Prioritizing Our Patients' Health & Safety 

Dear patients,

We hope this letter finds you and your family in good health. Our community has been through a lot over the last few months, and all of us are looking forward to resuming our normal habits and routines. While many things have changed, one thing has remained the same: our commitment to your safety.
 
Infection control has always been a top priority for our practice and you may have seen this during your visits to our office. Our infection control processes are made so that when you receive care, it’s both safe and comfortable. We want to tell you about the infection control procedures we follow in our practice to keep patients and staff safe.
 
Our office follows infection control recommendations made by the American Dental Association (ADA), the U.S. Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA). We follow the activities of these agencies so that we are up-to-date on any new rulings or guidance that may be issued. We do this to make sure that our infection control procedures are current and adhere to each agencies’ recommendations.
 
You may see some changes when it is time for your next appointment. We made these changes to help protect our patients and staff. For example:
 
• If you are sick or concerned you might be sick, please cancel your appointment. You will not be penalized in any way for the cancellation, even at the last minute.
 
• Our office will communicate with you beforehand to ask some screening questions. When you get to the office, you are asked to remain in your car and call our office number 972-412-5064. A staff member will come out to you and you will be asked those same screening questions again and have your temperature taken before entering the office.
 
• If you are a new patient, we would really appreciate you using the online patient portal to fill out paperwork prior to your appointment.
 
• We will ask you to immediately wash your hands with soap and water when you enter the office.
 
• You may see that our waiting room will no longer offer magazines, children’s toys and so forth, since those items are difficult to clean and disinfect. There will also be very few chairs present to avoid crowds in the waiting room. Computers will have disposable covers and counter tops, door handles, waiting room chairs and surfaces will be disinfected with increased frequency.
 
• Appointments will be managed to allow for social distancing between patients. That might mean that you’re offered fewer options for scheduling your appointment. We will also ask that only the patient, and in necessary cases a legal guardian, enter the office. Older children and adults are requested to experience their appointments alone while family members remain in the car and/or waiting room.
 
• We will do our best to allow greater time between patients to reduce waiting times for you, as well as to reduce the number of patients in the reception area at any one time.
 
We look forward to seeing you again and are happy to answer any questions you may have about the steps we take to keep you, and every patient, safe in our practice. To make an appointment, please call our office at 972-412-5064 or visit our website at www.mymouthdental.com.  
 
Thank you for being our patient. We value your trust and loyalty and look forward to welcoming back our patients, neighbors and friends.
 
Sincerely,
Dr. Ramsey, Dr. Montoya and Team

The Causes of Jaw Pain

woman with jaw painNearly everyone suffers from some sort of jaw pain at some time in their lives. Pain may be continuous or occasional, severe or mild, sharp and shooting or an aching throb. It can be very specific or extremely vague. Regardless of the specific symptoms, it usually has the singular purpose of notifying the patient that something is not quite right.

The head and neck region is an incredibly complex part of the human body, both anatomically and functionally. There are any number of conditions that can cause jaw pain, which can make the diagnosis challenging.

When patients experience a pain in their jaw that does not go away, they should pay close attention to all of their symptoms. With a strong understanding of your medical history, dentists can usually determine the origin and start taking steps to correct the problem.

The Many Causes

Jaw pain can be disconcerting for patients. It affects their ability to eat, speak, sleep, and function throughout the day. It can also take a toll on their sense of well-being.

It would be difficult to list all possible causes for jaw pain. However, most of the complaints normally heard in dental offices are caused by conditions that fit into a few broad categories.

Dental

The dentist will begin the evaluation process under the assumption that the cause of a patient's pain is related to dentition. This would include cracked, decayed, or abscessed teeth, teeth that are overly sensitive because of dentin hypersensitivity, teeth that are damaged as a result of gum disease, or impacted wisdom teeth. If a definite offender can be found, the search might stop here, and treatment can begin.

Depending on the causative factor, the treatment could consist of placing restorations, performing root canal therapy or tooth desensitization procedures, wisdom tooth removal, or the treatment or extraction.

When patients experience a pain in their jaw that does not go away, they should pay close attention to all the symptoms. With a good history, their dentist can usually determine the origin and start taking steps to correct the problem. 

