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    Old 03-28-2007, 04:39 PM   #1
    pinktulip
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    still pain after extraction???

    Has anyone had an extraction due to failed root canal and apico and STILL had throbbing pain 3 months later???? It's particularly curious because it is better in the AM and gets worse as the day goes on....and then aches and throbs--now I have a temporary bridge but we can't continue unles the pain subsides, which I am totally losing hope for....What to do???????????

     
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    Old 03-28-2007, 09:12 PM   #2
    Thelma-Louise
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    Re: still pain after extraction???

    What tooth was it and where is the pain - in the jaw, cheek, nose? Has the dentist tried nerve blocking injections - sometimes nerve pathways can become so inflamed due to chronic and long term pain they have to be "numbed" so they can relax and heal. Sometimes a series of injections can help. The injection is usually a mixture of a novacaine and lydacaine (sp?) or some other anti-inflamatory or muscle relaxant. You may also want to see a specialist, like an OS, to see if any scar tissue is present - I have been told scar tissue from a root canaled tooth can interfere with nerve receptors and cause chronic pain. I have a long term problem with a canine w/ an rc and was told even having it removed may not stop the pain b/c of this but removing the scar tissue may help. Also - is the pain due to the bridge? Is your bite OK or was the pain there after the tooth was removed but before the bridge as well?

     
    Old 04-04-2007, 11:49 AM   #3
    pinktulip
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    Re: still pain after extraction???

    Hi--the pain was there before the extraction (after root canal and apico)..and actually before the root canal!!--No one has mentioned scar tissue--can that be seen on x-ray?? cause they say the x-ray looks fine (of course)So at this point, the extraction site still seems to ache and the whole bridge is uncomfortable (but looks fine, of course!) Are bridges suppose to feel natural? I am always aware of it. it has been "adjusted" many times...but still doesn't feel "good".
    Is there such a thing as a bridge that feel good?

     
    Old 05-13-2009, 01:10 PM   #4
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    Re: still pain after extraction???

    Quote:
    Originally Posted by pinktulip View Post
    Has anyone had an extraction due to failed root canal and apico and STILL had throbbing pain 3 months later???? It's particularly curious because it is better in the AM and gets worse as the day goes on....and then aches and throbs--now I have a temporary bridge but we can't continue unles the pain subsides, which I am totally losing hope for....What to do???????????
    just found your info- am having exact same issue- pain after root canal and extraction - the pain is only some days - usually increasing as day goes on-dull throb- this post is a bit old- did u ever find relief?
    my dentist is convinced i clench and need a mouth guard....no one else has any ideas so i guess i will try- only 1 month out from extraction but cannot get implant if pain persists...my endododontist suggested neurologist but really couldnt tell me what that would do ...my dentist thinks it wont help as the nerve is gone...ugh....

     
    Old 08-28-2009, 04:14 PM   #5
    pinktulip
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    Re: still pain after extraction???

    Hi--just saw your post..
    I did finally find some solution with a great prostodontist ...who replaced my big cracked fillings with new crowns and patiently is trying to correct my bite...little by little adjustments...so as to have everything balanced and not banging on just a few teeth. We did a bridge instead of an implant just to be careful in case there was any nerve damamge from all that root canal and apico, etc....(all perhaps needless!!)
    So a bite guard may help to balance your bite and allow the area to heal.
    Good luck and keep trying.

     
    Old 08-31-2009, 09:12 PM   #6
    Ann123
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    Re: still pain after extraction???

    I had pain after a root canal and then had the tooth extracted and still had pain. Oral surgeon saw nothing and was no help. My endo also suggested a neurologist. I finally saw one out of desparation. He did prescribe medications so if you want to go the medication route a neurologist would likely be the one to see. A neurologist that an endondontist or oral surgeon recommends would likely be good as they are more used to seeing patients with tooth-related nerve issues. My neuro did not prescribe narcotics, rather nerve related drugs (Neurontin, Lyrica). They may also prescribe anti-depressants that help with nerve pain and if sleep is a problem, sleep-aid drugs. You do want to avoid a chronic pain situation which is where a neuro can be helpful.

     
    Old 08-31-2009, 09:17 PM   #7
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    Re: still pain after extraction???

    Also, forgot to mention that I was also give a night guard and agree that it would likely be helpful.

     
    Old 09-01-2009, 04:16 AM   #8
    pinktulip
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    Re: still pain after extraction???

    Hope you're doing better...there are several different theories of thought on such pain...neurologists can suggest a "neuralgia"...or another dentist could believe there to be a bite issue that keeps aggravating and pounding the area. Mine has pretty much been alieviated with 3 years of trying to relieve such incorrect occlusion--but it took a very patient doc and lots and lots of trying, crowns and adjustments.--
    Good luck, --hope everything quiets down.

