Mouth Pain

[jayhawks3217]

I have been diagnosed with TMJ about a year ago. About two months ago under my tongue it is gettin this white marblelized look to it and my right tonsil feels sore but not swollen the pain is slowly getting worse on my right side of jaw and I wear my splint everynight. I also have bad pain in neck and shoulder on the right side. I have a had a MRI done on my neck they said my spine has a little curve to it that believed was causing my head and neck pain on the right side but with my tongue doing this I just wanted to know if anyone knew what may be going on?  I do have a dentist appointment in a month. Any answer would be so much help!

[scottma]

Topical application of appropriate medication tends to clear up the lesion within 1-2 weeks. However, recurrence is common. Malignant transformation is rare. Periodic examination is recommended. Detailed consultation  with your treating dentist is advised.
Assuming neck and shoulder pain is muscular origin. Muscular pain tends to fluctuate.If there is no appropriate treatment intervened, pain tends to get worse in terms of severity and frequency. Seeing a competent practitioner is advised.

[jayhawks3217]

Went to the dentist today and he finally told me I had Lichenplanus. I am so glad to have found a new dentist he is wonderful and all my TMJ pain was from a tooth that needed pulled all looked well when looking at the tooth but on x-ray I had a infection all around the tooth thanks to my last dentist who ruined my tooth by drilling too deep. I just wonder can Lichenplanus be anything to worry about? Still have the neck and shoulder pain on the right side hopefully it will go away.

[jayhawks3217]

Thanks for the info.

[scottma]

The anatomic location of the lesion appears to be right ventral surface of tongue. The lesion appears to be non-wipable , striated white lesion. the clinical differential diagnosis includes , but not limited to, lichen planus, lichenoid drug reaction,discoid lupus erythematosus, leukoplakia associated with smokeless tobacco, frictional hyperkeratosis, and epithelial dysplasia. Seeing an oral pathologist or oral medicine specialist to establish final diagnosis is advised.
Head, neck, and shoulder pains are frequent ly associated with tmd. Occlusal appliance therapy(splint) is generally highly effective. However, fabrication of an effective appliance requires masterful skill.Periodic adjustment of occlusal appliance is essestial. In addition, manual therapist may play an important role in managing spinal problems.