Joint/Muscle

Another area the dentist would want to investigate is the jaw joint, or temporomandibular joint (TMJ). Patients who grit, clench, or grind their teeth excessively, who have an uneven bite, are under a great deal of stress, or who have a pathologic condition in the joint itself, such as arthritis or disk displacement, could be suffering from a condition known as temporomandibular joint disorder, or TMD. Its symptoms include an aching jaw, pain on opening and closing, jaw stiffness, and popping or clicking in the jaw. Another condition that can mimic pain in the TMJ and should be considered in the differential diagnosis is ear pain, such as that caused by an ear infection.

The treatment for TMD is usually a multi-pronged approach, which could include measures to lower stress levels, fabricating a bite guard, applying heat and/or cold packs, and dispensing pain medications. If these measures do not work, the dentist might consider referring the patient to a maxillofacial and oral surgeon to evaluate whether surgery on the TMJ is indicated. If the pain is believed to be radiating from the ear, referral to a physician might be the next step.

x-ray of the jawJaw Pathology

There are a variety of fluid-filled cysts and other pathological tumors that can form in the jaws and cause pain. These include such entities as dentigerous cysts, odontomas, ameloblastomas, and cancerous lesions. These can sometimes grow aggressively and destroy a large portion of the jaw. A panoramic radiograph is the best way to quickly identify or rule out this source of pain. If a lesion is located, the dentist will want to refer the patient to an oral and maxillofacial surgeon for further evaluation and treatment.

Sinus

The maxillary sinus is located just above the roots of the upper back teeth. When it becomes inflamed or infected, it can cause pain that feels identical to a toothache in an upper molar. A discriminating dentist will be able to distinguish between the two, and if the pain is sinus-related, refer the patient to a physician for treatment of the sinus condition.

Nerve and/or Vascular

This could be any one of a large group of neuralgias arising in the head and neck region that are caused by nerve and/or vascular tissues. Some of these are relatively common, but a few are not. These include such conditions as tension, cluster, or migraine headaches, a type of nerve pain known as trigeminal neuralgia, temporal arteritis, and a host of others. Dentists suspecting any of these conditions may refer patients to a physician for further evaluation.

Referred/Cardiovascular

Problems arising in other parts of the body can present as jaw pain. Pain that is felt in a location other than its point of origin is known as referred pain. Most dentists are aware of this phenomenon and almost always consider it as part of their differential diagnosis if they are unable to establish any other cause for the pain.

One particularly significant type of referred pain to the jaw that is occasionally seen is that which arises during a heart attack. These patients often come to the dentist complaining of pain in the jaw. A dentist who cannot find a dentition-related cause for the pain should suspect that the patient could be having a heart attack. Other possible symptoms the patient might be having include:

  • Pain in the left shoulder
  • Pressure or tightness in the chest
  • Nausea
  • Indigestion
  • Heartburn
  • Shortness of breath and fatigue
  • Dizziness or lightheadedness

Especially suspect are those patients who have heart attack risk factors—for example, a middle-aged smoker who is overweight, perhaps diabetic, in poor physical shape, and who has a history of hypertension and/or high cholesterol. In cases such as these, decisive action by an alert dentist could save the patient's life.

The Road to Relief Begins at the Dental Office

There are many possible causes for jaw pain, and patients cannot always discern what is causing theirs. If it persists, you should schedule a dental appointment. Dentists are highly astute in evaluating the source of head and neck pain, and they are well qualified to treat many of the causes. For those patients they are unable to help, they will refer them to the appropriate dental or medical specialist.

My Mouth Dental and My Kidz Mouth Dental

At My Mouth Dental and My Kidz Mouth Dental, we are committed to providing the very highest standard of care for patients of all ages. Drs. José Montoya, Ashley Ramsey, and Neha Khanolkar provide a range of services and are affiliated with:

  • The American Dental Association
  • The American Academy of Pediatric Dentistry
  • The College of Diplomates of the American Board of Pediatric Dentistry

Are you ready to achieve excellent oral health? Reach out to our practice by requesting a consultation online or calling us at (972) 412-5064.

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Rowlett Office

9101 Lakeview Parkway
Suite 200
Rowlett, TX 75088

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