Need your HELP (again) - a test to SCRATCH the bone/gums

General General TN & GPN (Old Site)
21

I don't know what to tell you? I just about drove myself crazy trying to find an answer and it wasn't until they opened me up did the problem get resolved. I searched necrotic bone, blood supply to the teeth, went for oxidation treatments, you name it. No one wanted to deal with my mouth and no one would even do a blood test to check for white blood cell count. I lost four teeth on the left side from the trauma of surgery and the lack of blood supply, and abcess. My lips were turning blue... It is so hard to say what your problem is because it sounds like multiple problems.

when you talk about your tongue and the itching verses pain I think of what I've heard from people who have Lingual nerve injury? My friend has that and the right side of his tongue and cheek are numb, and he has pain. Some of the itching that I had in my face went away and I think it was the nerves trying to reconnect and heal? I don't know. The itching in my gums went away after they removed the abcess and treated me with antibiotics. It actually ate a hole through my gum tissue and still no one to open me up and see what was going on. Thus four teeth are dead and will have to be replaced with implants. I am very thankful that my tongue was not affected at all. I have my taste and smell.

I don't know what to say Nir? All I know is that I didn't stop looking for answers until I found somone who would listen and care about my wellbeing enough to take on my very complicated dental case. Personally, I have found the best care in the hands of those who are of the christian faith. Since my experience I kind of try to make it a prerequisite for my health and dental care and unfortunately because of my nightmarish experience I have also developed PTSD with dentistry and medicine. I'm very careful to treat with those who share my same beliefs!



Nir Morita said:

dear Sunshine -

thanks for the reply. so much great info.

did you also have severe pain ? the "itchy" feeling is when i don't get pain - than it's the itchs feeling .. sometimes burn (like somebody scratched my inside of the mouth) . it's also on the end (far side) of the tongue. many kinds of pains and feelings.

i KNOW something is physically wrong. not something heroic or mysterious to the medical world . something simple - but that has to be found.

i also have degenerative (i think that's the word) changes in teeth. but the doesn't explain the pain (accrding to dcoros).

how long did you suffer ? did it started after a dental work ?


you are very right. i also though of an infection (small one) in the gums (i did a dental cleaning before it all started). or in the bone.


were the shawoes in your CT were explained ? is it normal ? it's starnge i have these "shadows" in the side of the pain.


about your theory of malparctice. maybe.

i know for a fact some doctor look at me see my misreable face - and don't want to get into that story. why would they.

THE PROBLEM IS - THEY DON'T REALLY INVEST TO TRY.

why were you become doctors if not help people in real need for that ?

i wait monthes for an appointemt.. to famous doctors names.. and than they see you for 5 minutes... and say "You have to clean better you teeth. otherwise - no problem.

etc.

also the dental Surgeons here - are a joke. sorry to say.

one can say - that i can look at it differently - they just don't know. when all the X RAYS are fine - their hands are tied.

as for the infection theory - i though about it myself. and even went to several specialist in infective disease (not for the teeth. maybe to hear thier opinions).

my though that even the slightest change in the nerve - pressure - of a small infection - can cause such trouble.

at my case - at first my face became a bit "Deformed" i've had a change in my face. like they were "tilted" (don't know to explain) so maybe some mechnical pressure involved. i just DON'T know. and tired of trying to fight this and figure this out alone.

i'm glad you found this doctor that was willing to do so and "open" you. wish i was in the US. doctors here are very limited in thier willing to really do something.

the "funny" thing is , that in their web sites they "brag" about treating people with deformed face, doing complicated surgeons... but opening the gums to find out what - they won't do that.

maybe they are right - and it can cause great risk, as one doctor told me. maybe.

another problem i have - is the the pain is sometime up and sometimes down in the mouth. if they "open" the gums - i really don't know which side i "want" them to open first. i know it's all sounds imaginary. but at least in this site people really understands.

so did he opened your gums and just like that saw the cause for the problem ? was the opening from the front side ? or back of teeth ? would like to hear more about that.

