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Forum LockedPlease help - Severe tooth pain

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Steffy View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Steffy Quote  Post ReplyReply Direct Link To This Post Topic: Please help - Severe tooth pain
    Posted: Jun/12/2011 at 2:42pm
I am posting here in hope of finding answers for my boyfriend.  For about 15 years now he has had a toothache in one of his lower teeth which has gotten progressively worse.  He has been to a family doctor, neurologist, as well as a dentist and nothing they have recommended has helped.  He was first told that his tooth problem was due to overcrowding and that removing his wisdom teeth would ease the pain.  This of course didn't help.  He then had an X-ray performed to look at the nerve in the tooth and two different dentists said that the tooth was healthy and there was no reason for the tooth pain.  They recommended he see his family doctor.  When he went to the doctor, she diagnosed his pain as misfiring nerves and put him on Neurontin.  After a month of taking it and still having pain he was referred to a Neurologist who said since he was only having pain in his tooth only and not anywhere else on his face it was most likely not a nerve issue such as Neuralgia but had him take Tegretol just in case.  When that didn't work he once again went back to a dentist.  This time the dentist did two separate bite adjustments in case the pain was caused from the tooth resting on the top teeth which again didn't work.  The only pain medicine that seems to help is Tramadol, but the doctor won't prescribe it to him since she says to see a dentist for the pain and the dentist won't prescribe anything other than Tylenol.  His pain has gotten so bad that he's been getting drunk to ease the pain in the evening.  We have spent so much money on medicines and doctor and dentist visits for his tooth pain and nothing has helped.  I am praying that someone on this forum will be able to give us answers so that he can start living a pain-free life.

Thank you for reading,
Stef


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Stevie View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Stevie Quote  Post ReplyReply Direct Link To This Post Posted: Jun/12/2011 at 3:24pm
Hi Stef,

I am hoping that Dr. Barone may have heard of this type of problem and add to this. How frustrating that no one has been able to diagnose this.

Tooth pain can mimic other problems, and what comes to mind are things such as sinus and ear infections; Trigeminal neuralgia; an inflammation of the TMJ joints; and also an inflammation of the muscles we use for chewing.

But to rule out a problem with the tooth itself, has he been seen by an Endodontist ?  A dentist who specializes in root canals?  I know from personal experience that if a tooth has nerve damage, you can't always tell which tooth is actually causing the problem.  You can have a tooth ache on the bottom jaw that can radiate pain to other places in the mouth.  A good Endodontist should be able to rule out which tooth is causing the problem, if indeed this pain IS coming from a tooth.

As he has been seen by a Neurologist and tried on both Neurontin and Tegretol without relief of nerve pain, I am wondering if it would be an idea to be seen by an ENT Dr?

Until the cause of this can be diagnosed, I feel that he would be far better off being put back on Tramadol for the short term, and maybe he needs a new GP as his other Dr is not helping him.  Does she realize that he is self medicating with alcohol?  I am sure that both of you are emotionally worn out, and that he is physically exhausted.

Hoping that someone else has some other ideas, and I know that Dr. Barone will be here when he can.  Take care, Stevie

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Post Options Post Options   Thanks (0) Thanks(0)   Quote pete81241 Quote  Post ReplyReply Direct Link To This Post Posted: Jun/12/2011 at 4:27pm
hi steffy...i'm no doc but it occurred to me that if a novacaine were done on the tooth and it killed the pain wouldnt that indicate the pain was tooth related? why not ask an endodontist as stevie mentioned.

has he tried acupuncture?

if tramadol helps i think it would be better than alcohol....good luck....pete
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Donnie Quote  Post ReplyReply Direct Link To This Post Posted: Jun/12/2011 at 5:25pm
Hello Steffy

Will your doctor refer you to a Pain Doctor ? They would most likely prescribe Tramadol . Maybe they could try Lyrica...I tried Neurontin and it did not do anything for me as well. But Lyrica helped me from the first pill. I also take Tramadol and I think for nerve pain it works really well.

I am not as wise as Stevie and Dr.Barone. But just wanted to give my 2 cents worth.

Blessings

Donnie
Fibromyalgia, mild degenerative disc disease at T12 -L1 ,L5 Depression , Anxiety , Diabetes. I take 150 mg Lyrica , 50 mg of Tramadol 3X daily for pain . I take 150 mg Venlafaxine er for depression.
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Steffy View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Steffy Quote  Post ReplyReply Direct Link To This Post Posted: Jun/12/2011 at 6:11pm
Thank you so much for your quick responses.  We are definitely at our limit.  I agree with finding a new GP.  She seems extremely timid to give out any type of pain medicine (even though Tramadol is non-addictive) and almost makes it seem as if my boyfriend is making the pain up.  It's very frustrating.  We will be looking into finding an endodontist.  We live in a small town, but I would be willing to drive out of state if it meant he could get a proper diagnosis.  I'll have him ask about Lyrica as well.  I am not sure if his insurance will cover acupuncture, but that might be something we will consider if nothing else helps. He's leaving for Afghanistan soon for the army so I am hoping we can get this solved before then since he doesn't think he'll have access to a dentist or doctor.  Thank you so much for the advice and support.  Any ideas will definitely help at this point. :)

Steffy
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Steffy Quote  Post ReplyReply Direct Link To This Post Posted: Jun/12/2011 at 6:13pm
My boyfriend just mentioned that when he had Novocaine done to the tooth, it didn't fully kill the pain...it just dulled it.  So maybe it is a neurological issue?  I'm not sure.

