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Medical Forum / General / Dentistry / September 2005Help with intermittent tootache and jaw pain???
Hi, I'm 28 years old male. I have this pain in the right tooth of upper front for about a year. The pain used be intermittent but now it seems like it's continous and getting worse and worse. Not only that but now I feel the pain in my jaws too. Last year my dentist told me to see a root canal specilist. And since then I've been to 2-3 different denists, root canal specialists and recently to a TMJ specialist. No one seems to find anything wrong with the tooth except the person who deals with TMJ pain told me the pain in the jaws seems like it's TMJ but pain in the front tooth has nothing to do with it and he said maybe I should see the oral sergeon and have the tooth extracted. If no one sees anything wrong in the x-rays why tooth extration? Is there anything else that could be related to this pain and anything I can do to get rid of the pain? > Hi, I'm 28 years old male. I have this pain in the right tooth of upper > front for about a year. The pain used be intermittent but now it seems [quoted text clipped - 9 lines] > Is there anything else that could be related to this pain and anything > I can do to get rid of the pain? It is likely you have two distinct problems. It seems likely that something is going on in that front tooth, and I'm afraid I have no explanation for why no one can see a cause for that pain. If it is heavily restored I would suspect a pulpal problem or a fracture, but the endodontist should certainly have been able to evaluate that. It is possible that you grind and clench, and that you are over-stressing that tooth. Pain to biting pressure or looseness of that tooth would support that. I must say that some other factors must be considered--for instance neuralgias. I once did a root canal treatment on my mother (almost certainly unnecessary, as it turned out) for facial pain that was eventually determined to be a trigeminal neuralgia. If the pain is exacerbated by contact with some part of your mouth or face, I would definitely pursue this possibility. Good luck, Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >Hi, I'm 28 years old male. I have this pain in the right tooth of upper >front for about a year. The pain used be intermittent but now it seems [quoted text clipped - 9 lines] >Is there anything else that could be related to this pain and anything >I can do to get rid of the pain? Sure, Can you give us a little history? Was the tooth recently filled for example? Joel >Can you give us a little history? Was the tooth recently filled for >example? In the absence of any previous dental work, I would suggest a set of stone models on which to study facets form latero-protrusive bracing. or, just try an NTI Amatus >>Hi, I'm 28 years old male. I have this pain in the right tooth of upper >>front for about a year. The pain used be intermittent but now it seems [quoted text clipped - 16 lines] > >Joel .. Amatus . >>Can you give us a little history? Was the tooth recently filled for >>example? [quoted text clipped - 5 lines] > > Amatus Hey guys! This is why I am against NTI. It can't be the answer for every single dental problem, in the absence of history, clinical evidence, x-ray, EVERYTHING. Someone has a problem. Why do some folks say parafunction all the time? Joel >>>Hi, I'm 28 years old male. I have this pain in the right tooth of upper >>>front for about a year. The pain used be intermittent but now it seems [quoted text clipped - 22 lines] > > . >>>Can you give us a little history? Was the tooth recently filled for >>>example? [quoted text clipped - 16 lines] > > Joel I'm kinda on the fence with this one, Joel. I've resisted blaming parafunction for global warming too. I originally poo-pooed the concept of abfraction also, but while I think some of these lesions are from toothbrush abrasion, some of them just don't fit the profile. Hence, I'm willing to keep an open mind. NTI isn't likely to be any shabbier a panacea than chicken soup. And if I don't blame parafunction for global warming, I'll have to go back to blaming Shrub. You know how that annoys WB. Steve >>>>Hi, I'm 28 years old male. I have this pain in the right tooth of upper >>>>front for about a year. The pain used be intermittent but now it seems [quoted text clipped - 22 lines] >> >>. Signature{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fcharset0 Arial;}} {\*\generator Msftedit 5.41.15.1507;}\viewkind4\uc1\pard\f0\fs20 Remove "nospam" to reply\par } > >Hi, I'm 28 years old male. I have this pain in the right tooth of upper > >front for about a year. The pain used be intermittent but now it seems [quoted text clipped - 16 lines] > > Joel Thanks for your reply. No it was never filled. No treatment was ever done with my teeth except cleanning every six months. And my dentist always told me I have healthy gums and teeth. You wrote, I have this pain in the right tooth of upper front for about a year. The pain used be intermittent but now it seems like it's continous and getting worse and worse MY REPLY OK, first thing I always do is to look at the tooth. A very slight discoloration can suggest a previous bump from 5 years previous. Sometimes that bump causes the pulp to react. This s called "pulpitis." The suffix, "-ITIS" means infammation. Not infection, iinflammation. Either it heals or it doesn't. If it doesn't we dentists are especially alert to slight changes in color compared to the contralateral tooth. Contralateral means on the other side. More in a bit .... Joel >> >Hi, I'm 28 years old male. I have this pain in the right tooth of upper >> >front for about a year. The pain used be intermittent but now it seems [quoted text clipped - 20 lines] >done with my teeth except cleanning every six months. And my dentist >always told me I have healthy gums and teeth. > Hi, I'm 28 years old male. I have this pain in the right tooth of upper > front for about a year. The pain used be intermittent but now it seems [quoted text clipped - 9 lines] > Is there anything else that could be related to this pain and anything > I can do to get rid of the pain? Hi Mike, I'm not a dentist, but I have a problem that sounds quite similar to yours. I am going to be fitted for an NTI sometime soon (I hope). In my case, it makes sense because it seems pretty clear that I grind my teeth. Whether it would help in your case, one can only guess, especially since you didn't say that you grind your teeth. You should be aware, though, that you could be grinding your teeth in your sleep and not even know it. How do your teeth and jaw feel when you wake up? Have you tried taking any medication for your tooth and jaw pain? I've found ibuprofen to be rather effective. It's obviously not a cure, but it can help keep the pain and inflammation under control until a better, longer-lasting solution can be found. Phil >> Hi, I'm 28 years old male. I have this pain in the right tooth of upper >> front for about a year. The pain used be intermittent but now it seems [quoted text clipped - 7 lines] >> I should see the oral sergeon and have the tooth extracted. If no one >> sees anything wrong in the x-rays why tooth extration? Not sure .... >> Is there anything else that could be related to this pain and anything >> I can do to get rid of the pain? [quoted text clipped - 15 lines] > >Phil
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