ICAT - NEVER heard of that. just checked it out. it looks like a CT .


i've done 4 (!) CT''S and 2 full body "bone scans" in one year !!!! (that's except for the regular XRAYS they do me all the time) . it's enormous amount of radation. i can't do another CT'S i guess :( (by the way - the first "bone scan" showed a problematic "hot spot" in my jaw- which wasn't explain till now.

never heard of bioesthetic dentist. i'll check it out. i'm sure there are none in Israel .

you are so right - i DO know that i'm right in presisting (even when i went to 3-4-5 doctors A WEEK for about 1.5 years (i am not exaerating!) , i feel something's wrong in the mouth. god . and my bite isn't that well (it was perfect 2 years ago. and now it's not. i don't know what is the reason and what is the cause).

also i mentioned my face had changed since that. i had long gentle face before. and not it's like the bones grew bigger - idon't know if it's a muscle activety in the area.. or i'm putting stress on the muscles.. but i've lost my look. it's not THAT terrible.. but yes. it really effects me when i look in the mirror. a person have to like himself (inside and outside) . it really upsets me that will all the story - even after it ended - what it had done to the bones of my face won't be able to fix.

thanks for the reply.. and letting me "take stuff" out of my heart.

maybe i'll write you a personal msg.

22


Yes, my problems were the result of Oral Surgery. Bimaxillary Jaw Surgery.
Nir Morita said:

dear Sunshine -

thanks for the reply. so much great info.

did you also have severe pain ? the "itchy" feeling is when i don't get pain - than it's the itchs feeling .. sometimes burn (like somebody scratched my inside of the mouth) . it's also on the end (far side) of the tongue. many kinds of pains and feelings.

i KNOW something is physically wrong. not something heroic or mysterious to the medical world . something simple - but that has to be found.

i also have degenerative (i think that's the word) changes in teeth. but the doesn't explain the pain (accrding to dcoros).

how long did you suffer ? did it started after a dental work ?


you are very right. i also though of an infection (small one) in the gums (i did a dental cleaning before it all started). or in the bone.


were the shawoes in your CT were explained ? is it normal ? it's starnge i have these "shadows" in the side of the pain.


about your theory of malparctice. maybe.

i know for a fact some doctor look at me see my misreable face - and don't want to get into that story. why would they.

THE PROBLEM IS - THEY DON'T REALLY INVEST TO TRY.

why were you become doctors if not help people in real need for that ?

i wait monthes for an appointemt.. to famous doctors names.. and than they see you for 5 minutes... and say "You have to clean better you teeth. otherwise - no problem.

etc.

also the dental Surgeons here - are a joke. sorry to say.

one can say - that i can look at it differently - they just don't know. when all the X RAYS are fine - their hands are tied.

as for the infection theory - i though about it myself. and even went to several specialist in infective disease (not for the teeth. maybe to hear thier opinions).

my though that even the slightest change in the nerve - pressure - of a small infection - can cause such trouble.

at my case - at first my face became a bit "Deformed" i've had a change in my face. like they were "tilted" (don't know to explain) so maybe some mechnical pressure involved. i just DON'T know. and tired of trying to fight this and figure this out alone.

i'm glad you found this doctor that was willing to do so and "open" you. wish i was in the US. doctors here are very limited in thier willing to really do something.

the "funny" thing is , that in their web sites they "brag" about treating people with deformed face, doing complicated surgeons... but opening the gums to find out what - they won't do that.

maybe they are right - and it can cause great risk, as one doctor told me. maybe.

another problem i have - is the the pain is sometime up and sometimes down in the mouth. if they "open" the gums - i really don't know which side i "want" them to open first. i know it's all sounds imaginary. but at least in this site people really understands.

so did he opened your gums and just like that saw the cause for the problem ? was the opening from the front side ? or back of teeth ? would like to hear more about that.

ICAT - NEVER heard of that. just checked it out. it looks like a CT .


i've done 4 (!) CT''S and 2 full body "bone scans" in one year !!!! (that's except for the regular XRAYS they do me all the time) . it's enormous amount of radation. i can't do another CT'S i guess :( (by the way - the first "bone scan" showed a problematic "hot spot" in my jaw- which wasn't explain till now.

never heard of bioesthetic dentist. i'll check it out. i'm sure there are none in Israel .

you are so right - i DO know that i'm right in presisting (even when i went to 3-4-5 doctors A WEEK for about 1.5 years (i am not exaerating!) , i feel something's wrong in the mouth. god . and my bite isn't that well (it was perfect 2 years ago. and now it's not. i don't know what is the reason and what is the cause).

also i mentioned my face had changed since that. i had long gentle face before. and not it's like the bones grew bigger - idon't know if it's a muscle activety in the area.. or i'm putting stress on the muscles.. but i've lost my look. it's not THAT terrible.. but yes. it really effects me when i look in the mirror. a person have to like himself (inside and outside) . it really upsets me that will all the story - even after it ended - what it had done to the bones of my face won't be able to fix.

thanks for the reply.. and letting me "take stuff" out of my heart.

maybe i'll write you a personal msg.

