Discussions By Condition: I cannot get a diagnosis.

Getting despondant

Posted In: I cannot get a diagnosis. 9 Replies
  • Posted By: Anonymous
  • June 12, 2008
  • 04:16 PM

Hi all...

Just want to hear if anyone out there has ever experianced or has any idea what is causing the pain that I'm going through right now. About a week ago one of my teeth on the right hand said of my upper jaw started paining. Now a week later, the whole right side of my upper and lower jaw is in constant extreme pain. The minute I let anything cold or hot into my mouth it feels like im about to pass out.... traveling in a car also causes intense pain. But then... thats just intense compared to the constant pain im in. I'm on heavy pain meds (which dont help) and anti-biotics (which mean less than the pain meds) and the maxillo facial surgeon says I have a senstive tooth... um.... not to down his opinion... but I really dont think he has a clue what exactly is going on... and i dont think he believed the severetiy of the pain. He prescribed a muscle relaxant and some more pain meds (yippy.... guess what... they not working either) . Its two weeks before I can see a different maxillo facial surgeon for a second opinion... and im worried that i might hit myself over the head with a brick before then just to stop the pain..... Can anyone give me any advice.... PLEASE!!!

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9 Replies:

  • This may be something other than a sensitive tooth. Read below and further down I give the website address. You could be having a sinus problem which can cause pain in your teeth.Non-tooth Pain: It feels like it is in the tooth area, but it is not from the tooth. This type of pain may not be as specific, shorter duration, diffuse and not consistent. So where is it coming from? There are many avenues: Periodontal problems- The gum and surrounding bone tissue can get infected and make a tooth hurt.Neuralgias- The nerve that goes to your teeth, also travel to the other facial structures. There may be a "trigger point" on the gum or cheek. Touching the spot gives you a pain episode that can be sharp and last a few seconds. There are viral infections (cold sores, shingles) that may set off a neuralgia typical situation.Ear infections- Pain can be referred to the jaw area from an infection stemming from the middle ear. Positional changes of the head may make the tooth feel worst.Sinus - The roots of your upper teeth can be right next to your sinuses. How close? Blow up a balloon, now place your fingers into the balloon, this may give you some idea. Sinus problems come from infection and allergies. The pain can be dull to severe; can last for hours and days. Head positioning can make it worst. Also a key symptom is that you are "stuffed". Typically you will not be telling us of temperature sensitivity and sharp pain from a stimulus.Headache pain- Migraines and cluster headaches. The pain from this is severe; pain can last for minutes to hours. The pain in your teeth or jaw may change due to head position, and room surroundings.Heart- Left posterior jaw pain is not uncommon with heart conditions, angina, and carotid artery problems. Pain may last for minutes and can be associated with exercise or physical situations. In these situations it is important that there is good communication between patient, dentist and physician.TMD/TMJ - This pain tends to be low grade, and go on for a long time, months. The two joints the open and close your jaw located in front of your ears can be damaged from arthritis, accidents, trauma, grinding and prolonged opening of your jaw. The muscles that open and close your jaw attach to the bone surrounding your teeth. You may have a dull ache in the posterior of the jaw.Neoplasia and benign growths- Things that can grow in your jaw that encroach and push on teeth and nerve endings in the jaw. Many cancer and non-cancer growths can occur in the jaw.http://www.njrootcanal.com/sep/new-jersey-endodontics.htm
    Beth56 272 Replies Flag this Response
  • When I have a sinus infection this is exactly what happens! If you press on the center of your cheek midway between your eye and your mouth if it is sore and painful, sinus may be a good bet.
    aquila 1263 Replies Flag this Response
  • I think it still might be your tooth (I 'm a dentist). The pain you are describing with referred pain to lower jaw is a typical tooth ache which can be very severe. Do you have a filling /root filling in the tooth that it all started from? Is it a molar or a premolar (if you are not sure, cound from the middle, which tooth from the middle is it)? How old are you? Do you know if you grind your teeth at night? What is the general condition of your teeth? Do you have many fillings? Try to persevere, I know what you're going through.
    Felsen 510 Replies Flag this Response
