HomeAnswersDentistrymalocclusionWill no occlusion on one side cause jaw damage?

I do not have occlusion in one side of my crown with eating difficulty. How to manage?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At January 31, 2020
Reviewed AtJanuary 31, 2020

Patient's Query

Hello doctor,

I am 71 years old and I am in the process of getting major work done throughout my mouth. At the moment, I have only three grinding teeth on my upper. Two on the left and one on the right (numbers 4, 12 and 13). 11 days ago, the dentist reinstalled the crown on number four, but when I left his office there was no contact in number 4. There was only contact (occlusion) on 12 and 13. Of course, it was very difficult eating with only two teeth that had full contact. After a few days, I started to get a lot of pain in my neck and behind my ear and up almost to the top of my head on the side of number 4 (right side) and there was numbness in the area of my jaw joint (in front of my ear). I saw the dentist again four days ago and he added some type of material on top of number 4 to achieve occlusion there. I still have the pain constantly and it is pretty unbearable. 800 mg of Ibuprofen and Aspercreme on the area help me somewhat. I called the dentist and he said that the pain was related to some nerve problems inside the number 4 tooth. I have been thinking maybe there was some damage in my jaw or something because of my jaw having had overwork trying to make on the right side while eating. What do you think?

Hi,

Welcome to icliniq.com

I have read through your complaint and the relevant details. Firstly, I would like to ask you for what reason was the crown was placed for tooth 4. And usually, when there is no occlusion on one side, you will get pain and soreness on the opposite side. If the occlusion is high i.e. too high crown, the pain and soreness will be on the same side. Repairing the crown with extra material would not be ideal. If the occlusion is not there, the dentist must have given you a new crown in place.

Were there any x-rays taken for the same tooth? In that case, any nerve problem can be easily identified. Please do not worry that you got a jaw problem. It is with the construction of the occlusion which helps you to do normal function.

Ibuprofen 400 mg thrice daily should work well for this kind of pain. Heavy doses are not advisable. I reckon you check with the x-ray for that tooth if you have not had any before and forward it to me. I also request you to send the picture of the teeth so that I could arrive at a better diagnosis.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Geethanjali. S. S
Dr. Geethanjali. S. S

Dentistry

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