Steffy
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Post Options Post Options   Thanks (0) Thanks(0)   Quote sara1 Quote  Post ReplyReply Direct Link To This Post Posted: Jun/13/2011 at 1:29am
Steffy-He doesn't grind his teeth does he? When stressed I grind my teeth and can have sore teeth if I don't wear a mouth guard. I hope he finds the cause of pain so he can get treatment he needs. That's a long time to be in pain. Take care. Sara
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Post Options Post Options   Thanks (0) Thanks(0)   Quote tkay Quote  Post ReplyReply Direct Link To This Post Posted: Jun/13/2011 at 8:06pm
Steffy,
I am concerned about your boyfriend.
I am wondering if he should be going to Afghanistan with this chronic pain he is having.

I was thinking about something as I was reading through you thread. Has your boyfriend ever had his heart checked out. I know this sounds weird but I remember reading about a man who kept having dental pain and it ended up to be cardiac problems.

There is always that possibility. If he doesn't have cardiac problems then it was checked out and all is well.

I thought I would mention this. Everything should be checked into and nothing left to the thinking oh that is just too weird.  We want for your boyfriend to be healthy.


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Steffy View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Steffy Quote  Post ReplyReply Direct Link To This Post Posted: Jun/13/2011 at 8:15pm
He does grind his teeth and he has been wearing a molded mouth guard, but it makes his tooth pain worse so he's stopped wearing it.  He has until November to figure out what is causing the pain so hopefully he can get everything squared away before he has to leave.  Tkay - My boyfriend does have a slight heart murmur.  Is that the type of cardiac problems that caused the tooth problems for the gentleman you were referring to or were his issues more severe?  We went to the dentist earlier today and he was able to get a referral to an endodontist in town for this Wednesday.  Hopefully he will have some answers.  If not, we will definitely try some other suggestions that were made here.  Thanks again for all the responses!

Steffy 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote tkay Quote  Post ReplyReply Direct Link To This Post Posted: Jun/13/2011 at 8:29pm
The pain the man had was a jaw pain. But I sure would get the pain your boyfriend has check out from whatever it mimic.

I am  very concerned for your boyfriend because of his self medicating. He wont be able to do this once in active duty.

The other thing I find confusing, and maybe I am assuming something that is not such, but don't military personnel get coverage from the govt for insurance to cover dr. visits, procedures, and medication expenses?


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Post Options Post Options   Thanks (0) Thanks(0)   Quote Steffy Quote  Post ReplyReply Direct Link To This Post Posted: Jun/13/2011 at 8:44pm
He is going to Afghanistan as a civilian for his job so he won't be treated as a soldier and therefore won't be covered under the army's medical and dental coverage.  If the endodontist doesn't have any ideas we might consider seeing a cardiologist.  He said he did get his heart checked out when he joined the army reserve in 2007 and there weren't any issues, but maybe a cardiologist will be able to diagnose his pain if it is related to his murmur.  It's definitely something to look into though and like you said it couldn't hurt to have his heart checked out anyway.

Steffy
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Post Options Post Options   Thanks (0) Thanks(0)   Quote tkay Quote  Post ReplyReply Direct Link To This Post Posted: Jun/13/2011 at 9:10pm
Thanks for explaining his situation with work and Afghanistan.
I really hope you get some kind of answer as to what is going on with this pain.

I am here listening. I will be interested in hearing what comes out of all the dr. visits.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote tkay Quote  Post ReplyReply Direct Link To This Post Posted: Jun/13/2011 at 9:11pm
I remember one time a friend of mine got a seed stuck under her gum after having some bread. Maybe there is something wedged under the gum. She could not get that seed out by flossing, if anything the flossing wedged if further under her gum.

Just another thing to think about.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote medic008 Quote  Post ReplyReply Direct Link To This Post Posted: Jun/15/2011 at 4:17pm
I'm so sorry you haven't been able to get a diagnosis for your boyfriend. I know how frustrating it can be. I hope everything went well at the endodontist today and he was able to come to some conclusion.

I also just wanted to correct you on a comment you made. You stated "She seems extremely timid to give out any type of pain medicine (even though Tramadol is non-addictive)" Tramadol is actually a synthetic opiate, although a very weak one. It can be habit forming and addictive. I have treated many patients that thought the same thing about it being non-addictive.But they go through the same withdrawl symptoms as people taking hydrocodone,oxycodone,morphine etc...

Again, I hope you 2 got answers today.

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I am a RN/EMT-P, any and all advice given is my opinion and not to be taken as medical advice. ALWAYS seek the guidance and expertise of your DR!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote bigcat Quote  Post ReplyReply Direct Link To This Post Posted: Jun/16/2011 at 12:32pm
I hope your boyfriend gets some help with his tooth, and his pain goes away.. take care
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Kate Quote  Post ReplyReply Direct Link To This Post Posted: Aug/04/2011 at 9:53pm
Maybe it works now. Sorry. About ten years ago I started having tooth pain. After many x-rays and doctors later, I found out that the doctor that had done root canal on that tooth had missed one of my roots. Carefully go over ANY dental work that your boyfriend had before done on that tooth. There can be hairline fractures of the root that doesn't show up on x-ray.
Kate
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Post Options Post Options   Thanks (0) Thanks(0)   Quote goose123 Quote  Post ReplyReply Direct Link To This Post Posted: Oct/24/2011 at 1:31pm
Hi,

This may now be a little out of date....but I suffered with chronic tooth pain for 18 months (Lower molar) due to a infection after an extraction.....What finally resolved it was a implant / two Botox injections, and re-constructive dental surgery by a specialist dentist.

With all due respect he really does need to act on this, otherwise it will only get gradually worst. I know from very painful experience  Unhappy
  
Regards,


Paul

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