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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Cough For One Month And Reduced After Taking GERD. Pain In Left Ear And Like Sprain In Jaw. Consulted Dentist And MRI Done. Advice?

Dear Doctor,

Six months back I had severe cough which ran through 1 month. The cough disappreared after taking medicine for GERD. I felt some occasional pain below my left ear which was sometimes like sprain in the jaw. My ENT advised me to go for dentist and dentist advised me that I might have TMD. I went for the MRI of left TMJ, the findings are as follows:-
Anteriorily displaced left TMJ disc noted in closed mouth position which is not reducing in the open mouth.
Streched superior retrodiscal layer noted in left TMJ
Mild TM joint effsion
Mild irregularity noted in the articular surface of left mandibular condyle suggestive of mild degenerative changes

Please advise as I don't have any maxilofacial surgeon in Kuwait.

Regards

Parul Jain

posted on Tue, 27 Aug 2013
Twitter Wed, 28 Aug 2013 Answered on
Twitter Thu, 29 Aug 2013 Last reviewed on
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Dentist,  's  Response
Hello,

Thanks for writing to us.

I have read your concern.

From the details mentioned,its clear that your TMJ has dislocated.

Intermaxillary fixation may be required.
Jaws has to be immobilised for a while.

Avoid mouth opening too widely as well as biting on hard objects.

Usually in such cases,amoxycillin as well as analgesics with muscle relaxants has to be administered.

I hope you get well soon.
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Severe Cough For One Month And Reduced After Taking GERD. Pain In Left Ear And Like Sprain In Jaw. Consulted Dentist And MRI Done. Advice?

Hello, Thanks for writing to us. I have read your concern. From the details mentioned,its clear that your TMJ has dislocated. Intermaxillary fixation may be required. Jaws has to be immobilised for a while. Avoid mouth opening too widely as well as biting on hard objects. Usually in such cases,amoxycillin as well as analgesics with muscle relaxants has to be administered. I hope you get well soon.