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Ongoing pain

User Level:
Patient
Posted by: Zilyn03  (8 years ago)

Hi all!

I went to the dentist because of pain in my lower left first premolar. The regular dentist performed a root canal on this tooth. The pain did not go away and I developed an infection. The regular dentist asked me to see a specialist. I went to an Endodontist who said I needed a root canal re-treatment. A few days later, I still have the pain and infection. I was advised to see an oral surgeon to have the tooth extracted. I then got a bridge to replace it but the pain has not gone. I have been to different dentists but none of them could find anything wrong. They kept on telling that my bite was the culprit, however after some adjustments, the pain remained. Any ideas? What should I do now? I would be grateful for any advice you can give me.
User Level:
Student
Posted by: ghnane  (8 years ago)
Hello Zilyn03,

Sometimes when patients experience post extraction pain in the area that no longer harbors the infected tooth may be the result of a phenomenon when a neuroma develops which an unorganized bundle of nerve tissue that continuously fires even post infection. They just remain sensitized.
Some of the symptoms are: Pain is continuous and variable, aching and burning, worsened by touch affected by stress nothing gives relief.

”You can ask to have anesthesia administered to that area and see if the pain goes away after anesthesia. This will help to find out if it is local or central pain response.

For treatment patients are usually prescribed neurosensory splint - use 20% benzocaine, use capsisum (active substance of red hot chilli peppers- use 0.025%).

But first see if anesthesia stops pain for you.
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