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Started By
Message
Question for OT docs and dentists
Posted on 2/22/17 at 11:59 pm
Posted on 2/22/17 at 11:59 pm
SO (no pics)went to the ENT for persistent earache, tinnitus, and sinus headache. Had no ear infection, and sinuses were clear. He suggested a dentist or neurologist, seemed to think it was dental or migraine related (she has a history of migraines, and had a recent root canal)
Thoughts on this? TIA
Thoughts on this? TIA
8
Posted on 2/22/17 at 11:59 pm to Jim Rockford
AIDS
Posted on 2/23/17 at 12:01 am to Jim Rockford
Does SO still have wisdom teeth?
Posted on 2/23/17 at 12:02 am to Jim Rockford
Jody fricked her so hard last week it knocked her brain loose
Posted on 2/23/17 at 12:17 am to dkreller
quote:
Does SO still have wisdom teeth?
Still has lowers.
Posted on 2/23/17 at 5:48 am to Jim Rockford
Use a NEW q-tip each time
Posted on 2/23/17 at 7:26 am to Jim Rockford
PIIHB. It will equalize the pressure
Posted on 2/23/17 at 7:41 am to Jim Rockford
As a dentist, I can tell you that is not enough information to make any definitive diagnosis. To say it's dentally related may mean one of two things possible...could be TMJ related, or could be a tooth, but teeth issues are generally linked to hot/cold pain or biting pain, or what we call spontaneous pain...like wake you up at 1am pain. Must see an xray of the teeth to rule in or out a tooth issue. One quick way to see if it is TMJ related is to put a finger in the ear of the affected side, and push forward as you open the jaw. This pushes against the joint, and if there is inflammation there, you generally have some discomfort.
Posted on 2/23/17 at 7:43 am to tbabino
quote:
As a dentist, I can tell you that is not enough information to make any definitive diagnosis.
I'm not a dentist, but I agree with that statement.
Gonna need pics.
Posted on 2/23/17 at 9:53 am to tbabino
Agree with tbabino.
Does she grind her teeth at night or clench her jaws during the day due to stress?
Could be migraines, cluster headaches, or TMJ inflammation. Though the tinnitus is a not typical with these. Does she have tinnitus without the headaches?
Does she grind her teeth at night or clench her jaws during the day due to stress?
Could be migraines, cluster headaches, or TMJ inflammation. Though the tinnitus is a not typical with these. Does she have tinnitus without the headaches?
Posted on 2/23/17 at 9:54 am to tbabino
quote:
As a dentist
The problem is that 9 out of 10 don't agree.
Posted on 2/23/17 at 9:55 am to Jim Rockford
Is your wife a grinder?
Posted on 2/23/17 at 11:06 am to The Mick
Tinnitus is the wild-card here....it may be related and it may not. I have tinnitus and I don't have a single other symptom. So, whether there is a cause and effect here is uncertain....it's just not a common finding related to TMJ issues. Again, with the limited info, the chances are that this is not a tooth-centered issue ie, no dental procedure may be needed. But a TMJ splint MAY be where this is headed???
Posted on 2/23/17 at 11:06 am to CrimsonTideMD
quote:
Does she have tinnitus without the headaches?
Tinnitus is constant over the last several weeks. The other symptoms come and go. She has been under a lot of stress.
ETA: Also did a head CT scan and found nothing remarkable.
This post was edited on 2/23/17 at 11:11 am
Posted on 2/23/17 at 11:13 am to Jim Rockford
Here's a reasonably cheap way to sort this out....go to CVS/Walgreens/WalMart and get THE BEST over the counter nightguard that you can buy. THE BEST is French for PAY THE MOST....there is a reason for this advice...the less expensive ones will not fit well, and they won't give you the desired outcome, which is to find out if there is a bruxism/TMJ component here. Once you have it and mold it to her arch as perfectly as possible, MAKE SURE that her bite is also as perfect on the appliance as possible. Then...WEAR IT 24/7, except to eat and brush. If you have bought the best one you can find, seat it as well as possible, and have the bite as close as you can get it, then she SHOULD see some positive results IF this is TMJ related. Then, if she starts having fewer symptoms, you should contact your family dentist to have a real TMJ splint made.
Posted on 2/23/17 at 11:17 am to tbabino
good advice right here, Jim
This post was edited on 2/23/17 at 11:19 am
Posted on 2/23/17 at 11:21 am to CrimsonTideMD
30 years experience rite-chea!
Posted on 2/23/17 at 12:40 pm to tbabino
Update: The headache and earache are better today, but now her tooth hurts. Maybe this was referred pain from a tooth problem?
Posted on 2/23/17 at 12:53 pm to tbabino
That was some mutha-bruxing good advice
Posted on 2/23/17 at 2:34 pm to tbabino
quote:
If you have bought the best one you can find, seat it as well as possible, and have the bite as close as you can get it, then she SHOULD see some positive results IF this is TMJ related. Then, if she starts having fewer symptoms, you should contact your family dentist to have a real TMJ splint made.
This may worsen the condition. Bulky mouthguards from the drug store may increase interarch distance further aggravating the condition. Further, if it is mal-occlusion, you are increasing the biting forces on the posterior teeth which seem to be the source of her pain. Best treatment is for the patient to potentially get an anterior bite plane to test if it is muscles or joints giving pain. Cheap alternative to test this is to get a tongue blade, and lay it horizontally across the front teeth to where the back teeth don't touch. This will remove the guidance from the posterior teeth allowing the lateral pterygoid muscles to relax.
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