23

thanks for the support.

BELIVE me, i've went to more doctors i think than most people in this situation.

i was ashamed to show people how mant doctors i've went.

sometimes i was driven to 3 and even 4 doctors AT ONE DAY (i'm not kidding) . and they all were "regular" dentist. that deals with filling holes. nobody know about more complicated situations.

did they opened you gums only from the outside ? did they just "see" the abcess once they opened the gum ?

i've heard of many stories like that. : ( so terrible people have to fight years like that for thier lives ,and had they find the right surgeon - the problem could have been solved after a month.

don't know. and don't know what it is who cause my bone to change. . it's like if they open my left side of face who knows what they'll find. but i know it's not THAT easy as it sounds.. much much pain and risk.

as my wish to deal with the PAIN, i know that if finding the cause of the pain - that what can solve the problem !

insted of thinking of meds.. and nerve injection... just finding the problem and fixing it.

and no - i don't have a numb feeling. but i do realize now my left side feels differntly.. like sterched (it's hurt to talk or smile wildly on the lefy side. right side is okay. it's not like a muscle. i've read here on the site a feeling that describes it "like stretched gums/skin"

not numb. but annoying feeling (amoung many other feelings). and sometimes like something wants to "burst" out through my cheeck or chewing muscles.

I don't know what to tell you? I just about drove myself crazy trying to find an answer and it wasn't until they opened me up did the problem get resolved. I searched necrotic bone, blood supply to the teeth, went for oxidation treatments, you name it. No one wanted to deal with my mouth and no one would even do a blood test to check for white blood cell count. I lost four teeth on the left side from the trauma of surgery and the lack of blood supply, and abcess. My lips were turning blue... It is so hard to say what your problem is because it sounds like multiple problems.

when you talk about your tongue and the itching verses pain I think of what I've heard from people who have Lingual nerve injury? My friend has that and the right side of his tongue and cheek are numb, and he has pain. Some of the itching that I had in my face went away and I think it was the nerves trying to reconnect and heal? I don't know. The itching in my gums went away after they removed the abcess and treated me with antibiotics. It actually ate a hole through my gum tissue and still no one to open me up and see what was going on. Thus four teeth are dead and will have to be replaced with implants. I am very thankful that my tongue was not affected at all. I have my taste and smell.

I don't know what to say Nir? All I know is that I didn't stop looking for answers until I found somone who would listen and care about my wellbeing enough to take on my very complicated dental case. Personally, I have found the best care in the hands of those who are of the christian faith. Since my experience I kind of try to make it a prerequisite for my health and dental care and unfortunately because of my nightmarish experience I have also developed PTSD with dentistry and medicine. I'm very careful to treat with those who share my same beliefs!

24

too many cooks spoil the stew! if you have seen that many doctors and not one can help, I don't know what to tell you other than catch a plane and try coming to the US or another country. Not good to go from doctor to doctor like that! Attitude makes a world of difference in finding a good doc too. If you walk in with a chip on your shoulder, and an attitude that causes a doc to fear that you are looking for someone to blame, you will not find help!

this thread could go on and on but it will not fix your problems..

Nir Morita said:

thanks for the support.

BELIVE me, i've went to more doctors i think than most people in this situation.

i was ashamed to show people how mant doctors i've went.

sometimes i was driven to 3 and even 4 doctors AT ONE DAY (i'm not kidding) . and they all were "regular" dentist. that deals with filling holes. nobody know about more complicated situations.

did they opened you gums only from the outside ? did they just "see" the abcess once they opened the gum ?

i've heard of many stories like that. : ( so terrible people have to fight years like that for thier lives ,and had they find the right surgeon - the problem could have been solved after a month.

don't know. and don't know what it is who cause my bone to change. . it's like if they open my left side of face who knows what they'll find. but i know it's not THAT easy as it sounds.. much much pain and risk.

as my wish to deal with the PAIN, i know that if finding the cause of the pain - that what can solve the problem !

insted of thinking of meds.. and nerve injection... just finding the problem and fixing it.

and no - i don't have a numb feeling. but i do realize now my left side feels differntly.. like sterched (it's hurt to talk or smile wildly on the lefy side. right side is okay. it's not like a muscle. i've read here on the site a feeling that describes it "like stretched gums/skin"

not numb. but annoying feeling (amoung many other feelings). and sometimes like something wants to "burst" out through my cheeck or chewing muscles.

