This is Dr. David
bone loss is painful because usually it exposes nerves under the teeth.
did you have a root canal?
there could be an infection there as well
have you been on antibiotics?
that bone loss can exposure the nerve root.
have you been setup for a root canal?
could be from you grinding your teeth if you have bone loss there.
do you grind your teeth at night time?
you could be
you might need a bite teeth guard in your mouth at night
to prevent you from grinding your teeth.
smoking is no good and causes you to have worse healing
are you willing to try to wear a plastic bite guard at night time
and see if that helps?
the location is in the molar retromolar trigone area
why did you rate poor service?
when you grind your teeth, you wear down the enamel of your molar and cause exposure of nerve under the tooth.
that location is the mandibular division of the facial nerve.
you could have referred pain from the TMJ joint from grinding which can cause pain there.
the muscles of your massiter muscles which attaches to your lower mandible could also be inflamed and sore as well.
when your chin moves, this moves your TMJ joint.
xrays of the teeth do not show any information about nerves or muscles
an MRI scan of the floor of mouth and TMJ joint could show more information about if parts of your nerves are being pinched to cause pain.
yes, an MRI scan check for bone loss and can check the muscles and nerves in the area
and see what might be causing your pain.
and is much better than a simple dental xray.
you could have an abscess or a pinched nerve deep in the mandible area.
gum disease usually allows bacteria deep into the gums.
and if bacteria has gotten deep down into the gumline, there could be an abscess or hidden infection deep down.
an MRI scan of the area
or they could give you antibiotics and see if that helps.
I am a cancer doctor.
we don't tend to see jaw cancer in patients your age.
jaw cancer tends to grow and cause bleeding.
grinding your teeth over many years causes bone loss.
grinding can cause misalignment of the jaw
and cause pain in other areas.
do you have any other questions?
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I treat patients who have throat and mouth cancers.
typically the cancer starts in the soft tissues like the tonsilar fossa
or base of tongue
or vocal cords
and if left untreated over months and months will grow into the bone
it causes some pain.
but the mouth cancer usually is easily seen way before then.
your dentist didn't see any evidence of mouth or bone cancer on your xray.
your dentist would have seen that on a dental xray.
well you are not willing to get another CT or MRI scan.
it sounds like you are letting your anxiety get out of control about worry of a mandibular bone cancer.
no, you should not be concerned about having a bone cancer
you need to get a bite guard
and take tylenol or advil for your pain
and see if a course of antibiotics will help.
no a bite guard is a plastic mouth piece which fits in your mouth at night time so when you grind your teeth your don't wear down your teeth.
yes, you can get a jaw xray.
I would not stress about having a mouth cancer.
and try the bite guard.
hopefully that helps your TMJ inflammation and your pain
good luck to you
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yes, jaw cancer causes a fast growing lump.
you don't have to worry about cancer causing your pain.
bone loss below the gum line would be very unlikely
they would most likely not send you for bone grafting.