TN caused by dental work

In late Sept. 2013 I went to my dentist to have by 6 month check-up and cleaning. I was advised that I would need 2 crowns on the left side back molars because I had large old fillings. I figured I have good insurance; I’ll just have it taken care of now. On 10/11/13 I had two bottom molars on the left side prepped for a crown. That’s when it all began. I began to have severe pain on the left side of my face. My ear felt like I was being stabbed with an ice pick and my face felt like someone crushed it with a bat, my throat was aching and painful.

My dentist referred me to an Endodontist; he told me it was stress related and to take Motrin and Tylenol at the same time.

I called my dentist again and told her what he said and told her I was in terrible pain. She said, you need to see an endodontist. (Her answer to every call I made) So, I picked another. I could not localize the pain; it was the whole left side of my face. The 2nd endodontist did a root canal on a top tooth and I pressed her to give me Demerol. I’m allergic to all codone drugs; she was hesitant but gave me a few. They did not help, but they knocked me out. Amen! My only real relief has been sleep.

I was hitting the ER often at this point, my blood pressure is through the roof, and my pain is unbearable. I had gotten 2 diagnoses of sinus problems. Lots of antibiotics, nasal steroids, blood pressure medication, which still has not brought my blood pressure down.

Meanwhile, I’m missing work regularly and that’s not my style. Luckily I have an awesome boss.

I went back again to the endodontist still in terrible pain and to report my ER diagnosis. She did a second root canal on the top tooth and then did one of my bottom teeth that was prepped for a crown. When she pulled the temporary crown off the smell was disgusting, super gross. I couldn’t believe that smell was coming out of my mouth. I was sure my problem was being fixed. Wrong……

As the result of ER visits I got a referral to an ENT and within 5 minutes of my exam; he said have you heard of trigeminal neuralgia? And I had. He set me up for a CT of my sinus, which showed a large sinus cyst. Apparently, they are common and not a problem. He then referred me to a neurologist.

I was not happy with the neurologist. He specialized in sleep issues and didn’t seem to have any answers to my questions. He put me on Amitriptyline. That did not help, so he schedules a MRI. The MRI showed nothing….but a little cervical arthritis and a nodule on my thyroid.

I’m frustrated because I feel like I’m dying and no one can find anything wrong with me that is tangible. No hard evidence, like a broken bone on an x ray. Blood work shows nothing.

I wasn’t getting better so my mom, set me up with her ENT. Who unfortunately, reiterated what the first ENT told me. You have no sinus problems. UGH! But he did turn me on to Neurontin, which kept me from wanting to remove my own head for a little bit. I titrated up to a very high dose and it seemed to stop working as well.

I said to myself, screw this….I need to see someone who knows what the hell is going on with me. I need to see THE MAN. For me “the man” is Dr. Sahni at the Trigeminal Neuralgia Treatment Center of VA. His compassion is unmeasurable and I feel like he doesn’t think I’m crazy. He put me on Trileptal, and eventually it worked. It worked great for 6 weeks, but it’s not working so great now. On my newly invented pain scale, it is down from 1,000,000 to a 6. So, I’m happy….happier. I’m making the road trip to Richmond tomorrow to see what else can be done. I know before I go in for the gamma knife, I need to finish getting my teeth fixed.

My dentist tried to put my crown on, but that one previously stinking tooth wasn’t having that. When she put numbing gel on my gum and it touched that tooth, I hit the ceiling. My neuralgia went off. She tried to numb me up, 3 times, that didn’t happen. She said to get my neurologist to do a nerve block or find a sedation dentist. My neurologist said, no. So I found a sedation dentist who never called me back after my consultation. Jerk off. I finally found a dentist who agreed to knock me out to put on the crowns. While sedated he tried to dry this particular tooth with air; I came out of sedation. I was pushing him away. He did eventually get the crown on, but it still hurts. The tooth hurts, even when my face is not hurting. So, he sent me back to the Endodontist, who put me on Augmentin for 10 days, no change. The next appointment she ground down the upper molar, no change. Then I called back, she said you should see an oral surgeon. Which I did, he told me I need a night guard and muscle relaxers. Jeez…anyway, I’ve solicited 2 dentists and 1 oral surgeon to remove the tooth. All said, no. I have one more oral surgeon to see at the end of April.

I have been to see medical professionals 58 times since 10/11/14. I keep every appointment on a spreadsheet.

I feel that bottom molar is my enemy and it must be eliminated. I’m not saying it would solve all of my pain, but who knows. The oral surgeon said what if I remove the tooth and you still have pain. I replied, then I’ll know it’s not that tooth.

