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Old 03-30-2009, 02:04 PM   #1
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tooth sensitivity, possible nerve issue + tooth with hole

I was wondering if a tooth with a hole in it is due to a cavity? My dentist was supposed to have fixed all of my cavities just recently and I find this problem with this tooth in between another tooth, so it may be hard to get to, but I still don't understand why it wasn't fixed. It is causing sensitivity with that tooth and the one beside of it. I am also having sensitivity with a tooth on the other side which has a filling in it.

All of my teeth were fixed except that one with the hole in it. Not until the time I was actually having my dental work done, did I feel any severe sensitivity in my teeth, while they were being drilled into.

But I have been having facial pain, upper neck pain, & headaches frequenty. A few days ago, I started having sensitivity (I noticed) when eating or drinking. I bought oragel and it temporarily helps with the facial pain.

I wonder if there may be a problem with the nerves. One tooth my dentist said she'd only put a temporary filling in, because it needed a root canal, and because the cavity was so deep, but she ended up putting a permanent filling in it, and I honestly do not want to lose any more of my teeth. I can't afford a root canal. I just spent thousands of dollars on the dental work & partials on one side of my mouth.

I will not have that tooth pulled. Are there any tests to check the nerves from your teeth to see if they are causing a problem?

 
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Old 03-30-2009, 09:16 PM   #2
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Re: tooth sensitivity, possible nerve issue + tooth with hole

An easy test is drink very cold water, if the pain lingers for more than 10 seconds the nerve is dieing and will need a root canal to be saved. More sensitive than the rest of your teeth, but not with long lingering, the nerve is irritated, but can be saved with a filling. Either way, it would be good to get it treated asap as this process, once started, can progress in a matter of weeks to irreversible.

 
Old 04-03-2009, 08:39 AM   #3
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Re: tooth sensitivity, possible nerve issue + tooth with hole

My dentist asst said the sensitivity/pain might be coming from where I had all that dental work done. The facial pain was occuring before I even had the dental work done. Maybe the sensitivity was from the dental work because that didn't happen until recently.

Part of the pain is like the type of pain that you might feel if you hurt your ligaments under your teeth from pressing on them too hard. Maybe I have Bruxism??

I'll try the water thing, but I'm curious as to what happens if one of your nerves in your teeth does die.

I had a dentist that took out all of my teeth on the bottom left side & some on the top left side of my mouth. The nurse claimed that there was nothing wrong with the last tooth he pulled and he claimed there was. My insurance doesn't cover this dentist to put fillings in my teeth and I'm afraid he may have pulled part of them just because I felt pain in them. I have been having a long term issue with facial pain and it may not necessarily mean my teeth were bad.

But I just got partials to replace these missing teeth. I cannot afford a root canal so my only option would be to try for a filling or have it pulled out. And it would take alot to make me decide to have one pulled again.

 
Old 04-03-2009, 09:13 AM   #4
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Re: tooth sensitivity, possible nerve issue + tooth with hole

I am going to try the cold water test later today but I wonder if anything else cold, like a cold beer could trigger nerve pain, I'm talking suffering for 2-4 days after drinking it. It causes pain beyond imaginable.

 
Old 04-03-2009, 01:13 PM   #5
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Re: tooth sensitivity, possible nerve issue + tooth with hole

Quote:
Originally Posted by neveragain444 View Post
My dentist asst said the sensitivity/pain might be coming from where I had all that dental work done. The facial pain was occuring before I even had the dental work done. Maybe the sensitivity was from the dental work because that didn't happen until recently. (1)

Part of the pain is like the type of pain that you might feel if you hurt your ligaments under your teeth from pressing on them too hard. Maybe I have Bruxism?? (2)

I'll try the water thing, but I'm curious as to what happens if one of your nerves in your teeth does die. (3)

I had a dentist that took out all of my teeth on the bottom left side & some on the top left side of my mouth. The nurse claimed that there was nothing wrong with the last tooth he pulled and he claimed there was. My insurance doesn't cover this dentist to put fillings in my teeth and I'm afraid he may have pulled part of them just because I felt pain in them. I have been having a long term issue with facial pain and it may not necessarily mean my teeth were bad.

But I just got partials to replace these missing teeth. I cannot afford a root canal so my only option would be to try for a filling or have it pulled out. And it would take alot to make me decide to have one pulled again.

1) Minor sensitivity is normal for a few weeks after dental work. Extended or severe sensitivity is not normal.

2) Its likely. More than half of Americans have bruxiusm, most do not know because it happens when you sleep. Stress management and a hard nightguard would help.

3) If your nerve is dead, you would feel nothing at all.

If you have pain that lasts for over an hour or that just starts spontaneously, the nerve is in the process of dieing and should be removed before the infection spreads into the bone.

I would suggest seeing an orofacial pain specialist as your pain may not entirely be tooth related.

 
Old 04-03-2009, 02:40 PM   #6
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Re: tooth sensitivity, possible nerve issue + tooth with hole

Water does trigger the pain, & it doesn't take really cold water to even trigger it, and it does last longer than 10 seconds. It lasts about 30 seconds.
It's the same pain I'm having the problem with except water makes it temporarily worse. I did need a root canal with one of my teeth but the dentist went ahead & put in a permanent filling. She said it would be okay as long as it didn't start hurting me. But I can't relate this pain to one particular tooth.

The pain is there most of the time unless I take pain pills but it only gets extreme so many times out of a month. The pain goes around my mouth like there's a sensitivity in every one of my teeth.

Well I would be happy then if the nerves died & then not feel nothing, but this has been going on for too long for that to be what's wrong.

Can't they hit a nerve when extracting a tooth and cause permanent nerve pain?

I didn't know there was orofacial surgeons. lol

Last edited by neveragain444; 04-03-2009 at 02:52 PM.

 
Old 04-03-2009, 03:39 PM   #7
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Re: tooth sensitivity, possible nerve issue + tooth with hole

I just found this info online:

Nerve damage. A mistake during an extraction of a tooth from the lower jaw may damage the inferior alveolar nerve. Numbness in the lower lip and chin are common symptoms of a damaged nerve. The nerve will heal in a few weeks up to some months depending on the extend of the damage. In rare cases, the nerve is unable to heal completely, leaving the patient with a permanent numbness

I'm amazed that water makes this pain worse which makes me believe it is something to do with my teeth but I just can't figure out why.

I do have some tingling sensations in my chin (which hits elsewhere too ~ back of head/neck/back/legs) but not any numbness.

 
Old 04-03-2009, 04:27 PM   #8
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Re: tooth sensitivity, possible nerve issue + tooth with hole

I had like 4 fillings put in the same day. But even before that, when I had my teeth cleaned, it was horrible the pain it caused. The dentist used some kind of tool that vibrated & I could not stand it so she had to end up using something else. There was also a tool used that caused really cold air on my teeth that was causing some HORRIBLE sensitivity pain but I didn't tell them how bad it was. I never knew a cleaning could be so awful.

So the water thing really triggered the pain to get extreme later in the day. I usually drink semi-warm liquids with occassional cold liquids. I never even had a clue water was setting off that pain. Geez. But it's obvious sensitivity is the problem. And whatever is causing that, don't know. Maybe it's where I've been losing enemal on my teeth. But at least I know there's something I can do about this now. The medication the doctor has me on doesn't help this when it gets really bad so I usually end up taking 2-3 Ambien on the horribly painful days.

Thanks so much for helping! You've been more helpful than my dentist was. LOL.

Last edited by neveragain444; 04-04-2009 at 02:17 PM.

 
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