Troubleshooting Guide – Jaw Pain/Tenderness

 

Mild tenderness is common when you first start using your oral appliance or during the adjustment process. Typically, any tenderness resolves within 1-2 hours after removing the appliance. However, if you experience discomfort that lasts into the afternoon or causes headaches, earaches, or ear pain, please follow the steps outlined below. If discomfort persists after trying these steps, contact our office for further assistance.

Steps to Alleviate Discomfort:

  1. Return to Previous Settings: If your device was recently advanced and you're experiencing discomfort, try going back to the previous setting or the starting position. If discomfort continues at these settings, stop using the appliance.
  2. Use CPAP if Available: If you have a CPAP machine, use it to ensure adequate treatment of your obstructive sleep apnea (OSA).
  3. Resume Use Gradually: After 3 consecutive days without pain, you can start using the appliance again at a lesser setting or the starting position. When adjusting settings, allow more time between adjustments and limit the number of turns made at once.

Dietary Recommendations:

  1. Avoid Hard Foods: Stay away from hard, crunchy, or chewy foods. Opt for soft or blended options to help your jaw rest.
  2. Be Mindful of Food Types: Avoid stretching your mouth for foods like corn on the cob, apples, or whole fruits.
  3. No Gum Chewing: Refrain from chewing gum, as it can exacerbate discomfort.

Medications:

If approved by your physician, you may use over-the-counter NSAID medications, such as Advil or Motrin, to reduce inflammation and discomfort. Recommended Dosage: 400-600 mg every 6 hours for no more than 2-3 days.

Heat Therapy:

Applying moist heat with a heat pack or a hot water bottle wrapped in a warm, moist towel can improve blood circulation and alleviate discomfort. Please be careful to avoid burns.

Massage Techniques:

Gently massaging the jaw joint area can help relax the muscles and reduce discomfort. Use your fingers to massage along the jawline while applying light pressure. While massaging, open and close your mouth gently, avoiding full closure and contact between your upper and lower jaws.

Note: If the above techniques do not relieve your jaw discomfort or if symptoms worsen at any time, please contact our office for further evaluation.