Patient: Description of the condition jaw joint disease (main symptoms, onset): due to several oral treatment inappropriate, caused the inflammation of the jaw joint, but the opening degree is normal, at first it was deviated to the right, then after treatment with jaw pads, now it is not deviated, but the pain can never be eliminated. Two months after the treatment with jaw pads on the left side, the popping is still obvious. Both sides hurt, and the muscle on the left side of the upper left corner of the mouth (is it the extensor pterygoid muscle?) I don’t know what muscle is always spasming, but I have seen a neurologist who said it is not facial muscle spasm because the twitching is very slow and the pain in front of the ear is obvious. Pressure pain in the right joint cavity. And the pain is spontaneous and hardly ever relieved, it is a dull pain. Drugs such as anti-inflammatory pain, fenbid, Myna, and Jurlique, acupuncture, and physical therapy. How can I get rid of the pain? Is it a spasm of the extensor pterygoid muscle caused by a disorder of the jaw joint? How can I get rid of it? Is it necessary to continue with jaw pads (only on the upper front teeth) if the pain cannot be eliminated? Zhiyuan Gu, Hangzhou Stomatological Hospital Implant Center: The muscle on the upper left corner of the left side of the mouth (is it the extrapontine muscle?) A: No. How to eliminate the pain? It is recommended to stop using jaw pads and add mild anti-anxiety medication as appropriate (ask a mental health practitioner to prescribe it). Add microwave physiotherapy if pain symptoms are still severe. Patient: Thank you very much for your reply in your busy schedule, there is no microwave physiotherapy in this hospital, we use medium frequency physiotherapy, is it okay? What is the name of this facial muscle on the left corner of the mouth, to the left of the nose? Last time, my neurologist recommended that I take a quarter tablet of Xanax to counteract this mild spasm, and also said that it has an anti-anxiety effect. Is that okay? When I visited Jiangsu Provincial Dental Hospital, the doctor said that the pain in the facial muscle is caused by synovitis of the jaw joint, is there no relief from the pain of synovitis and it will always hurt? I am very worried. Thank you, President Gu! Hangzhou Stomatological Hospital Implant Center Gu Zhiyuan: Medium frequency physical therapy, the effect is poor. Scholastin, can be used. Prednisolone can be injected into the joint cavity when the pain of synovitis is severe. Patient: Thank you very much, President Gu! Unfortunately, we don’t have microwave here, but there is one in Jiangsu Province, and I’ve only done it once, so I can only do IF first! I’ve started taking a quarter tablet of Sulforaphane since today, and it has both muscle relaxing and anti-anxiety effects, right? Twice in the morning and twice in the evening, is that okay? I will report back to you on how I take it. Take care of your health, too, President Gu! Patient: The muscle spasms have basically disappeared recently, but there is pain at the bilateral joints, soreness in the facial muscles, reluctance to speak and eat, and even pain at the back of the head sometimes. The jaw pad was removed long ago. Recently, the deviated jaw is now getting worse, leaning to the right side, and the opening jaw is obviously crooked, so I don’t know what to do. I am from Jiangsu and decided to go to Nanjing Dental Hospital this week to see Dr. Chu Jiaqi first! Dr. Gu, besides surgery, is it possible to correct a deviated jaw with a jaw pad? Is there any side effect of hyaluronic acid injection for chronic joint pain? Dr. Gu Zhiyuan of Hangzhou Stomatological Hospital Implant Center: The most reliable way to correct a deviated jaw is surgery, and jaw pads are very limited. There are no reported side effects of long-term hyaluronic acid injection, but the effect will not be obvious. Patient: Dr. Gu, because of the lack of two lower six teeth, I have always wanted to have dental implants, but unfortunately, the jaw joint and face have been painful, can I still have dental implants for this disease? Should I make a movable denture first to repair the jaw joint and wait for it to get better before implanting? Or is it not possible to implant? Zhiyuan Gu, Implant Center of Hangzhou Stomatological Hospital: Facial pain and deviated jaws do not affect dental implants, but it should be determined after examination. Patient: Last week, I went to Nanjing Stomatological Hospital and took a film. Dr. Cui Jiaqi diagnosed that the left articular disc was popping and moving back, a little deep overlap, and ligament strains on both sides, and suggested stable jaw pad treatment, plus bilateral rotation injection of sodium hyaluronate (said that only one side could be played at a time, and each side was played three times for a course of treatment). After the left side was injected with sodium hyaluronate, I could hardly open my mouth at night and could not eat, but today, for the second time, I can open two fingers. What is a stability bite plate and what does it do? Also: Jiaqi Chu is an exceptionally good doctor, very patient, with a great attitude, these old specialists are really not easy. I think President Gu is also a very good doctor, I now find that the bigger the doctor’s attitude is better, but the small hospital’s doctors who are not famous, but very cow, more questions can not. The first time I saw the doctor, I was able to find a good doctor. The pain will subside after 2-3 days. The role of the stability bite plate, you do not need to get too clear. Identify the physician and then listen to her. Patient: Thank you so much, huh?