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Armchair dentists! Diagnose my mysterious dental trauma!

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Plaid Adder Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 05:57 PM
Original message
Armchair dentists! Diagnose my mysterious dental trauma!
OK, so I went to the dentist a couple weeks ago to have some fillings done (two in the lower left, one in the upper left, both in the back). Dentist noted that my wisdom tooth back there ahd a "huge cavity" and would need to come out but suggested I go to an oral surgeon for all that. Sent me home all novocained up.

Novocaine wears of. As soon as the numbness is gone, I am in so much pain all I can do is sit there and weep.

I call the dentist back. Since the pain seems to get worse whenever I open and close my mouth, he says it's probably 'trismus,' which I later discover is a catchall medical term for anything that limits the opening of the jaws. He says it should wear off in a few days, meanwhile take a lot of ibuprofen.

So I go home. IT doesn't get any better. In fact it gets worse. I go into see him a few days later. He pokes around for a while and decides it must be that the wisdom tooth has finally decided to go supernova. So he gets me an emergency appointment with an oral surgeon, who extracts my wisdom tooth in a relatively non-nightmarish procedure that takes about 10 minutes and does not appear to encounter any complications (tooth doesn't break off, there's no sawing or crunching or grinding or anything). Sends me home with a prescription for Vicodin.

So, they both call me the next day to see how I'm doing. I tell them that although I still hurt, I do feel better, which is true. They are both very relieved.

A few days go by. I'm not feelin' better any more. In addition to waking up every morning feeling like someone has drilled a hole in the back of my jaw and just left it there, I have pain running all the way along the left side of my lower jaw plus occasional sharp twinges of pain in what feels like individual teeth...and these twinges HURT LIKE A BITCH! My partner can tell when they're happening because all of a sudden I shudder, twitch, quote half of Dick Cheney's pithiest saying, and clutch my head.

Really, I am not a pain wuss. But this is just fucking insane. I've been eating nothing but mush since I got the fillings done. Not wishing to become a Vicodin addict, I have been getting through the day with 6 Advil and then popping a Vicodin at night. Every time I think it's getting better, it then gets worse.

So I call my dentist over the weekend. He says it sounds like I've developed 'dry socket' and I should talk to the oral surgeon. The oral surgeon says to come in this morning and he'll treat it. I go in in the morning. He has a look in there. "Doesn't seem like typical dry socket," he says. NEvertheless, he treats me for dry socket anyway--by stuffing a strip of medicated gauze down into the socket, which HURTS LIKE A BITCH! He says that if it is indeed dry socket, the pain should be gone in 5 minutes to an hour.

Well, the pain does not disappear in an hour. It's definitely still there. However, it is no longer on the excruciating end of the scale, and so I wander around with this gauze in my socket and hope for the best. At times, it seems to be almost gone; at times, it comes back loud and clear. Doesn't seem to be related to much of anything; it actually hurt less after lunch than it did a couple hours later. Finally at around 3:00 I pop my first 2 Advil of the day.

In my currently Advilled state I am more or less pain-free...but I know that ain't gonna last.

So, WTF is wrong with me? Neither of these highly skilled professionals seems to have an answer--so what the hell, take a stab at it. Any ideas?

C ya,

The Plaid Adder
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nothingshocksmeanymore Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:00 PM
Response to Original message
1. Sounds like trigeminal neuralgia...treated with anti-seizure meds like
dilantin.
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Plaid Adder Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:01 PM
Response to Reply #1
2. WTH is trigeminal neuralgia?
I mean, I get it that "neur" means nerve, but beyond that I'm lost...

C ya,

The Plaid Adder
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nothingshocksmeanymore Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:07 PM
Response to Reply #2
5. Sensory nerves that run along the jaw and cheekbones
and it's simply possible that your nerves in your mouth and face are irritated by the injections of novocaine....when they do work at the back of your mouth, they have to go deeper into the tissues than in the front...also one has to stretch their jaw open pretty wide...
I'd try using ice packs...ice is a great pain reliever
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Moonbeam_Starlight Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:09 PM
Response to Reply #5
7. I dunno
she described tooth pain, too, would it cause that?

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nothingshocksmeanymore Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:18 PM
Response to Reply #7
13. probably two sources of pain
The tooth painful from surgery...but the travelling pain is not the tooth
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Plaid Adder Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:11 PM
Response to Reply #5
10. Well...do they ever *stop* being irritated?
Edited on Mon Jun-28-04 06:25 PM by Plaid Adder
Cause I am really hoping this is going to stop. I can't go around swilling painkillers all day for the rest of my life, and I NEED my frickin' mouth! I haven't been able to kiss my wife since June 18! And she's the hottest woman in the whole world! I would happily give up on the chewing if I could at least get that function back.

@#$!,

The Plaid Adder
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nothingshocksmeanymore Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:20 PM
Response to Reply #10
14. Yeah...it should
again..it's been a couple weeks and wisdom tooth surgery is pretty major oral surgery....

sorry about the wifey thing ;)
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nothingshocksmeanymore Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:23 PM
Response to Reply #10
15. waitta minute...why May 18? not June?
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Plaid Adder Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:24 PM
Response to Reply #15
16. Sorry...should be June 18
It just FEELS like it's been 6 weeks...

