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

Answered by
Dr. Muzaffer Hussain Parray
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 19, 2021

Hi doctor,

I am a 47-year-old male with a height of 162 cm and a weight of 74 kg. I have tooth pain, and pain in the upper and lower jaw, the backside of the head, and the shoulder. The pain is mostly on the right side of the head and jaw. Can you please help me with this?

Current medication details:

Tablet Zerodol TH.



Welcome to

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. If you can upload intra oral pictures of teeth in both open and closed positions, I can check for any cavity and malocclusion. Mostly such pain is either due to carious teeth or malaligned teeth. In your case, it looks me 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 you have any stress. If you are stressed, there is usually more stress on masticatory muscles.


The Probable causes:

Masticatory muscle pain.

Differential diagnosis:


Preventive measures:

Take soft food.
Avoid hard meals and too much chewing for a week.

Thank you doctor for the reply,

I have attached the intraoral images. Kindly look into it and help me with this issue.



Welcome back to

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 sure you do not have any serious issue which needs such investigation like CT or CBVT (cone beam volumetric tomography), etc.

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

  • Tablet Negox OZ.
  • Toothpaste Senquel F.

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

Hello doctor,

Thank you for the advice.

There is also clicking sound. What does that mean? Kindly tell how much mg of the medicine should I take?


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 by both sides or single side. Single side mastication is also one of the causes.

Thank you doctor for the advice,

Can you please tell me how it can be cured?



Welcome back to

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 TMJ (temporomandibular joint), the condition does not need any surgical intervention.

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

Thank you doctor,

Recently I visited the dentist he said to take off the last two teeth. Will it be safe? Also, he stated that it is not 100 percent accurate.



Welcome back to

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

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