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 Mark Bornfeld, DDS Your Own Question

Mark Bornfeld, DDS
Mark Bornfeld, DDS, Dentist
Category: Dental
Satisfied Customers: 5790
Experience:  Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA
2883465
Type Your Dental Question Here...
Mark Bornfeld, DDS is online now
A new question is answered every 9 seconds

cant chew or close my mouth on right side of jaw. Very painful

Customer Question

can't chew or close my mouth on right side of jaw. Very painful for about 6 days now.
Submitted: 3 years ago.
Category: Dental
Expert:  Dr Su S replied 3 years ago.
Greetings,

Is there any swelling, redness or other symptom? Are you on any other medication? Is there any significant past illness?

Regards.
Customer: replied 3 years ago.
No swelling, or redness. Does not hurt at all until I try to bite on that side. Teeth do not hurt.

I am not on any medications and there is no past illness. I did have 4 wisdon teeth
removed last May.
Expert:  Dr Su S replied 3 years ago.

Thank you for the input.

The detail description of your symptoms sound like Temporo Mandibular Joint disorders. Many factors can predispose to it. Stress & insomnia may precipitate it. Heat or ice application can help. Tylenol or ibuprofen can be used. Rest to the joint as much as possible can be beneficial. Try to take soft diet to give rest to the joint. Usually by 2-3 weeks, the symptoms should decrease. If the conservatives management does not help, then other prescription grade medicine will be required. It will be prudent to get a consultation with doctor for examination and intervention as necessary.


Any query, please feel free to ask.
It will be my privilege to assist you.
Regards.
Customer: replied 3 years ago.
Can you tell me where the irritation actually exists in the joint with this diagnisis?
Is it inflammation of a nerve or the bone? Don't understand why I can't close my mouth.
Is there a viral component with this at all?
Expert:  Dr Su S replied 3 years ago.
This is inflammation in the joints of the bone. It does not sound like a nerve. Inflammation can come from different causes. Those can be due teeth grinding, osteo or other arthritis.
Customer: replied 3 years ago.

Ok. So what type of doctor should I see for an appointment? Can arthritis and osteo be

diagnosed from an xray? I was told that I grind my teeth but I have never experienced any pain in the past. It is so acute and has lasted for 6 days. Would osteo hurt like this?

Expert:  Dr Su S replied 3 years ago.
You can consult your primary doctor. He can take X ray or other tests. If he thinks necessary he can then refer you to an appropriate specialist. If you are satisfied with the answer, please press the ACCEPT button so that I can be compensated for my time & effort. Regards.
Expert:  replied 3 years ago.
Welcome to JustAnswer, and thank you for putting your trust in me!

The acute onset and severity implied by your description suggests a subluxation/dislocation of the disc inside your temporomandibular joint (TMJ), rather than an arthritis. The fact that you have an occlusal splint/night guard suggests that TMJ dysfunction has been an established issue for you, but a disk subluxation, as you have already discovered, cannot be adequately treated by occlusal appliances.

It is my experience that medical doctors do not typically like to treat functional or structural TMJ disorders, and will usually refer patients like you to an oral surgeon. However, there are more appropriate clinicians with whom to consult for your issue. My advice would be to seek out an oro-facial pain specialist, who will be best qualified to assess and treat your complaint. Your general dentist will be able to provide you with a referral, or you may consult the online directory of the American Board of Orofacial Pain.

Hope this helps...
Mark Bornfeld, DDS, Dentist
Category: Dental
Satisfied Customers: 5790
Experience: Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA
Mark Bornfeld, DDS and other Dental Specialists are ready to help you
Customer: replied 3 years ago.
Thank you! This was a more detailed answer and seems to fit my condition. I have made my appointment.

Best,

C Watson
Expert:  Mark Bornfeld, DDS replied 3 years ago.
You're welcome. Good luck!

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