I don't know what to tell you? I just about drove myself crazy trying to find an answer and it wasn't until they opened me up did the problem get resolved. I searched necrotic bone, blood supply to the teeth, went for oxidation treatments, you name it. No one wanted to deal with my mouth and no one would even do a blood test to check for white blood cell count. I lost four teeth on the left side from the trauma of surgery and the lack of blood supply, and abcess. My lips were turning blue... It is so hard to say what your problem is because it sounds like multiple problems.

when you talk about your tongue and the itching verses pain I think of what I've heard from people who have Lingual nerve injury? My friend has that and the right side of his tongue and cheek are numb, and he has pain. Some of the itching that I had in my face went away and I think it was the nerves trying to reconnect and heal? I don't know. The itching in my gums went away after they removed the abcess and treated me with antibiotics. It actually ate a hole through my gum tissue and still no one to open me up and see what was going on. Thus four teeth are dead and will have to be replaced with implants. I am very thankful that my tongue was not affected at all. I have my taste and smell.

I don't know what to say Nir? All I know is that I didn't stop looking for answers until I found somone who would listen and care about my wellbeing enough to take on my very complicated dental case. Personally, I have found the best care in the hands of those who are of the christian faith. Since my experience I kind of try to make it a prerequisite for my health and dental care and unfortunately because of my nightmarish experience I have also developed PTSD with dentistry and medicine. I'm very careful to treat with those who share my same beliefs!

25

my original surgery was ten years ago. two more were done to stabilize and reconstruct, clean up scar tissue and create a healthy bony union. I had those two in 2005. It was done by a Medical Doctor/Oral Surgeon. M.D. D.D.S. in training. Unfortunately, I wasn't informed that he was not a licensed Oral Surgeon. I think what happened to me is called a bate and switch. Which means: the surgeon who was suppose to operate, did not operate but rather they switched places or hid the identity of the M.D. who actually did the operation. Honestly... this is truly what happened to me...hard to believe that this happens but it does...

I never met the one who operated at all until about my third follow up appointment and I just thought he was taking my surgeons position or that my surgeon was leaving or getting promoted or something. I asked him where my surgeon was and he said "I'm taking his place." He was wearing a white coat that said M.D. so I assumed he was a certified surgeon.

26

sunshine - I have to say something that bothers me.


i NEVER EVER on this situation looked for someone to blame. even when people around me saw me crying to die, and cursed the doctor that it all started after a dental work at him - i told them not to think like that.


NEVER have i looked to blame - just want to be back to normal . is that such a bad thing to ask from a doctor ? had i wanted to replaced the cieling in my home - i would have not gone to a doctor. but if from a cute 33 yo perfecly painless guy - i have sever PAINS all day - doesn't it make logic i go to a doctor ? to HELP myseld. not to sue anyone.


i also don't blame doctors of "silent connection" . i don't think that. i think that its the fact that they just really don't know what to do (if all the X RAYS are fine) , and are afraid to make more damage.


i never never looked for someone to blame.. .just to diagnose and "fix" what wrong.

is it too exaerated to ask ? should i declare myself dead at home and burry myself for like with morphine for the rest of my life ? (which doesn't help by the way)

27

about that -

it seemd that you REALLY did became a victim of a 'medical student" or something like that.

such a shame that thier experience is our misery.

cleo and Sunshnie - do you think that removing tooth can "discover" something beneath witout opening the gums ?

what i mean to ask it that - there is a doctor who offered me to reveal the gums and see what's going on - but he says that if , in the end - i'm gonna remove the tooth anyway - so let's remove it without opening the gums.

i couldn't get a clear explanation from him

i don't think they have much knowledge on that.

sunshine said:

my original surgery was ten years ago. two more were done to stabilize and reconstruct, clean up scar tissue and create a healthy bony union. I had those two in 2005. It was done by a Medical Doctor/Oral Surgeon. M.D. D.D.S. in training. Unfortunately, I wasn't informed that he was not a licensed Oral Surgeon. I think what happened to me is called a bate and switch. Which means: the surgeon who was suppose to operate, did not operate but rather they switched places or hid the identity of the M.D. who actually did the operation. Honestly... this is truly what happened to me...hard to believe that this happens but it does...

I never met the one who operated at all until about my third follow up appointment and I just thought he was taking my surgeons position or that my surgeon was leaving or getting promoted or something. I asked him where my surgeon was and he said "I'm taking his place." He was wearing a white coat that said M.D. so I assumed he was a certified surgeon.

