How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Julian Chen Your Own Question

Julian Chen
Julian Chen, Dentist
Category: Dental
Satisfied Customers: 559
Experience:  Practicing General Dentist since 2002
16439544
Type Your Dental Question Here...
Julian Chen is online now
A new question is answered every 9 seconds

My back teeth on my right side are hurting and my right cheek

Resolved Question:

My back teeth on my right side are hurting and my right cheek feels somewhat swollen and hurts. My jaw makes a weird clicking sound when I open and close my mouth and my right eye and ear feels like there is pressure on them and some pain and I have some minor swelling in my temple area on the right side and when I press on it, it the pain radiates through the right side of my face. This has been going on for a few weeks and I have no idea what is wrong. Does you have any ideas?
Submitted: 5 years ago.
Category: Dental
Expert:  Julian Chen replied 5 years ago.
HiCustomer

Have you ever had your wisdom teeth removed?

Regards,

JulXXXXX XXXXX, DDS
Customer: replied 5 years ago.
My dental x-rays have shown that I don't have any wisdom teeth.
Expert:  Julian Chen replied 5 years ago.
If it's not wisdom teeth, then you're likely suffering from an acute flare up of your right TMJ. (Where your lower jaw attaches to your skull.)

It would appear that you grind your teeth habitually, whether consciously or subconsciously at night. That's probably why you've tried wearing a mouthguard at night. And in recent weeks, whether it's because you're under elevated stress, you're grinding your teeth more aggressively than before. This would explain the back molars hurting more.

The clicking sound that occurs when you open and close suggests that the meniscus at your TMJ is not allowing smooth movement of your right condyle (of your lower jaw). So the joint is irritated and swollen, which is why when you press on it, the pain radiates upward toward the temple.

I'm also wondering if whether your store-bought nightguard is contributing to the problem. Nightguards can be very helpful for patients who grind their teeth. However, a poor-fitting nightguard (usually the case with store-bought guards) can actually cause you to clench and grind your teeth more.

At this time, I would recommend that you stop using that current nightguard altogether. Continue to take an anti-inflammatory (Advil/Tylenol is fine) to try and reduce the inflammation of your TMJ. You'll also want to get some ice and put it in a Ziploc bag, wrap it up with a thin hand towel and apply the ice pack to the right side of the face, just in front of your right year. Hopefully this will help reduce the swelling in the joint. Apply the ice for 10-min on, and 10-min off for about 30min-1hr as needed. Also, if possible, attempt to reduce your stress level.

Assuming that it was the poor-fitting nightguard causing your bite to be off, resulting in additional clenching and grinding, your joint and right side of the face should start to feel better in about 3-5 days. So if in 3-5 days, you're feeling better, then DO NOT ever wear that nightguard again. If you still need to wear a nightguard because you do grind your teeth habitually, then you'll want to see your dentist and get a custom nightguard made. Custom nightguards will fit properly and be balanced so that your bite won't be off.

If possible, you should also make an appointment with your dentist to evaluate your TMJ. At 22, it is unlikely that any permament damage has occurred to your joint, but we want to do everything that we can to prevent the problem from getting worse.

Regards,

JulXXXXX XXXXX, DDS
Julian Chen, Dentist
Category: Dental
Satisfied Customers: 559
Experience: Practicing General Dentist since 2002
Julian Chen and other Dental Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Mark Bornfeld, DDS

    Dentist

    Satisfied Customers:

    5437
    Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA
< Last | Next >
  • http://ww2.justanswer.com/uploads/GE/gemini132/2012-6-7_14143_MarkPic.64x64.jpg Mark Bornfeld, DDS's Avatar

    Mark Bornfeld, DDS

    Dentist

    Satisfied Customers:

    5437
    Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA
  • http://ww2.justanswer.com/uploads/drbehere/2010-04-11_192833_IMG_055575.jpg Dr. Behere's Avatar

    Dr. Behere

    Dentist

    Satisfied Customers:

    1850
    Masters degree, years of experience with all kinds of dental problems.
  • http://ww2.justanswer.com/uploads/knecht522/2008-12-17_154020_alex22.jpg Dr. Alex's Avatar

    Dr. Alex

    Dentist

    Satisfied Customers:

    1607
    I am a General Dentist and founder of the American School of Dental Assisting
  • http://ww2.justanswer.com/uploads/doclagoa/2008-10-01_163313_geosmall.jpg Dr. George McKee's Avatar

    Dr. George McKee

    Dentist

    Satisfied Customers:

    1392
    Licensed dentist with 30 years clinical experience in general practice and cosmetic reconstruction.
  • http://ww2.justanswer.com/uploads/slodentistry/2009-05-25_004702_h.jpg Dr. Girish's Avatar

    Dr. Girish

    Dentist

    Satisfied Customers:

    788
    19 years of clinical experience in all phases of Dentistry.
  • http://ww2.justanswer.com/uploads/jwcdds/2009-05-09_190942_portrait.gif Julian Chen's Avatar

    Julian Chen

    Dentist

    Satisfied Customers:

    558
    Practicing General Dentist since 2002
  • http://ww2.justanswer.com/uploads/drwilldds/2009-10-29_201512_justanswer.jpg Dr. Winterholler's Avatar

    Dr. Winterholler

    Dentist

    Satisfied Customers:

    266
    4 years Private Practice, Heavy emphasis on Cosmetic Dentistry and Implants, Top 10% of Dental Class
 
 
 

Related Dental Questions

Chat Now With A Dentist
Julian Chen
Julian Chen
Dentist
559 Satisfied Customers
Practicing General Dentist since 2002