  • yes i agree could still be ur tooth. I suffer with TN(trigeminal nueralgia) so i know what ur suffering but as ur pain seems to be constant at this stage more likely ur tooth. I had many tooth abcess's but once had one beyond the root of the tooth it was in the bone, i had to have part of the bone taken away, there's a name for procedure Felsen will know it, i will spell it like it sounds not correct spelling "aponsectomy" anyway they had to do it twice but it did fix it in the end, it sounds worse than it was compared with the pain ur having and TN pain it was wee buns & healed up well. If it did turn out to be atypical facial pain or TMJ u will have a better chance with muscle relaxant drugs like baclofen, pain meds wont touch it.Other drugs like gabopintin, neurotin or tegrotol, well for me they didnt work & can really mess u up, loads of other meds but cant think of them at the min but none of them worked for me. Try & control ur breathing deep calm breaths & relax all ur muscles as best u can, i know that sounds difficult but believe me the more tense u are & fighting it the worse it will get.....u have to keep at it, thats how i ride the pain out now, it helps ! Hope u feel better soon :)
    Tootsie 628 Replies Flag this Response
  • You got it all right, Tootsie. It is called apicoectomy. You remove the apex of the tooth, clean up and seal the apex. Hopefully it will not be needed in this case. I hope Lilol answers soon, I have an idea what is going on in her/his poor tooth. I have seen many cases like this.
    Felsen 510 Replies Flag this Response
  • Hi everyone... Thank you so so so much for replying... I got more info and possibilities in one night than in a week of doctor and specialist visits... beginning to feel more confident that there might be something that could help..... I'll try answer all the questions first.... "You could be having a sinus problem which can cause pain in your teeth." The doctor I'm seeing sent me straight for x-rays and the specialist had me do a scan thingy.... and they both concluded its not my sinusses if it were only that easy... Apparently I have a cyst on the left side and a deviated sectum (don't know what that is) on the left too... nothing makes any sense "Periodontal problems- The gum and surrounding bone tissue can get infected and make a tooth hurt." The first thing that they did was put me on anti-biotics... and then they put me on stronger anti-biotics... they both proved useless.... there is no swelling in the gums or anywhere else... besides my cheek now.. and that only started a while after and the doc says its from the pain contractions.... "Neuralgias- The nerve that goes to your teeth, also travel to the other facial structures. There may be a "trigger point" on the gum or cheek. Touching the spot gives you a pain episode that can be sharp and last a few seconds. There are viral infections (cold sores, shingles) that may set off a neuralgia typical situation. " Um... that sounds like it could be that.... though no sores or anything... and touching my face doesnt make any difference.... but the joint between my jaws is tender lately... "Ear infections- Pain can be referred to the jaw area from an infection stemming from the middle ear. Positional changes of the head may make the tooth feel worst. " They checked the ear.... no problem there... "Headache pain- Migraines and cluster headaches. The pain from this is severe; pain can last for minutes to hours. The pain in your teeth or jaw may change due to head position, and room surroundings." I have had migrians... never with pain in the teeth... but this is a constant pain... and its been carrying on for a week now? "Heart- Left posterior jaw pain is not uncommon with heart conditions, angina, and carotid artery problems. Pain may last for minutes and can be associated with exercise or physical situations. In these situations it is important that there is good communication between patient, dentist and physician." Its upper and lower jaw? mainly upper... and physical exercise does nothing to me... except make me tired... but thats normal :p "TMD/TMJ - This pain tends to be low grade, and go on for a long time, months. The two joints the open and close your jaw located in front of your ears can be damaged from arthritis, accidents, trauma, grinding and prolonged opening of your jaw. The muscles that open and close your jaw attach to the bone surrounding your teeth. You may have a dull ache in the posterior of the jaw. " I think the specialist might have thought that this could be it.... I have been grinding my teeth at night... about a month ago I got a bite plate to wear while im sleeping... and since then my teeth were perfect... no sensitivity or anything... I dont think the bite-plate could be causing this as I havent worn it since the pain started... simply to avoid more pain.... "Neoplasia and benign growths- Things that can grow in your jaw that encroach and push on teeth and nerve endings in the jaw. Many cancer and non-cancer growths can occur in the jaw." I think the scans wouldv'e picked this up....:( "Do you have a