Pain under the jaw
Last reviewed: 23.04.2024
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Pain under the jaw can occur as a result of mechanical influence or acquired disease. The danger of pain under the jaw is a whole list of possible consequences that are responsible not only for the integrity of the jaw itself, but also for the hard palate, nasal cavity and even the eyes.
In the case of pain under the jaw, you need to contact a doctor such as a surgeon, neurologist, dentist, in order to avoid unpleasant consequences. Why should these doctors be treated?
Pain under the jaw can provoke causes that are related to trauma, dental and neuralgic causes, which we will discuss in more detail below.
Causes of pain under the jaw
So, on what grounds can there be pain under the jaw?
- Fractures of the lower jaw. This is possible because of a strong blow to the face, accidental event, during which a fracture is possible. Severe head injury can become a source of fracture of both jaws simultaneously, that is, the upper and lower.
Fractures are divided into several groups:
- direct and reflected;
- single and multiple;
- with and without offset;
- comminuted;
- open and closed.
If the lower jaw is broken, then a person experiences severe pain under it; result "on face": edema of soft facial tissues, hemorrhage; chew painfully or impossible.
- Osteomyelitis of the jaws is a disease on the basis of an infectious inflammatory process that affects all the details of the jawbone. Osteomyelitis has several types:
- traumatic,
- hematogenous,
- odontogenic.
The last type of osteomyelitis is formed as a result of disorders of the microflora of the dental root canals and dentogingival pockets. The causative agents of odontogenic osteomyelitis are staphylococci, streptococci, anaerobes.
Acute osteomyelitis is determined by symptoms such as painful pulsation under the jaw, chills, fever reaching 40 degrees, headache.
In this case, it is necessary to identify a "problematic" tooth, where necrotic pulp or a seal is present. It is not difficult to detect it as neighboring teeth "move", and in this place a sharp pain is noticeable. The face becomes swollen and asymmetric. Painful and enlarged character acquire lymph nodes.
Possible consequences: abscess, phlegmon.
The state of the blood also changes not for the better: an increased level of ESR, neutrophilic leukocytosis.
As for the general state of health, it is difficult to say, because everything depends on the complexity of the disease.
- Dysfunction of the temporomandibular joint provokes pain syndromes in several zones:
- lower jaw,
- in front of the ear,
- forehead,
- cheek.
It also has other characteristic features, to which, mainly, are:
- click,
- limited movement.
The pain itself has the soil of myofascial syndrome in the masticatory muscle, malocclusion, inflammatory or degenerative changes in the joint.
- Sharp and strong impulses, provoked by the affected cranial nerves, have a serious consequence - cranial neuralgia. In most cases it is a question of a neuralgia of a ternary nerve.
- A variant of neuralgia of the upper laryngeal nerve is possible, where the main characteristics are:
- paroxysmal unilateral or bilateral pain in the larynx and in the corner of the lower jaw,
- irradiating pain near the eye, ear, chest, shoulder,
- hiccough, yawning, hypersalivation, cough, pain when swallowing.
- Very rare phenomenon - neuralgia of the glossopharyngeal nerve.
This disease is characterized by paroxysmal pain, which, as a rule, originates in the root of the tongue or tonsils and covers the larynx, ear, angle of the jaw. There are cases when the pain syndrome also spreads to the eyeball. Very rarely, pain occurs in the neck. Attacks of pain appear suddenly at the moment of movements of the pharynx or tongue, namely, during swallowing or talking. The duration of painful attacks is approximately 1 - 3 minutes, and, the pain is burning and shooting. The attack is accompanied by dry mouth, dry cough. Enhanced salivation occurs after an attack. The patient usually keeps his head on his side, that is, the slope is in the direction where his pain points are.
- With neuralgia of the ear node the patient complains of paroxysmal pains, the duration of which reaches 1 hour, in the area of the temple beginning with the external auditory canal under the lower jaw. Plus, the disease provokes a "click" in the ear. Pain can occur during the reception of hot or cold dishes, as well as at the time of hypothermia of the face.
- Arteritis - lesion of the facial artery.
Symptoms include burning pain, starting with the lower or upper jaw, where the end point is the angle of the eye.
