What is the cause of jaw pain (temporomandibular joint pain)?

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Differential Diagnosis for Jaw Pain

  • Single most likely diagnosis
    • Temporomandibular Joint (TMJ) Disorder: This is the most common cause of jaw pain, often related to muscle tension, teeth grinding, or misalignment of the jaw.
  • Other Likely diagnoses
    • Dental Problems (e.g., tooth abscess, gum disease): These can cause localized pain that may radiate to the jaw.
    • Sinusitis: Inflammation of the sinuses can cause pain that is referred to the jaw.
    • Tension Headache: Muscle tension in the face and neck can lead to jaw pain.
    • Bruxism: Grinding or clenching of the teeth, often during sleep, can lead to jaw pain and TMJ issues.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
    • Acute Angle Closure Glaucoma: Although rare, this condition can cause severe eye pain that may be referred to the jaw, and it requires immediate medical attention.
    • Myocardial Infarction (Heart Attack): In some cases, especially in women, heart attacks can present with jaw pain as a primary symptom.
    • Trigeminal Neuralgia: A chronic pain condition that affects the trigeminal nerve, which can cause intense pain in the face, including the jaw.
  • Rare diagnoses
    • Jaw Tumors (e.g., osteosarcoma, chondrosarcoma): These are rare but can cause jaw pain and swelling.
    • Sialadenitis (inflammation of the salivary glands): This can cause pain in the jaw area, especially if the parotid gland is involved.
    • Eagle Syndrome (elongated styloid process): A rare condition where an abnormally long styloid process can cause pain in the jaw and face.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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