28

Cleo - hi,

probobaly an apicoectomy

i didn't knew the differnce between teeth removal and exctraction - so i googled it.

as i understant - exctraction is when "Surgical removal is neede, right"?

i also don't understant why don't they "open the gums and look" . two years of suffering are a good reason for that (yeah - i know- there are probobaly risks etc.).

i know thw docor who said about the "gum opening" thing.. . said that if needed they will take a bone sample - but he "warned" me - that if i'm gonna pull the tooth anyway - so i'll do the removal without opening and exampling the bone. i didn't quite understand why. he said taking a bone sample is not so "nice" procedure.

when i came back the next time the boss, the head of the deparetment was there - and he rulled opening the gums - and said if i wanted they will pull out my wisdom teeth. that's all.

i also belive puling the tooth may not be enougt. maybe there's and infection should be traced there.

Cleo - had i told you cases here in ISrael i've personally heard. of people that were crying for month with pain, wished they were dead. all the doctors wanted to put them on meds. and in the end - it WAS something dental that wasn't shown in ANY xtray. only after removing /opening the teeth . so much horror stories like that .pity the doctors are not aware of them.

best to all


Cleo said:

Nir- the doctor probably means an apicoectomy. they pull the gum down to get to the bottom root of the tooth. that"s where the problem usually is found. and that's how they can visually inspect the tooth. if the tooth is cracked? the apic is aborted and the tooth has to come out. having the tooth removed may or may not be your only problem... if it comes down to extraction? i would insist on them handing over the tooth for my own inspection.

sunshine- it's a crying shame what goes on that we may never know about. your story is horrendous!

29

Sometimes after tooth extractions there can be a little piece of bone that works it’s way to the surface, but any object in there would appear on an x-ray as white, and your body would be trying to reject it also. Dark spots on an x-ray indicate a hole in the bone, cyste or infection. what is curious is that the pain has remained the same all along! Nobody has found anything. Have your ever had an OPG?? This is a big X-ray that shows everything in the jaw, a long rectangular one that they often take when extracting wisdom teeth. you are standing and the machine turns around your head. But in fact I am not too sure if your had a tooth taken out and the problems followed or the problem is around a tooth…

30

Hi Cleo,
Wow, you know a lot about teeth. Sometimes I wonder if you are a dentist yourself, aren’t you ? :slight_smile:
This X- ray that you posted , I didn’t see anything wrong, except that there are a lot of root canals treatment being done. There is a red arrow pointing to a ‘canal’, the root seems a bit deeper than the rest, is there any problem? I am in fact gaining invaluable knowledge from the postings in this thread.
Regards.

31

Hi Cleo,
I thought you are a dentist or someone working closely with one and is going to discuss about a problem that is shown in the x- ray. :slight_smile: . I have been following this thread very closely because my daughter has an impacted wisdom tooth and being a TN sufferer myself, I am worried about her going for the extraction . I need to make sure that it is safe to go ahead with it. You see, I am really a worried mum.
Regards,

32

Hi Cleo, I am a dental hygienist and work for dentist, normally the OPG x-ray reveals the impacted tooth, mandibular nerve location and all the info needed for the dentist to be able to safely take the tooth out. There are also specialist who do it all the tiime, who is going to to the intervention?? A Dentist or a Maxio-Facial specialist? I have never heard of a problem with wisdom teeth causing TN over my 40 year career! Your daughter will be fine I imagine.

Seow W said:

Hi Cleo,
I thought you are a dentist or someone working closely with one and is going to discuss about a problem that is shown in the x- ray. :-) . I have been following this thread very closely because my daughter has an impacted wisdom tooth and being a TN sufferer myself, I am worried about her going for the extraction . I need to make sure that it is safe to go ahead with it. You see, I am really a worried mum.
Regards,
33

OK I checked out this X-ray and I will share what I see with pleasure,

starting on the upper right looking at the x-ray which represents the left side of the mouth, the molar # 26 seems OK although it has a root canal the end of the roots look OK the next tooth is a premolar, #25 it has a carie and an obvious infection at the apical end, you can see the dark circle at the tip of the root, this is an active infection which may or may not be symptomatic because the tooth has no root canal so could be very painful or become very painful at anytime. The next premolar #24 looks like there may be a carie cooking the dark spot in the center of the crown, the canine # 23 too may have a carie, the lateral #22 also has an infection at the apical of the root. The central looks good that is the one with the little red arrow yet the lateral #12 looks like it too could have an infection at the tip.