- Carotidinia is due to inflammation of the carotid arteries. In the case of this disease, a person has pains that occur in the neck, face, teeth, under the lower jaw, in the ear. The pain lasts for several hours.
- Odontogenic pain under the jaw arises on the basis of dental problems, where the main cause is nerve irritation due to caries, tooth pulp disease or periodontal abscesses. Usually intense pain disturbs a person at night. After carrying out dental manipulations with respect to the affected tooth, the possibility of having a ternary nerve neuropathy is possible, during which the chewing musculature weakens and the sensitivity in the lower lip area decreases.
- Osteogenic sarcoma is a malignant non-epithelial jaw tumor, as a result of which the affected bone is deformed. The pain is moderate.
- Erythrotalgia or red ear syndrome. If we talk about the reasons, then possible: spondylosis, lesions of the temporo-mandibular joint, defeat of the thalamus, neuralgia of the glossopharyngeal nerve, idiopathic hypersensitivity of pain fibers to high temperature.
As for the pain symptoms, the main place of localization is the ear, sometimes it gives to the back of the head, the forehead, the lower jaw. The ear becomes red and becomes hot.
Symptoms of pain under the jaw
The pain under the jaw, which occurs in people wearing braces, while appreciable shakiness of the teeth is considered normal, since, the established odontogenic design is intended for correction of teeth and bite, during which the teeth are displaced.
If the pain symptoms have nothing to do with braces, these are signs of possible post-traumatic effects or diseases, the symptoms of which are presented below:
- with arthrosis, the patient suffers from persistent aching pains in the jaw, accompanied by a crunch. Soreness is gaining momentum with a strong opening of the mouth, chewing;
- In arthritis, the main symptoms are a crunch and pain under the jaw and near the ear. This disease fetters the jaw movement.
Osteoarthritis and arthritis are painful mainly in the morning, plus everything, the patient can hear the noise. Determine the exact diagnosis can only x-ray as the symptoms of the disease are similar to each other (and not only in arthritis and arthrosis).
Tumors:
- Benign can not have symptoms at all. A person may not be aware of the existence of this or that disease for a long time, for example, with the usual osteome. But there are types of diseases that still make themselves felt, creating painful pains:
- symptoms of osteoid osteome: severe pain in the jaw, which occurs mainly at night; asymmetry of the face. These are signs of neglected form because a tumor of this type develops slowly, and at the initial stage of its existence does not manifest itself at all;
- Osteoblastoclastoma is initially characterized by aching pain in the jaw. Together with the growth of the tumor, the pain syndrome increases. There is also a fever in the body, a fistula on the skin of a person who is not armed with an eye can see a pale pink growth on the gums. At the last stages of the disease, the asymmetry of the face is noticeable;
- The thickened jaw is the first sign of adamantioma. During the period of tumor growth, the masticatory function is disrupted. Late forms of the disease are characterized by severe sharp pain in the jaw, the severity of which increases with chewing.
Benign tumor of any kind is subject to treatment - surgery.
- malignant tumors:
- cancer with great speed affects the soft tissues surrounding the jaw, which is the result of tooth loss. At once the pain is almost invisible, but in time the patient can not do without anesthetics;
- osteogenic sarcoma - originates in bone tissue. The patient feels unbearable pain in the jaw or under it for a long time.
Pain below the lower jaw
The lower jaw has a lot of anatomical receptors, the damage of which leads to pain. Mainly it is necessary to pay attention to the pathologies related to the submandibular lymph nodes. The possibility of lymphadenitis, an inflammatory process that occurred as a result of the introduction of infections into the lymph nodes, is not excluded. Acute lymphadenitis causes severe pain under the jaw, high body temperature and general weakness. Refusal of timely treatment can lead to a chronic form of the disease. Here the pain is already acute. In both these forms of lymphadenitis, purulent formation is possible, in medicine known as abscess and phlegmon.
Neoplasms in the submandibular lymph nodes are usually metastases that have penetrated from any organs. The pain in this case can be completely different. Other signs include: over time, body temperature is increased, weight loss, weakness.