     
    Old 12-26-2009, 02:26 AM   #9
    carol maudsley
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    Re: still pain after extraction???

    Quote:
    Originally Posted by pinktulip View Post
    Has anyone had an extraction due to failed root canal and apico and STILL had throbbing pain 3 months later???? It's particularly curious because it is better in the AM and gets worse as the day goes on....and then aches and throbs--now I have a temporary bridge but we can't continue unles the pain subsides, which I am totally losing hope for....What to do???????????

     
    Old 12-26-2009, 02:28 AM   #10
    carol maudsley
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    Re: still pain after extraction???

    Although this is an old posting it describes what I am experiencing. Did you finaly get relief? I would appreciate if you were able to respond. Thank you.

     
    Old 12-26-2009, 07:49 PM   #11
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    Re: still pain after extraction???

    Hi Carol sorry I can't answer for those who were here earlier, but I too have had a very difficult extraction which is continuing to give me a lot of pain. Mine is about 9 days old. It may be getting slightly better but in general there has been little let up from the pain. I am not able to find out how many extractions continue to cause unresolved serious pain after extraction, but it seems to be rare. Nor can I find out how many people who are having continued pain at a week or more out will still have resloution of symtoms with a little more time. I am planning on going to another dentist or two to get some more opinions on my case. I will let you know if I learn something,
    Matt

    Last edited by mattnapa; 12-26-2009 at 07:50 PM.

     
    Old 12-29-2009, 06:10 PM   #12
    mattnapa
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    Re: still pain after extraction???

    On going back to a follow up appointment, x-ray revealed they did not remove a portion of the root. I get an oral surgeon for that. So a warning to those getting an extraction on a root canal treated toothand with a history of difficulty in getting numb, you might make sure that pain killing and sedative options are available to you. It seems that in my case a good sized clinic in a good town was really woefully underprepared to deliver the procedure they promised and caused me a lot of pain in the process.

     
    Old 07-09-2010, 04:04 PM   #13
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    Re: still pain after extraction???

    Please help me. I am having a constant throbbing in my upper tooth after having a dental implant a year and half ago. It gets worse as the day goes on. My Prosthodontic doesn't have a clue. Any suggestions?

     
    Old 07-09-2010, 05:09 PM   #14
    pinktulip
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    Re: still pain after extraction???

    Hello Lady-
    So sorry to hear about your pain...I feel your pain!-I had a long long (5year) history of dental disasters...caps, root canals, apicos, extraction, bridge, etc....and still throbbing pain at the original site--
    Very true that most dentists and specialists don't know what to do when the regular protocol fails..Dentistry is so lacking in diagnostic tools..and it's very far from an exact science. Many many unknowns.
    All I can tell you is to keep searching for a dentist that really cares and is willing to keep trying to find the reason for your pain..They had suggested that when no one could find any answers, that it must be a neuropathy (damage nerve problem)---But my protodontist worked with me for months to try to fix my bite ...and FINALLY my mouth did settle down.
    Don't give up hope...I know the throbbing is hard to handle.
    Where do you live? I am in the Boston area and would be glad to refer you.

     
    Old 07-10-2010, 10:47 AM   #15
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    Re: still pain after extraction???

    Hello there. I am so glad you are still here. I am going to an Oral Surgeon on Monday. Heres my story:
    About a year and half ago I started the process of a dental implant with bone grafts on my front tooth(#8 I believe). During that time I had a temp. on.
    Well the throbbing started just on that one tooth. My prosthodontic said it was phantom pains. Okay, he's the specialist so I went with that. During this whole process I continue to complain. So he said maybe because he had cemented it to the tooth next to it to make it more stonger. Okay so I went with that. Well I got my implant. Still throbbing pain and by the way as the day goes on it gets to be a stronger throb. He sees no reason why it should be throbbing. Now he tells me it must be sinus problems. I go home, find an Ear, Nose and Throat Dr. and he checks my sinus cavities with a scope and guess what. No sinus problems whatsoever. So I go back to the Prosthodontic and tell him no sinus problems per the Dr. He now does a CT scan, took the tooth out and looked around. No problems that he can see but he thinks tooth #9 is showing a small spot on it and I need a root canal on it and that was most likely the problem. I advised him that the throbbing was coming from the implant tooth. He said it just appears that way. So off to the Endo for a root canal. Well I got the root canal and guess what now? I still have this throbbing pain. I took it upon myself to make an appt. with an Oral Surgeon. I have taken several different kinds of pain pills and they only work for about an hour. What is going on? I really think it is nerve damage. Any ideas or suggestions? I live in Oklahoma but will travel anywhere to get this problem fixed!

     
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