Dentist Questions Dentist

Lower jaw jolts?

I’m not sure what to say or how to make sense of it. But ever since I had a tonsillectomy (at 16 years old) 6 years ago, I have loud gulps for swallows. My ears always pop when I swallow, sometimes my nose runs very randomly, and worst of all my lower jaw. My lower jaw seems to involuntary jolt/jerk forward. It happens when I eat, talk, think, drink, very often, and for the last 6 years, I developed anxiety and shame from this as my family told me why my jaw jolts are noticeable, loud, and uncomfortable to hear and see while eating.

I’ve isolated myself for to long because of these things, if I could go back in time I wouldn’t have ever got that surgery. But I suffered extreme tonsillitis, if I remember correctly they said they were the size of golf balls and I was diagnosed with tonsillitis atleast twice a month. The ER would drain them regularly. I constantly was taking amoxicillin until I became too prone, then finally got them removed. My mother refused to allow me any medication prescribed being morphine and steroids. I was in the worst pain of my life and felt every minute of my wombs throbbing. I also was told by my surgeon I had woken up in the middle of surgery and caused my wombs to re-tear, not sure if that affects anything? But I assume due to how large my tonsils use to be, affecting my airway. That maybe surgeons had to dislocate my jaw to remove the tonsils. But now my jaw constantly locks and jolts and I’m just sick of living like this.

Female | 22 years old
Complaint duration: 6 years
Medications: None
Conditions: None

3 Answers

Jaw spasms, also known as trismus, is a common condition that can be caused by dental infection or trauma from an injury to the face, neck, or head. Locked jaw causes derive from temporomandibular joint dysfunction (TMJ). Other causes for jaw twitching and cramping can come from taking certain medications.

The basic explanation is that there has been damage to, or interference with, your facial nerves or muscles. There are many conditions that can cause this damage and make your jaw muscles lock up, and it can sometimes take a little detective work on the part of your medical provider to pin down the exact cause.
So very sorry to hear that you are experiencing these symptoms as they do sound very discomforting both physically and emotionally. My recommendation would be to see an otolaryngologist (ENT) as soon as you are able. The tonsils being removed opened up your oropharynx and may be the reason you are hearing the swallowing, etc. Potentially, your soft palate was affected during the surgery. I highly doubt that your jaw was dislocated during the tonsillectomy. I suspect that you are a clencher or a bruxer and this should be evaluated by your dentist or someone that specifically treats tempromandibular dysfunction.Treatment to solve some of these issues can only be made by you and a highly qualified ENT and dental provider.
Good luck.
Sorry to hear about your problems. Sounds like there are many different factors causing this situation. I recommend finding a TMD specialist to help with your jaw, which may be a combination of anatomical development and/or occlusion. Sometimes this may be the cause.
I hope this is helpful.