When the hypersensitivity of the tongue (glsalgii) pain gives in the lower jaw. What in this case can awaken the pain under the jaw? Long conversations, chewing too hard products, consuming hot - cold, sour, sharp and other products.
Inflammation of the tongue (gloss) with something similar to the symptoms resembles the previous version, but the language in this case is distinguished by thickening and bright red color. May cause a phlegmon or abscess.
Salivary disease (sialolitis) is indicated by severe pain and one-sided swelling under the lower jaw; an unpleasant odor from the mouth, which is a consequence of pus, secreted from the duct of the gland; fever, weakness.
With the development of inflammatory processes of the salivary glands (sialoadenitis), the patient also complains of pain under the lower jaw and general malaises. The final result may be phlegmon or abscess.
Angina can also become a provocateur of pain under the lower jaw. Here the pain under the jaw and in the throat increases at the time of swallowing. Often the patient can not swallow food, from which, refuses to eat anything at all. Other symptoms: earache, high body temperature, signs of acute respiratory disease or influenza.
Pain under the jaw right
The pain under the jaw on the right or left can be explained by several reasons:
- injury,
- inflammatory processes involving the jawbone,
- dental problems,
- lymphatic changes, including cancer.
It does not matter what symptoms are accompanied by pain under the jaw on the right, consultation with a doctor is mandatory.
If the pain does not cause any particular discomfort, it is not yet a fact that the basis of this investigation is not serious. It is not a secret for anyone that initially many diseases are not expressed by visible signs at all. Only then, with time, a weak pain can grow into exhaustion. That's why, not the lotions and pain medications you need to eliminate pain, and competent medical treatment.
Pain in the neck under the jaw
Most often, pain under the jaw and in the neck is associated with lymphatic inflammation or angina. Both these and other causes are associated with infection in the body: in the lymph nodes or tonsils.
Also under the category of pathogens of painful symptoms in the neck under the jaw include the following diseases:
- migraine is a neurological disease. Pain usually has one-sided localization. It becomes more intense in bright light or with a sharp change in lighting; at loud sounds, at sharp smells. Migraine is accompanied by a strong thirst, nausea, vomiting, visual impairment, visual peculiarities: "lightning" or "flies" in the eyes, speech disturbance, increased sleepiness. The attack can last 4 hours - 3 days.
- Carotidinia is one of the varieties of migraine.
- infectious diseases of teeth.
Pain under the jaw on the left
The pain under the jaw on the left can excite any of the above mentioned causes, as well as:
- angina pectoris or a heart attack are related to pathologies associated with a blood flow disorder with respect to the coronary vessels of the heart. Symptoms usually are: burning pain in the chest area. Atypical signs include pain under the jaw on the left. With angina pectoris or myocardial infarction, the patient often attributes acute pain in the jaw region to the aching tooth. Here, one more proof of that, not in anesthetics is salvation, but in professional medical care. Otherwise, the lethal outcome is no exception.
Pain under the jaw with pressure
Pain under the jaw with palpation or pressure may be indicated by various causes, for example:
- Neuralgia of the ear node,
- Osteogenic sarcoma,
- Inflammation of the lymph nodes,
- Sialoliths.
And this is not the whole list of possible diseases, each of which has serious consequences. The most reliable way to find out the probable problem is to visit a doctor:
- dentist,
- neurologist (with pathologies of a neuropathologist),
- otolaryngologist,
- the surgeon.
The pain under the jaw, or rather its cause, the doctors determine not only through the descriptions of the symptoms, but also through the use of X-ray and analysis.
Pain under the jaw when swallowing
As a rule, pain under the jaw when swallowing occurs due to angina, where typical symptoms include signs of colds, in particular, fever, headache, general malaise, weakness. Often, pain in the sore throat gives in the ear.
A more rare cause with these symptoms is the neuralgia of the glossopharyngeal nerve. Here the pain differs significantly from the pain caused by angina. In this case, a person develops a kind of seizure, the duration of which is from 1 to 3 minutes.
Pain under the jaw when swallowing can be combined with "shooting" in the ears, loss of appetite - with angina; with the inclination of the head to one side - with neuralgia of the glossopharyngeal nerve.
