A member asked:

Been having an issue with some facial muscles lately. i have tmj/tmd and my right side smile isnt as high (months) and my right eye continuously twitches for up to 20 mins at a time (for the past 3-4 weeks). is it tmj/tmd related or something else?

4 doctors weighed in across 2 answers

Hard to tell without exam. The eye "twitches" might represent myokymia, but facial asymmetry could suggest problem with facial nerve. Maybe the TMJ is causing an asymmetry. Could start evaluation via virtual consult, but could directly get information by visiting a neurologist. Ophthalmologist and/or dentist would represent other areas of investigation.

Answered 3/18/2021

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Dr. Manami Yamaguchi answered

Specializes in Dentistry

The facial asymmetry, especially eyes, eyebrows, and eyelids, is often related to a 'bite' and common among patients with TMJ issues. TMJ, facial and jaw muscles and nerves are all interconnected and interacting. Your bite can greatly affect the way your shoulder, chest and hips align. The roof of your mouth and lower jaw growth also affect the way facial growth and muscle movements. Visit TMJ dr

Answered 4/20/2021

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