Thanks for your response
If your gums are healthy are in good condition that you probably won’t be having any periodontal disease & & your symptoms can also be due to jaw / temporomandibular joint disorder (Tmj).
Teeth can exhibit severe mobility & it can also cause tooth loss .This happens when supporting bone gets destroyed and when heavy forces are being placed on teeth. TMJ Disorder is a complex abnormality which involves disk displacement and deformity, inflammation and alteration of the synovial fluid.
Sleeping abnormalities such as clenching and grinding of the teeth (bruxism- a non-functional habit that can occur while awake or asleep.), results in adverse excessive loading of the TMJ causing breakdown of the lubrication system resulting in degenerative changes in the articular surfaces and disk displacement.
The signs and symptoms of temporomandibular joint disorder can vary in their presentation and may not be same in each individual. See the link for more details:
Just as there are no established guidelines for diagnosing temporomandibular disorder, there also is no single best treatment.
Conservative, nonsurgical therapy is the right way to begin and usually doctors/dentists also try to emphasize on these approaches such as using:
1) You can use Ice packs,
2) Try gentle Jaw Stretching & Relaxation Exercises
3) If ice packs don't work you can use moist heat pads.
4) Painkiller Medicines such as Non steroidal anti-inflammatory drugs (NSAIDs), Muscle relaxants will help you. (For muscle relaxants you will need your doctor’s prescription).Read more about them here:
5) Tmj Splints (/mouth guards)
These treatments which I have listed above do work when combined together, so I feel you should discuss about these treatment options with your doctor/ dentist. Also the mouth guard that you wear should be made by taken your own mouth measurements by the dentist i.e. it should be a Custom fitted mouth guard.
If at all your TMD doesn't get better after trying the basic treatments listed above, you should try other possible treatment options.
The other treatment options available are:
Transcutaneous electrical nerve stimulation for jaw relaxation,
, Trigger-point injections and Surgery can also be done which is considered as the last resort which is considered last, only if you still are experiencing severe, persistent pain and all other treatment options are not working.
Have a look at this link too for more information of treatment options in details:
I hope this helps! If you are satisfied please don't forget to ACCEPT the answer.
BONUSES and positive feedback are always appreciated. If you have any more questions, please feel free to respond to this question.
Good Luck! Dr. Hans