Sore throat under the jaw
Pain under the jaw, where the main source is the throat, forms:
- angina,
- Pharyngitis is divided into forms and species:
- acute:
- provoked by the influence of influencing factors,
- traumatic,
- allergic,
- viral,
- fungal,
- bacterial,
- chronic;
- catarrhal:
- atrophic,
- hypertrophic,
- mixed.
Acute or catarrhal pharyngitis have some common symptoms, including pain under the jaw, sore throat, lymph gland enlargement, fever, loss of appetite, weakness,
- lymphadenitis,
- aphthous stomatitis - simply put, ulcerative stomatitis, which of all types of stomatitis, is the most complex and painful. Immediately appears on the mucous membrane of the oral cavity a small speck, which in size does not reach 1 cm. Already after a few hours, a gray erosion of necrotic character is formed from a white speck. A few days later the rejection of necrotic masses takes place,
- angina lingual tonsil, which can occur in different ways, depending on the type of disease:
- catarrhal,
- follicular,
- phlegmonous.
The usual picture of the disease occurs in this way: the patient experiences severe pain when swallowing, during the movement of the tongue. The main point of the disease - tonsils, smoothly flowing to the intermuscular and connective tissue, which can subsequently provoke an interstitial purulent inflammation of the tongue.
In the phlegmonous type of the disease, where the cause is a mechanical effect on the lingual tonsil, for example, a fish bone is stuck, there is a sharp pain, gaining intensity during swallowing, fever and deterioration of the general condition.
- paratonsillar and zaglugal abscess,
- phlegmon.
Pain below the lower jaw on the left
Any kind of pain and anywhere can cause anything, such as trauma, inflammatory or infectious diseases, tumors. The same thing is said to us by the pain under the jaw, whether from the right or the left side, from the lower or upper part.
But! In addition to everything said on the left side of the human body is the heart, and in the case of heart disease, pain, as a rule, gives it to the left. Pain below the lower jaw on the left may produce infarctions or angina, the causes and symptoms of which we have already discussed above.
Who to contact?
Diagnosis of pain under the jaw
Diagnose pain under the jaw in several ways, depending on the type of its origin:
- dental,
- on the basis of the disease of the ENT organs,
- traumatic,
- tumor,
- heart problems,
- neurological.
Initially, a medical examination is performed, after which the doctor prescribes an X-ray. In the case of suspicion of angina pectoris or a possible heart attack with the help of ECG, the heart is determined.
The otolaryngologist in addition to the X-ray should determine the exact nature of the infection (viruses, bacteria, fungi), respectively, a blood test is inevitable. Let's say that enlarged lymph nodes can cause both angina and HIV.
With regard to tumors, then the process of diagnosis is much more difficult, because it is necessary to identify a benign or malignant she, her stage, the presence of metastases and so on.
Treatment of pain under the jaw
Eliminate pain under the jaw by any anesthetic, but this will not solve the problem forever. It is necessary to treat the disease itself, namely:
- injuries of the jaw:
- dislocation - corrected by the method of directing the jaw to its original position, after which a fixing bandage is applied to ensure the immobile state of the jaw,
- bruise - as a first aid the most accurate way is a cold compress on the injured zone and the application of a bandage. Further it is necessary to call a doctor (traumatologist), because there is no guarantee that the victim has a bruise, and not, say, a fracture. Plus, the consequences of injury can be very serious, for example, dysfunction of the movements of the jaw joints or bone tissue disorders. The doctor applies a tight bandage, naturally, after the diagnosis. Of course, that such a bruise treatment requires complete rest for the jaw,
- fracture is the most serious injury. Here already the traumatologist resorts to shiniruvaniju or to intermaxillary fixation. If the fracture is open, then the treatment is performed by osteosynthesis of titanium plates.
Alternative means. Honestly, it's even frightening to think that in our time someone can risk their health and resort to treatment in alternative ways. In any other situation, herbs and infusions can positively influence the course of events, but in the case of injuries it is very dangerous. Alternative technique of treatment can be used in our variant as an additional means to the traditional method.
