will definitely give you the remedies. Do not worry.

Hope this answers your query.

Kind regards.

Hi,

Welcome back to icliniq.com.

I understand your concern.

Fine, whatever sexually related problem that would be, I am not completely understanding it yet. But either way, I understand he must be having a daily form of joint stress like you are putting it. From what I can see, his joint displacement is a very severe issue. Then the best measure is to start this muscle or joint relaxant tablet called Hifenac-MR (Aceclofenac, Paracetamol, and Chlorzoxazone). Your local brands may vary. Look for the composition. Take this twice a day after breakfast and dinner for three days. He can use this twice a day for three to four days for temporary joint pain or deviation relief. In fact, anytime he gets pain or difficulty in mouth opening, he can take this for a day or two. Coming to the specific point of deviation, in the clinic, an oral surgeon should do a maneuver by adjusting the joint in position. If it is only a matter of discomfort, he can try this tablet on and off for pain and muscle stress, whenever he can. The tablet combination is absolutely safe. Even the Powergesic gel (Diclofenac), I said, externally is also helpful for relieving joint stress. But if you need a specific remedy for joint displacement only because it is more deviant now, then an oral and maxillofacial surgeon must be consulted, and not just a general dentist. They will need to address this left deviation by maneuvering the joint into the right position in the clinic or hospital setting. They will also give you post-operative instructions post the procedure and very simple maneuvers. If the joint displacement is too much, then they might suggest surgery. In that case, you can get back to me with your opinion if needed. And generally, I think he should start rinsing his mouth regularly with Chlorhexidine gluconate mouthwash every day at least twice to prevent his risk of oral infections. My extra advice as a surgeon.

Hope that helped.

Kind regards.

Hi,

Welcome back to icliniq.com.

I can understand your concern.

I can only say it will worsen with time if you stress your joint or mouth repeatedly when already it is so deviated to a side. However, as I am not communicating with your friend directly, I would not know the exact reasons. So it is best to destress and completely relax his TMJ (temporomandibular junction) from time to time. I can give him a full list of non-surgical and safe measures he can follow if you are not interested in going for surgical options. Let me know.

Hope this answers your query.

Kind regards.

Hi,

Welcome back to icliniq.com.

I can understand your concern.

Fine, so these instructions are specifically for your friend.

1. Destress and meditate. Yoga, moderate exercise, or healthy socializing even can definitely combat stress that can relax the pressure on the joint.

2. Regular lukewarm salt water rinsing of the mouth or Chlorhexidine mouthwash, as I said earlier, to prevent oral infections or mucosal infections. They can also cause or rather appear to be a joint deviation when there is swelling. So mouth rinsing is good.

3. You can sleep with two pillows propped up if your head or neck is getting strained because of joint issues. Alternatively, you can apply ice packs for joint relief.

4. Avoid eating too hot hard or spicy foods on the affected side of the mouth, or that can create more pressure on joints. Chew on the side, which is more comfortable and preferably a semi-solid, healthy, and nutrient-dense diet.

5. Consume healthy antioxidants through diet, vitamin C, vitamin E, and vitamin K-rich foods, and you can even take vitamin C tablets or Limcee (vitamin C) tablets after breakfast to boost your joint and oral immunity.

6. Lastly, avoid any kind of particular joint stress, whatever the cause is, or sleep more on the affected joint to avoid further displacement issues. The best strategy we recommend as surgeons is to maneuver the joint in the clinic or surgical reduction (alternative therapy) for displacement before it gets too severe.

Hope that helps.

Warm regards.

Hi,

Welcome back to icliniq.com.

That is the only thing I would not understand. I understand it must be a sexual act, definitely. But until I know the correct details, I cannot exactly tell you what should be avoided and how he should de-stress. Please clearly elaborate on the complaint without being indirect so I can suggest how best he can relieve his symptoms. Tell in clear language and, in detail, what exactly is his wife making him repeatedly perform. Why is the joint stressed?

Revert with answers.

Regards.

Hi,

Welcome back to icliniq.com.

I understand your query.

In that case, I think your friend should definitely not be involved in performing such acts anymore. Please convey to him that it is unacceptable for the temporomandibular joint at this age to take such stress, not to mention the risk of contracting orogenital infections in the mouth. Hence I would suggest as an oral surgeon to refrain from such primitive practice upon his joint and instead consult a sexologist because it is more related to his wife, for which he is obviously involved. So that is not my fort. I can only suggest not to strain the joint and also quite clearly to avoid such pressure and strain on the joint at this age. Age commonly brings about loss of bone volume and makes the jaw even more prone to easy fractures. So I would suggest referral to a sexologist because they can advise him and his wife better or alternatives to their practices if his wife is uncooperative. All six remedies I suggested previously, are exclusively for the joint. So till he stops doing that, I do not think his joint condition can improve. Please convey to him that and ask him to consult a sexologist for his wife as a surgeon. I have given my opinion that continuing sexual practice straining the mouth or TMJ would predispose an individual to high-risk systemic infection and jaw fracture.

Hope that helped.

Regards.