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atypical facial pain/ odontalgia

5 replies

Musication · 23/05/2021 10:49

Any experiences? I'm starting to be at my wits end with ongoing facial pain following dental work.

In January I fell on my front teeth and chipped and cracked them. It's important to say these teeth are not in very good shape as I've had gum disease and bone loss and have been treated by a periodontist for this. It was the same periodontist who suggested my teeth were now in a decent enough postition to have veneers, which I went ahead with on the front two teeth.

Ever since I've had pain in both front incisors but worse in the left one. I eventually had a root canal treatment in the left one and the pain did not go away. It radiates to a gentle aching in my molars on the LH side and I have a constant achy pain in my cheek on the LH side.

I had the root canal looked at an re-done by an endodontist and I also had a cone beam scan. He said the RCT treatment is now perfectly done and he can't find any other problem. But I still have pain in my face and teeth. He says my other tooth is struggling (very sensitive to hot and cold, have pain sometimes) but it is unlikely to be the reason why I have pain on the RH side as pain doesn't cross the midline. He doesn't want to rush in and perform a root canal on that tooth at the moment.

I've now been referred to a neurologist - I had a clear MRI scan and my blood tests were fine except for low B12 which I'm having some injections for. She has given me amitryptyline which I'm trying at 20mg but it doesn't help so far. I also have Lyrica to try if this doesn't do anything. The neurologist says I probably have a 'psychological component' and my symptoms are 'vague' which is not very reassuring. I'm currently abroad but moving back to the UK in 3 weeks - the dentist and neurosurgeon says all my pain will miraculously disappear when I've moved home but I doubt it because I am not unduly stressed about anything other than the pain in my face!

I feel like this is my life now. Does anyone have any experiences or any suggestions on where to turn when I get back to the UK?

OP posts:
datagirl · 23/05/2021 12:21

I've been getting similar pain since I had a filling replaced last week in the left upper molar. The pain comes and goes but is typically in my left cheekbone and left jaw joint and I also get a headache on the same side. I'm not sure if its the tooth because I can eat on it ok and its not sensitive at all. I've made an appointment at the dentist to get it checked out but I'm hoping it will settle on its own.

I also had veneers four years ago on my front 8 teeth and they were sensitive when I first had them but did settle down eventually.

Paracetamol and ibuprofen help a bit for me.

OrangeSharked · 23/05/2021 16:16

A gentle ache in your teeth and cheek sounds like classic TMJ dysfunction. Have you visited a general dentist not a periodontist or a neurologist?

Musication · 24/05/2021 00:05

OrangeSharked can TMJ last all day? And feel like tooth ache?

OP posts:
OrangeSharked · 24/05/2021 09:36

Yes to both

TPMG · 14/06/2022 17:24

Hi I am wondering if you have further updates on your issue?

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