Recipes:
- a leaf of a plantain or the shattered wormwood should be applied on area of a trauma,
- tincture: vodka 0,5 l, viviparous flowers 20 g, herb herb 20 g, spores 20 g, horsetail 20 g, flowers cornflower blue 20 g, stigma corn 30 g, dry bean pods 30 g, birch buds - 30 g. All herbs are crushed and mixed. Then 4 tablespoons of the obtained herbal mixture are poured with vodka, and infused for 3 days. Then strain. The prepared preparation is used for external application in the form of a compress, which should be kept at the site of the injury for no more than 4 hours. Duration of treatment - 7 days,
- tincture: vodka - 0,5 l, mother-and-stepmother - 20 g, oregano - 20 g. The method of preparation is the same as the option above. The extracted extracts the diseased zone, which should be wrapped. Such manipulations must be performed at night for 14 days.
- treatment of the osteomyelitis of the jaws is to remove the affected tooth. It is clear that alternatives, especially alternative means and home conditions, can not be here.
In the process of removing the tooth, the dentist usually resorts to the simultaneous opening of purulent foci in the bone, in soft tissues and under the periosteum. Maxillary purulent foci are opened operatively (under local or general anesthesia), where intraoral or extraoral incisions are made.
Wounds obtained after the operation must be carefully treated, for example with nitrofuran solutions. The complex of postoperative treatment is determined by the development of complications and the duration of inflammatory processes.
As a result of the normal course of acute osteomyelitis, treatment is prescribed, which includes anti-inflammatory, desensitizing, restorative, stimulant, symptomatic agents. Naturally, we are talking about antibiotics, sulfonamides, nitrofurans, metronidazole preparations, vitamin preparations, analgesics and so on. If we talk about the names of medicines, then again, they are selected individually for each.
Hyperergic course of acute osteomyelitis, where bone necrosis is inherent, requires more intensive therapy, which has three main methods. The method of treatment is determined by the doctor, based on the stage of the inflammatory process, which is reactive, toxic and terminal.
Diffuse forms, as well as other types of osteomyelitis, require surgical intervention. There are no clear recommendations regarding drug use, either, as the method of treatment is selected by a physician in accordance with available data on inflammatory processes, bone lesions and the like.
- treatment of dysfunction of the temporomandibular joint should be performed by a dentist, where complex procedures are used:
- Orthodontic therapy aimed at correcting the occlusion,
- prompt introduction,
- "Reworking" of teeth or prosthetics,
- physiotherapy,
- acupuncture.
Alternative means in this case are not effective.
- Treatment of sore throat usually occurs at home under the supervision of a physician. Of course, the treatment includes antipyretic drugs (Paracetamol, Nurofen, Flue Cold, Koldrex, and so on), antiviral drugs (Arbidol, Rimantadine, Ribavirin and others) and such drugs , as "Septefril", "Sinupred", "Furatsilin" and others.
In alternative medicine, there are many prescriptions against sore throats, for example, tea with honey. Sea-buckthorn oil, if drunk on a teaspoon three times a day, not only softens the throat, but also is an excellent antiseptic. Aloe with honey and onions can kill almost any microbes, so consuming a mixture of these ingredients (one to one) a teaspoonful 3 times a day can provide a quick recovery.
It should be said that the treatment of angina depends on the degree of severity, therefore, this question is decided only by a physician, namely, an ENT.
If the pain under the jaw is caused by neurologic or cardiovascular diseases, there can be no question of independent treatment. Well, for example, the neuralgia of the glossopharyngeal nerve or infarction are very dangerous phenomena, which necessarily require special control by physicians.
How to prevent pain under the jaw?
It is virtually impossible to prevent pain under the jaw, as the causes of its occurrence are many, and most often they have to do with injuries (prevent almost impossible), to colds.
A timely examination by a dentist can save a person from a possible pathology that can awaken pain under the jaw. Regarding regular preventive examinations in general, I want to say that this is the best solution in relation to the exclusion of all sorts of problems, including a heart attack. An additional advantage is the use of vitamins, especially the C group in winter; avoid overcooling (drafts) and taking too hot or cold dishes; Exclusion of stressful situations, which are known to have a detrimental effect on the work of the heart.