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Causes of Toothache Spreading to the Ear Include: Tooth infection Tooth decay Bruxism (teeth grinding or clenching) Impacted or inflamed teeth Tooth abscesses Sinus infections Temporomandibular joint (TMJ) disorders Connection Between Lower Jaw Toothache and the Ear Teeth in the lower jaw are directly linked to the trigeminal nerve (the fifth cranial nerve), which provides sensation to the face and head

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