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Old 04-25-2010, 05:30 AM   #1
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Tracey R HB User
Facial pain help

Hi I am fairly new to the forums

Just before Christmas I had a tooth pain which I went to visit my dentist for. She had to do the beginnings of a root canal and also said that I need to have a broken wisdom tooth removed, which I had done 2 days later. Shortly after the visit I had a burning feeling along the gums on the opposite side of my mouth to where the work was done. I used mouth wash and bonjela as I thought it may have been an irritation from the dentists gloves or something. The pain did go away after about a week.

I went back to the dentist for a checkup a month later, she told me that I would have to have the other three wisdom teeth removed at the hospital for preventative reasons and as you can imagine I got a little stressed and anxious. During the rest of the checkup she asked me to turn my head to the right and open wide, then there was a loud crunch. It didn't hurt at the time but the dentist looked a little concerned and asked if that had happened before. It hadn't. When I got home my gums started burning again and I was convinced it was something to do with her gloves that I was allergic to. I used the mouthwash and bonjela again but this time the pain didn't go. So after two weeks I went back to see her and she said the only thing it could be was a fungal infection. She then prescribed me medication for mouth ulcers. I thought this was a bit odd but went along with it as you trust these people. The pain didn't go so I went to see a nurse at the local hospital who gave me Nystatin. This didn't work either so I went to see my doctor, who examined me and couldn't see anything wrong in my mouth, but then he pressed on jaw a little in front of my ear and told me to open my mouth. The pain was so bad that he almost had to peel me off the ceiling. He said that I had dislocated my jaw at some point and damaged the muscles and ligaments which were pincing the nerve in my gum. I had forgotten about the crunch until then.

Since then I have been to see the oral surgeon at the hospital how was very surprised that I had been sent there to have my wisdom teeth out as there is nothing wrong with them and they will not extract them unless they are causing problems. I was relieved by this but as you can imagine very annoyed at the dentist who I won't be going back to. He said that I have atypical facial pain probably caused by the jaw joint problem and he gave me some exercises to do for my jaw and I have to apply heat twice a day and stick to a soft diet as I am not able to chew too well. If there is no improvement he wants to put me on a low dose anti depressant, which I don't like the thought of.

Then pain is constant but does ease when I eat or brush my teeth. It seems that massaging the gums in this way helps a little. Fortunately I am able to sleep which is a blessing, but I can't sleep all the time to be rid of the pain.

Has anyone else experienced anything like this before. I am still in a great deal of pain and at the moment I can't see an end to it. Any advice would be greatly welcomed.

Thanks
Tracey

 
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Old 04-27-2010, 05:38 AM   #2
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Re: Facial pain help

hello Tracy, that sounds like TMJ. Did they check for TMJ.

I'm not sure But is is possible a root canal can trigger/cause TMJ? This your can ask your doctor.

P.S did your doctor try to put you on gabapentin(neurontin) this might make the pain go away. depends on how bad it is.

 
Old 04-27-2010, 12:52 PM   #3
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Re: Facial pain help

Thank you for the reply. Yes TMJ has been mentioned, the doctor at the hospital gave me a leaflet on TMJ with some jaw exercises to do. If I am still in pain when I go back to him in a couple of weeks he wants to put me on a low dose anti depressant (something beginning with an A) I'm dreading this as I have heard some stories about the side effects making you feel real drowzy and I have to drive for my job

I really hope this pain goes away soon.

Thanks
Tracey x

 
Old 04-27-2010, 01:07 PM   #4
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Re: Facial pain help

tracey, the anti-depressant is probably amtitryptiline (not sure if I spelled it right) or elavil. I used to take it, its great for chronic pain. You take it in low doses for chronic pain. I would recommend taking it early like at 8 pm so you're not so drowsy in the am. You might feel a little bit that way at first until you get used to it. One thing thought is weight gain it will give you the munchies . Just watch that. Hope you get this figured out. I'd go ahead and start it though cuz it will help w/ that pain!

CJ

 
Old 04-28-2010, 03:48 PM   #5
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Re: Facial pain help

Tracey - I've read your story under several different topics and I understand exactly where you are coming from. I have a very similar problem. Burning gums and tongue. Mine started with just the gum around one tooth and spread to the entire upper left side of my mouth. Over the past year (yes, one entire year of not having a solution) I have been to numerous dentists and specialists - ENT, gastro etc., none of who have been able to pinpoint the problem. My tongue also feels like it is on fire, but that comes later on in the day after the gums begin to burn. I never thought of TMJ. I've thought of neurology, burning mouth syndrom, sinuses, bad teeth, acid reflux - all of which apparently can cause this. Mine only feels OK when I eat, chew gum, sleep or drink. My mouth also feels dry all the time. Do your teeth hurt or just your gums and tongue? Does yours feel better when you eat, chew and drink? Does yours feel better in the morning and get progressively worse? You know that there actually is a burning mouth syndrom, but so far, there has not been a cure. Oh yes, I do take gabepentin, but it doesn't really help much. Keep me posted. I hope you can find help.

 
Old 04-29-2010, 06:30 AM   #6
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Tracey R HB User
Re: Facial pain help

Hi, I am sorry you've had this for so long, I hate the thought of this feeling for over a year. Four months of it is driving me mad. I have heard of burning mouth syndrome but didn't think I had that because it all started with the jaw crunch at the dentist but I suppose I shouldn't rule it out. The burning does stop for me when I am eating or brushing my teeth. I am not sure if this is the position my mouth is in or the fact that the gums are being massaged a little. I can't chew gum unfortunately as I find it difficult to chew because of the jaw problem and I can only eat softish foods. I hope we both find some answers soon. Someone on one of my other threads suggested warm water, honey and cinnamon, so I am going to give that a try later and I'll let you know if it helps. Take Care Tracey

 
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