C ya,

The plaid Adder
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nothingshocksmeanymore Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:27 PM
Response to Reply #16
18. OK...again try the ice
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gristy Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:03 PM
Response to Original message
3. How horrible.
I really have not a clue. But I do advise you get some more opinions (the kind from real doctors), given the unusualness of your condition.
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Plaid Adder Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:06 PM
Response to Reply #3
4. Yes, clearly I need a second opinion of some kind.
Although I like my dentist as a person and he inspired great confidence on my initial visit, I get the sense that if there happens to be something he fucked up in the initial cavity-filling stage, he would be very reluctant to admit that, to himself or to me. The problem is that most everyone I know who could recommend me a dentist in this city uses this guy.

Oy,

The Plaid Adder
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gristy Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:10 PM
Original message
Is there a dental school nearby?
They should be able to recommend someone. Just try to be sure that the person making the referal really understands the problem. The better he/she understands, the better referal he/she can make.
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Moonbeam_Starlight Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:10 PM
Response to Reply #4
9. Ah you seem to have gotten a bushista dentist
unable to admit mistakes? Unable to admit means unable to fix. Unable to fix means snakey still in pain.

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Moonbeam_Starlight Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:09 PM
Response to Original message
6. Abcess?
I had an abscess once (you are talking to the Queen of Dental Work--seven root canals, nine crowns, two oral surgeries, one involving wisdom teeth so big they had to be broken up WHILE still in my jaw then pulled out piece by broken piece) and it hurt like a mug.

Go back in. You shouldn't still be in such pain. Dental work, when done properly, makes you feel BETTER after the soreness of the procedure wears off, not worse or as bad as before, seriously.

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Moonbeam_Starlight Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:12 PM
Response to Reply #6
11. Oh and to add
Edited on Mon Jun-28-04 06:14 PM by Moonbeam_Starlight
I would go back to the oral surgeon, not the dentist and say "look, um this isn't working. Five minutes to an hour? It's been a lot longer than that! Could you maybe take another look-see, because I'd like to be able to use my mouth again someday for various functions. Thanks."

And I disagree with him on the dry socket thing: if it is dry socket the pain does not just necessarily go away magically with some medicated gauze (hate to say that). My dad had a bitch of a dry socket once and it hurt him for a day or two. Again, I am really sorry to add that.

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agingdem Donating Member (893 posts) Send PM | Profile | Ignore Mon Jun-28-04 06:41 PM
Response to Reply #11
20. Nice to know....
that there is someone else who has their dentists (general, root canal, oral surgeon) on retainer!
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benddem Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:10 PM
Response to Original message
8. Sounds like a dry socket
It could be nerve pain but I doubt it would be that severe. Call the dentist. I feel your pain. A nurse
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Plaid Adder Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:13 PM
Response to Reply #8
12. Yeah, I had the dry socket treatment today, but it doesn't seem
to have taken.

They will certainly be hearing from me. One thing I can say is that both these guys have been very good with the follow-up. No doubt they realize that fear of pain is costing them big business and wish to manage this as much as possible. But you know, going back in is no good if they can't FIX the friggin' thing.

Ah well. Thanks for feeling my pain, anyway,

The Plaid Adder
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benddem Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:26 PM
Response to Reply #12
17. Stand on the dentist's desk
till they do something for you. If it is a nerve they can do a nerve block.
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agingdem Donating Member (893 posts) Send PM | Profile | Ignore Mon Jun-28-04 06:39 PM
Response to Original message
19. Infection?
Had the tooth abscessed? Did the oral surgeon prescribe an antibiotic (amoxcillan, augmentan) after the extraction?
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trixie Donating Member (696 posts) Send PM | Profile | Ignore Mon Jun-28-04 06:48 PM
Response to Reply #19
22. First of all....
Vicodin is great. Make sure they always use gas. Not a medical thing it's a trixie thing.

I diagnos that you need more drugs.
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ScreamingMeemie Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:44 PM
Response to Original message
21. Perhaps infection??
This sounds like what happened to me when my wisdom tooth was pulled and they did not notice a raging infection. In which case, get treatment pronto PA, you don't want it to get into the jaw and blood stream. Good luck! I am pulling for you.

Laura
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bicentennial_baby Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 06:54 PM
Response to Original message
23. PM DUer Mika
She's a dentist, so maybe she could shed some light on yr problem. Good luck! :hi:
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davsand Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-28-04 07:26 PM
Response to Original message
24. Dry sockets are a big bitch.
BTDT, and did NOT get a teeshirt! I about came unglued when I went to the oral surgeon and he "treated" my dry socket by jamming what felt like a yard of clove oil soaked gauze into the cavity where my wisdom tooth had been. Man, you do have my sympathies on THAT one!

Now, as for the pain--I had something similar to that one time when I had a tooth filled. I went back and the dentist drilled out the filling he'd just put in--and put a new one in. That didn't help matters any, so he drilled it out a third time, and then put some kind of "special treatment" down in the hole and refilled it. That tooth has been sensitive ever since...

Something else that I wondered about when I read your story, is it possible your jaw is dislocated or maybe even fractured? I don't mean to be a crepe hanger, but I seriously wonder about it given what you describe. You can always ask, I guess...

Good luck, and may you be chewing soon!


Laura
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