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Are my dentists missing something, or am I just paranoid?

User Level:
Patient
Posted by: SiwynThona  (6 years ago)
Hey guys, thanks for taking a look. I wanted to ask about my situation, because I've seen three separate dentists, and I am sure they are all missing something that seems obvious to me.

Starting back in February, I had a horrendous pain down the left side of my face, by far the worst thing I've ever experienced. I went to the dentists, and they examined all the teeth as they do and could find nothing wrong. I went to the doctor, who ordered an x-ray, suspected it could be Trigeminal Neuralgia and gave me some pills to take which killed the pain.

X-ray came back clear, and the pain went away. My doctor did some further inquiries and tests, but eventually had to admit that he was unsure of the cause. In late April or early May, however, the pain returned, not quite as intense but exactly along the same spot. The same night it started, I noticed a swelling on my gum, which had seemingly burst or eased by the following morning. Another trip to the dentist followed, where they did an x-ray and examination, and again found nothing. Thinking that the pain could somehow be a sinus infection, they sent me to the doctors for antibiotics. Not convinced, I sought a second opinion, getting the same response. Antibiotics killed the pain completely, and everything seemed normal.

Now I'm getting exactly the same symptoms again; same swelling that disappeared by morning, same intense pain, same responses from the dentist - including a third this time. I'm concerned that this seems to keep coming and going, and that nobody but me seems worried by it. I'm booked to see yet another dentist on Monday, but I fear the same response. I can't believe that something so painful, that is clearly affecting my gums, is not dental in origin. Am I being foolish, or are they missing something?
User Level:
Dentist
Hey guys, thanks for taking a look. I wanted to ask about my situation, because I've seen three separate dentists, and I am sure they are all missing something that seems obvious to me.

Starting back in February, I had a horrendous pain down the left side of my face, by far the worst thing I've ever experienced. I went to the dentists, and they examined all the teeth as they do and could find nothing wrong. I went to the doctor, who ordered an x-ray, suspected it could be Trigeminal Neuralgia and gave me some pills to take which killed the pain.

X-ray came back clear, and the pain went away. My doctor did some further inquiries and tests, but eventually had to admit that he was unsure of the cause. In late April or early May, however, the pain returned, not quite as intense but exactly along the same spot. The same night it started, I noticed a swelling on my gum, which had seemingly burst or eased by the following morning. Another trip to the dentist followed, where they did an x-ray and examination, and again found nothing. Thinking that the pain could somehow be a sinus infection, they sent me to the doctors for antibiotics. Not convinced, I sought a second opinion, getting the same response. Antibiotics killed the pain completely, and everything seemed normal.

Now I'm getting exactly the same symptoms again; same swelling that disappeared by morning, same intense pain, same responses from the dentist - including a third this time. I'm concerned that this seems to keep coming and going, and that nobody but me seems worried by it. I'm booked to see yet another dentist on Monday, but I fear the same response. I can't believe that something so painful, that is clearly affecting my gums, is not dental in origin. Am I being foolish, or are they missing something?


These types of problems can be difficult to diagnose.

The first thing I would do is RUN to the dentist when you are in pain. He can numb up various teeth. If the pain stops, you know the origin is a tooth. If it does not stop, you know it is a neuralgia.

The bubble bursting was an important clue. It certainly would seem likely that the tooth beside the bubble was the culprit. Sometimes nothing shows up on x-rays. If that tooth is not crowned, have him do electrical tests of the tooth in question. Such a diagnosis would also explain why antibiotics made the pain temporarily go away.
Posted 6 years ago
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Posted by: cstudyhelp  (6 years ago)
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Posted by: drartdmd  (6 years ago)
What is ur obvious diagnosis.
User Level:
Patient
Posted by: drartdmd  (6 years ago)
If they thought sinus infection would be upper tooth. If antibiotic works quickly an infection. To be fair there are many things it may be. A perio infection seems logical if u felt something burst which lessened pain. Could be an endodontic problem. Don't understand why the dr didn't give u antibiotic and sent u to m.d. Penn vk works best in mouth. If u keep jumping dentists u may get nowhere. An endodontist would probably be the most logical dr to try. If he is good will probably figure out. At worst he will give u idea what is most obvious. Diagnosis in mouth can be as difficult as diagnosising a gastric problem. Try to understand transient pain wipain without any area of swelling or one sore tooth is very tricky. The quickness pain went away and antibiotic working is why they are confused. Sure u have figured out would like to know result.
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