filling /root filling in the tooth that it all started from? Is it a molar or a premolar (if you are not sure, cound from the middle, which tooth from the middle is it)?" No fillings at all... generally healthy teeth.... it started from the pre-molar... the one just behind the insicor.... now its all the way from my insicor to the back.... "How old are you? Do you know if you grind your teeth at night? What is the general condition of your teeth? Do you have many fillings?" I'm 23, female, I do grind my teeth at night... got a bite plate about a month ago... and I would recommend it any day.... it does really help for the sensitivity etc... haven't been wearing it since the pain started tho.... Or should I?:confused: My teeth are healthy... no fillings at all (very proud of that :D ). The doctor and specialist both thought it was my teeth... kinda gave me the look to say "go to the dentist"... but the second they looked at my teeth they realised it wasnt that.... gums are also healthy... "If it did turn out to be atypical facial pain or TMJ u will have a better chance with muscle relaxant drugs like baclofen, pain meds wont touch it.Other drugs like gabopintin, neurotin or tegrotol, well for me they didnt work & can really mess u up, loads of other meds but cant think of them at the min but none of them worked for me." Strangely enough.... the muscle relaxants do have more of an affect than the pain killers... but that might just be coz I was severly doped up and slept like a baby for once... "Try & control ur breathing deep calm breaths & relax all ur muscles as best u can, i know that sounds difficult but believe me the more tense u are & fighting it the worse it will get.....u have to keep at it, thats how i ride the pain out now, it helps !" Slow breathing does help... and being relaxed too.... the pain is still there... but there are no sharp jabs.... The only time when its really really bad... when i feel like i could pass out from the pain is the second my face/teeth get cold.... o... and if anyone does ever experiance this... I have a handy tip... drinking through a straw really really helps coz the drink doesnt reach the teeth... There are no external signs what so ever.... Felsen... I hope that answers all the questions....
    Anonymous 42789 Replies Flag this Response
  • Thanks for all the info. I must say I am a bit baffled, it is not often you see a patient like you, lilol. No matter what, your teeth must be excluded as a source of pain first. As I understand it all started from your first bicuspid. It still might be the cause of the pain. Did the dental surgeon take an x-ray picture of the tooth? Do you know if he took a so called bite-wing picture? What did the pictures show? Are you absolutely sure that there is no caries cavity in the tooth (sometimes it can be difficult to discover)? Finally, I would like you to make a little experiment. Take a little cotton bud, dip in cold water and carefully touch the cuspid, the molar, the second bicuspid and finally the first bicuspid. Dip in cold water between touching the teeth to keep the same temperature. Touch the biting areas or the side of the teeth toward the cheek. I want to find out if there is any diffrence between the teeth. Does it hurt to put the biting plate in place? If it doesn't please use it. Does the plate feel as usual or does it feel a bit too tight? You obviously have a habit of grinding teeth and now with the pain you might grind even more. If it hurts putting the plate in place, don't use it. Get back to me and we'll move on. I keep my fingers crossed. Hope you soon feel better.
    Felsen 510 Replies Flag this Response
  • sounds like you need an endodontist and a root canal..
    Monsterlove 2921 Replies Flag this Response
  • I totally agree u need ur teeth looked at closely. Felsen will know all the technical terms, i dont. u need complete xrays done, u can have one done my placing ur head & biting on a thingy (sorry folks dont know how else to describe it) and the xray machine will move right to left taking a complete xray of ur entire mouth from one jaw joint to the other......infact im not even sure this is called an xray....anyway, felsen will again know what i mean. U can also have root fractures also. Also when i told u about the abcess beyond my root of tooth & into the bone & had the apcioectomy, well initially this was missed it took the 3rd visit to dentist b4 it was found......im not saying this is ur problem lilol but more to prove as a patient this happens. And as ive said b4 i suffer with TN, believe me the pain of that would put u totally out of ur head. TMJ, hmmmm i dont know, id push with the dentist first, & maybe a new bite guard, a bite guard should not be increasing ur pain. sorry Felsen this is the only way i know how to explain it, but ull know what i mean once again.....lol Hope u feel better soon lilol :)
    Tootsie 628 Replies Flag this Response
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