Discussions By Condition: Medical Errors

Diagnosed with Neuralgia following dental problems - NOT!

Posted In: Medical Errors 11 Replies
  • Posted By: Jean Marie
  • April 19, 2007
  • 06:14 PM

After having a left lower wisdom tooth removed, I developed terrible pain in my jaw. I had a complete dental x-rays (including a panogram), a jaw CT scan & MRI. It showed NOTHING, and I was diagnosed by an oral pathologist as having neuralgia. Medications had no effect in controlling the pain (as is sometimes the case with neuralgia). I had several other symptoms that could not be explained by my diagnosis, so I continued to search for answers. Two and a half years later, my dentist noticed that the tooth adjacent to the removed tooth was slightly sensitive to cold. Because she aware of the terrible agony I was going through, she took a chance and drilled into it. It was gutsy on her part because the procedure would have been irreversible resulting in an unneeded root canal had she been wrong. I am so grateful she did! The tooth was neucrotic and very little of the nerve was left alive. So much of the pain was relieved!! However, I am still having problems that I can find no diagnosis for. If you have any interest or advice, please read "Jaw/Neck/Chest pain for over 3 years after dental procedure" in the I Can't Get a Diagnosis thread. Thanks!

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11 Replies:

  • Well I Had A Bad Dentist Do My Root Canal Which Left Me With A Swollen Jaw For 2mths Until I Was Recommended To A Great Dentist Who Found Nerve Endings In The Bottom Of My Jaw Line Underneath The Tooth, They Had To Do The Root Canal Over But I Do Get Jaw Pain But It's Caused By Tmj ..its A Clicking In The Jaw Line,,i Can't Chew Gum Or Steak For That Matter Bc The Pain Is Bad..unfortunalty There Is No Fix Except Massgae Therapy...hop This Helps...
    Anonymous 42789 Replies Flag this Response
  • Jean, could you further explain what you mean by dentist "drilled into it"? And no decay showed up on dental xrays.? By the way, panaramic are just dig. xrays-more for helping dentist w/ storage and zooming in-old fashion xrays are fine- trick is finding an experienced reader. I just heard this on early am show referring to mammagrams. I'm kind of thinking my pain is from a dying tooth but nothing showed or at least dentist didn't mention this tooth as a problem. But it is exactly where bone scan showed increased activity.Not sen. to cold but painful when i tap it. 1st dentist mention "referral pain" Anyway, how did dentist drill into your sensative tooth?
    lucy's mom 15 Replies Flag this Response
  • Jean, could you further explain what you mean by dentist "drilled into it"? And no decay showed up on dental xrays.? By the way, panaramic are just dig. xrays-more for helping dentist w/ storage and zooming in-old fashion xrays are fine- trick is finding an experienced reader. I just heard this on early am show referring to mammagrams. I'm kind of thinking my pain is from a dying tooth but nothing showed or at least dentist didn't mention this tooth as a problem. But it is exactly where bone scan showed increased activity.Not sen. to cold but painful when i tap it. 1st dentist mention "referral pain" Anyway, how did dentist drill into your sensative tooth?Hi Lucy's Mom!My dentist drilled into it just as she would have done had she been doing a root canal. That kind of drilling is irreversible...if she hadn't found the abscess, she would have had to proceed with an unnecessary root canal. However it wasn't until she drilled that she could see the tooth was almost completely dead...just a little bit of live nerve left. An NO - NOTHING showed on x-rays (read by a very well respected Oral Pathologist), CT scan, or MRI (which was done at Mayo). It was just a little loose (I couldn't tell, but the dentist said it was) and the tooth was slightly sensitive to cold - that's it...no other indication there was severe problems going on. (I just had incredible pain in my jaw - for over 2 years)! The tooth didn't even hurt when she tapped, which is another indication of abscess. I have big doubts about your "referred pain". Is your sensitive tooth next to the one you had removed? I've read somewhere that having a tooth removed can cause problems with adjacent teeth. If the one you had removed was abscessed, I'd be especially suspicious. I tell you, if my dentist had not found anything, I would have still been grateful that she tried - worst case scenario was an unneeded root canal...a small price to pay if there was ANY chance the tooth was the cause of all the pain. And that's what it turned out to be. Now if I could only get rid of the pain in the soft tissue below the removals that seems to travel down my neck and into my chest, I'd be in pretty good shape.;) Jean
    Jean Marie 38 Replies Flag this Response
  • Read up on Cavitations, this may be where you need to look.hth
    Anonymous 42789 Replies Flag this Response
  • Thank you for taking the time. I don't know if its because I'm almost finished w/ this latest antibiotic but pain is gone! Here's hoping it doesn't rebound-really strange and scary event-with so much pain and bone scan showing problem w/ possibility of osteonecrosis. The oral surg, who pulled molar w/o mentioning new ADA caution (Fosomax), saying it was due to perio disease and perio dentist saying I didn't have gum disease?