I’m wondering if anyone else has been through something similar with having dental work cause your neuralgia. And, isn't it possible that there is something wrong with the tooth too? Or am I just a CrazyLady?

Cleo, Please tell me of your aversion to the gamma knife. I love information. :slight_smile:

If TN or ATN is caused by dental work or long-term infection in the mouth or face then I don't think Gamma would solve the problem. Like Cleo said, it could create damage on top of damage. If I were in your shoes, I would try to find a really good dentist, or better still an oral surgeon who would do a thorough evaluation of your teeth and mouth. My ATN was, I believe, caused by the combination of tooth infection and a botched oral surgery.

I'm having my last oral surgery consult on Friday. I've seen 4 dentists, 4 endodontists, and 2 oral surgeons. All say there is nothing wrong with the tooth or any of my teeth. I know they all can't be bad dental professionals. I know one is. The one who started all of this. (Might be hard to prove with the Board of Dentistry) So, I say let's do it one more time....one more new dentist to tell my story to. UGH! I have another type of MRI set for Sunday, and my final "what are we going to do" appointment with Dr. Sahni on Thursday, 5/1. By next Friday, I will have all the information about my condition to make the right choice for myself. I'm going to continue educating myself on all options and make a decision before the middle of May. Living with this condition blows, I hoping changes are on the horizon. Thank you Oldriska and Cleo for throwing the red flag, I appreciate the heads up.

I have been seeing a good oral surgeon since my last post. He is thoughtful, sympathetic, and actually trying to help me. He confirmed there is nothing wrong with my teeth. He did give me steroid injections in the gum near the tooth that was bothering me. The first didn't help, but I'm thinking the second one is. The tooth is not nearly as sensitive. The only problem is....this isn't really the solution to my pain. Because I still have ear, face and throat pain daily and I also had a more detailed MRI since my last post that shows vascular compression on the right and left side of my brain. There it is...I guess I can't really deny having TN or Glossopharyngeal neuralgia anymore. It was just really hard for me to believe that there is that much pain without an infection. Since I'm not dead and the ENT's, Neurologists and every other medical professional says it's neuralgia, I've accepted my diagnosis since the latest MRI. So, my neurosurgeon says to stay on Trileptal and Baclofen until they aren't working and then decide what to do.

I wanted to update you 2 ladies on the latest. So, my thoughtful sympathetic oral surgeon would not remove my tooth wanted another Endodontist consult. So, I began calling all of the previous ones I had seen to get all of my records together. One said, if you're still having problems come in now and let us check it out. So, I did. He diagnosed me with a fractured tooth. Called up his oral surgeon buddy, sent me directly to his office and I was scheduled for oral surgery the next day. So, the tooth that has caused me so much misery was split down the middle under the crown, and now it is gone. My face pain has reduced. But not the ear/throat pain. I guess I'm not so crazy after all. Many doctors made me feel that way. Now I play the waiting game....wait to see how much things improve.

The saga continues.....I am healing up very well after having the bottom root canaled tooth removed and I have one more to go. But after firing almost every dental professional I've had....I had to find a new dentist. I need that note for my neurosurgeon. I tried to practice what I would say so I wouldn't come off as a doctor shopping hypochondriac. I briefly summarized my 10 months of agony and told him I still have one tooth that I believe is cracked. He asked me to look at my panoramic x ray with him. He said, clearly you have something going on here. The bone around the tooth looks "angry" and it's missing that feathery / fibrous look and it's been going on for a long time. We need to get that tooth out. At last, here is one dentist who is not telling me I have no problem. That's been a long time coming. I feel almost every dentist I've seen has pushed me away because of TN. Just because I have TN doesn't mean I don't know tooth pain from TN pain. P.S. - Cleo....I've documented every visit and my whole story since the beginning. Someone is paying me back...once I conclude treatment I'll be talking to a lawyer or maybe I should just call the dentists myself first. I've never sued anyone in my life, but since going through this......I do feel entitled. Right now….I’m feeling progress. That feels damn good!

So, I had the last tooth, #14 removed 2 weeks ago. Thankfully he was able to pull it since it was root canaled twice and filled. He had that tooth out in under 2 minutes. He said, the tooth came out way too easily and there was some goo on the roots, he felt we did the right thing. So, even with both of the offending teeth removed, the pain is no better. It's like they are still there. I still believe that that injection the first dentist gave me before prepping my teeth was the catalyst of this shit. When I got that injection it was like some just shot me up with speed...I've never before or since 10/11/2013 felt like that and I've had a whole lot of dental work since. So, the dental saga ends here. Thanks for listening ladies!

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