The lower ones there are two suspicious infections the central incisor, #31 with the root canal does not look perfect neither does the premolar on the right looking at the x-ray....there seems to be something dark on the mesial side of the root??

Hope that helps some, in any case infections can cause TN pain.

I am on antibiotics for a small infection around a root canal tooth.....can't tell you yet if this is what is causing my TN but I hope so.....the antibiotics are just to hold me over until the dentist can do an apical ressection, which is going in there and cutting a bit of the root tip off and cleaning it up. Sometimes Root Canals can be redone, sometimes they prefer to remove the infection surgically not to risk breakiing the tooth. If there is no root canal then get one done as quickly as possible!! And get those caries fixed before they cause an infection, the carie on # 24 looks limit to me!

Good Luck Cleo


Cleo said:

Muffet- Can you tell us what you see in this xray? Nir- Can you post your xray on here?

34

Hi Muffet,
Thank you.

35

Muffet , and cleo , and all -


i wish YOU were my doctors and not the one's i see.


i'm so tired of this all pain and living . don't have sterngth to fight.


OPG is a paniormic photo ? i've done two of those . about 20-30 XRAYX of the tooth itself. "status" XRAYS (a seriers of photoes of each tooth ) and CT of the jaw ( and 2 CT'S of the whole head). i have gone so many radiation.


i don't think no-one could see nothing on the XRAYS. most of our cases they don't see, right ?

i mean - the whole "point" of facial pains is that nothing is seen on the XRAYS.

i don't really belive in that. i DO belive some infection/inflammation is there. the pain is 24/7 there.

but tired to look for it.

in the CT of the jaws - NO doctor saw nothing. but than - a major specialist said i needed a biopsy cause there has been shadows in the xray.

so - i wennt to the hospital. they looked at the disc. and said the "shadows" were not real. they weren't shown in the disc. don't know who to belive. the "shadows" are exactly where my pain is in the gums.

but maybe they are right. maybe they now that every procedure in the gums can leave me paralyzed or something like that.

don't know. can't live like that all day


36

I am so sorry for you Nir, wish I could see your X-rays …there has to be a reason…Muffet

37

Nir, can you put your xray on here?

38

Do we number teeth differently in the US? That image does not have a tooth # 31, yet muffet says #31 looks suspicious -- I'm confused. Tooth 31 is the second molar on the patient's right (our left) bottom, and this patient doesn't have any molars on that side on the bottom.

39

If anyone is curious about my treatment plan for my teeth, this is what the dentist (a student at UIC) told me his plan is:

Sarah,

I hope you are doing OK. Sorry today went a little long. I planned on getting the whole top done, but thats OK. Be careful on the temps until we get the back teeth in crowns and your bite established properly.

I am going to review your CT scan tonight, then review it with the chief oral surgery resident next week. After looking at everything today, I believe we will do the following:

Save teeth 3,4,6,11,14 (1st molars, one premolar, and both canines).

Place 5 implants in the upper arch now (5,7,10,12,13). We may do just one in the 12 site to save money, however if would be best to get the implant in even if we don't use it. I will explain all this to you next time.

We will do single crowns on 5,12,13, a bridge from 7-10 (look at your tooth chart for references)

On the lower arch, we will move onto once we get the upper stabilized. This will end up being a lot of money I know. We can spread things out, keep you in some temporaries for awhile so you can accumulate money, and move forward. I will be making a full new set of temps for the upper, I'm not happy with how they came out. You will also be able to stay in something fixed for the entire time.

Let me know if you have any questions. No faculty were left to call a prescription in. I don't think you should need anything. Also one thing you are going to have to be very very very careful with is the amytryptiline. It can cause very dry eyes and mouth. Dry mouth=cavities.

40

I would like to mention something again that is quite important, it is occlusion!!! How is the BITE! An easy test is line on the floor on the back have someone hold your legs slightly off the floor(it is best if this person is on his knees) so legs slightly off the floor and spread apart, now first with your mouth open test your resistance. The assistant pushes your legs together and you resist, then repeat the exercise with the mouth closed. If your have less strength with the mouth closed then it is very well possible that your occlusion is off, if the occlusion is off then your cervical veterbre could be off too and that can cause TN. I know because my ophthalmic branch quickly goes haywire when my veterbre are not in place. I went to the chiropractor this morning and tonight I am almost pain free…Have any of you tried a chiropractor???