    lucy's mom 15 Replies Flag this Response
  • Thank you for taking the time. I don't know if its because I'm almost finished w/ this latest antibiotic but pain is gone! Here's hoping it doesn't rebound-really strange and scary event-with so much pain and bone scan showing problem w/ possibility of osteonecrosis. The oral surg, who pulled molar w/o mentioning new ADA caution (Fosomax), saying it was due to perio disease and perio dentist saying I didn't have gum disease?So happy for you! Please remember to count your blessings. And if pain returns, jump right on it and get more antibiotis. It's evident you had an ongoing infection. I still think that might be my problem. I'm wondering, who prescribed the antibiotics...your oral surgeon or periodontist?? In this day & age, it AMAZES me that problems with teeth cannot be more accurately diagnosed.Jean
    Jean Marie 38 Replies Flag this Response
  • Hi Jean-actually the endo prescribed them-got a second opinion on need for root canal-he said yes so schuduled for that Tuesday-You said a mouthfull about d/x problems-And I was dumbfounded that they still pull a tooth w/ a hammer and a pitchfork-albeit a soft one and w/ sedation if you can afford it-but still??I'm hoping root canal procedure is somewhat updated. My endo on our plan doesn't offer nitro. And it was like "pulling teeth":D to get him to prescribe teeny amount of Valium. Gee, maybe its this type of smartypants attitude that has them so brusque w/ me??
    lucy's mom 15 Replies Flag this Response
  • Hi Jean-actually the endo prescribed them-got a second opinion on need for root canal-he said yes so schuduled for that Tuesday-You said a mouthfull about d/x problems-And I was dumbfounded that they still pull a tooth w/ a hammer and a pitchfork-albeit a soft one and w/ sedation if you can afford it-but still??I'm hoping root canal procedure is somewhat updated. My endo on our plan doesn't offer nitro. And it was like "pulling teeth":D to get him to prescribe teeny amount of Valium. Gee, maybe its this type of smartypants attitude that has them so brusque w/ me??Dear LM,You keep those "smartypants" on & pulled up!! I am sick & tired of smart- azzed doctors who forget they are being paid for their service & work for US. Root canals are not so bad, I promise. One thing I might mention though - if your endo KNOWS you've been having trouble getting rid of the infection (thus all your pain), I hope he does it in steps. My dentist drilled out the infected nerves, packed the openings with something, then kept me on antibiotics for a while. I thought that was going to be the end of my problems & had chosen extraction rather than going ahead with the root canal & had my tooth pulled after being on antibiotics for only 5 or 6 days. When she extracted the tooth, my whole jaw swelled. My problems now seem endless. In hindsight, I wish I would have stayed on antibiotics longer before preceeding. I'm thinking you want to be REALLY sure all the infection is gone before he finishes the root canal. Wouldn't want infection "trapped" in there only to flare up again. Good luck - it sounds like you are on the right path.Jean
    Jean Marie 38 Replies Flag this Response
  • Cute reply! The tooth scheduled for root canal ,#15,doesn't have infection-I think he prescribed antibiotics due to pain in another tooth(when he tapped) ,#24. .I didn't understand how antibiotics work if there is no bacteria but I filled it and took it anyway-now w/ pain gone I'm guessing it must be what the oral surg. said was "subacute infection" when he wrote the 2nd coarse of antibiotics.The oral surg. was just annoyed when I asked what a "subacute infection" was.By the way what I've read is it's always better to keep your own teeth rather than extraction even though extraction clears up infection right away.
    lucy's mom 15 Replies Flag this Response
  • lucy's mom;45084]Cute reply! The tooth scheduled for root canal ,#15,doesn't have infection-I don't think you'd be having a root canal if the nerves or tissue weren't infected??? now w/ pain gone I'm guessing it must be what the oral surg. said was "subacute infection" when he wrote the 2nd coarse of antibiotics.The oral surg. was just annoyed when I asked what a "subacute infection" was.My point exactly, girlfriend! You had EVERY right to ask that question and have it answered respectfully. Azz-holes! By the way what I've read is it's always better to keep your own teeth rather than extraction even though extraction clears up infection right awayYes, I know. The only reason my dentist agreed to pull, was that my tooth was tipped sideways & scraping the heck out of my tongue. For me, I just wanted everything to be over with. Little did I know....Remember, if pain starts - go back RIGHT AWAY for antibiotics. I just googled subacute infection and it's nothing to fool around with. I know you'll be fine LM. So happy things are turning out for you - gives me hope!Jean
    Jean Marie 38 Replies Flag this Response
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    bramjacob54 1 Replies Flag this Response
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