Tooth Pain or Sensitivity

What is it?

Tooth pain or sensitivity is typically associated with dental issues, such as tooth decay, infections, or pulpitis. However, there are cases where dental examinations reveal no clear cause.

In these situations, it is essential to also evaluate the jaw musculature, the temporomandibular joint (TMJ), and the nervous system, as sustained tension in these structures can generate discomfort perceived as dental pain.

Most Common Symptoms

• Pain or sensitivity in one or more teeth without any evident dental lesion.

• A feeling of pressure in the jaw.

• Discomfort when biting.

• Jaw stiffness.

• Fatigue in the facial muscles.

• Pain that can radiate to the head, neck, or face.

Why does it appear?

The pain can be linked to several factors:

• Bruxism or teeth clenching.

• Physical or emotional stress.

• Overload of the masticatory muscles.

• Temporomandibular joint disorders.

• Tension in the cervical spine musculature.

• Sensitization of the trigeminal nerve.

• Postural imbalances.

The Importance of the Jaw-Neck Relationship

The jaw does not function in isolation. There is a close relationship between the muscles of mastication, the cervical spine, posture, and the nervous system.

When prolonged tension is held in the jaw or neck, the load on the entire region increases, promoting the onset of pain, sensitivity, and stiffness. Therefore, treatment aims to restore the balance of the entire system rather than solely relieving symptoms.

Therapeutic Approach

Treatment may combine different modalities depending on each patient's needs:

• Manual therapy.

• Specific targeted work on the mandibular and cervical musculature.

• Deep dry needling, when indicated.

• Radiofrequency therapy.

• Education on habits and bruxism management.

• Breathing re-education and muscle relaxation techniques.

Treatment Goals

• Decrease pain and sensitivity.

• Reduce tension in the jaw muscles.

• Improve jaw mobility.

• Optimize temporomandibular joint function.

• Minimize the muscular overload associated with bruxism.

• Reduce the risk of recurrence.