Posted on 05/21/2011 7:18:30 PM PDT by JBGUSA
This post is a search for the knowledge of the community.
Since December 2000 one of my friends has had pain in the lower left quadrant of my mouth always in one particular tooth. The pain is a dull, deep, gnawing, crushing pain that he describes as being with him 24 hours a day. Its intensity varies, but it is always there. It is completely ruling his life. The pain started with a crown preparation of tooth #20 in December of 2000. After tooth #20 was extracted (July 2003) the pain immediately jumped to tooth #19. Two years later (July 2005), tooth #19 was extracted and the pain immediately jumped to tooth #18. The pain remains in tooth #18. My friend has been diagnosed with a neuropathy of the trigeminal nerve. A mandibular nerve block does NOT block the pain so it appears that there is a Central Nervous System component to the problem.
Because my friend has tried everything that is mainstream, he and his family are not interested in more good doctors, but rather doctors, treatments or patients who have overcome severe chronic pain in some experimental or through some highly unexpected approach. If you have a thought on how to help or put us in touch with someone, please let me know. The beginning of this post is a specific, technical explanation of his condition. Thank you anyone who can offer any suggestions and/or contacts.
Please respond, private message or e-mail to ch11lawyer@yahoo.ca .
JBGUSA
Does your dentist have a daughter?
My name is Needleman; I'm an Oral Surgeon. I'm 31. I like Star Trek and Barbara Streisand, and I'm tired of being a virgin… ...
Arnica Montana may be able to help. Trying Tanac, Max strength Orajel or Anbesol just to see if it can work into the source of the pain may be worth a try. Perhaps a couple tylenol rapid release gelcaps if the pain has a central nervous system component. Sensodyne pain relief toothpaste may help dull some nerve endings. Hot peppermint tea has given some people relief. Some have combined the orajel/anbesol with 2 crushed up aleve pills and placing that mix onto the affected area.
Finally make sure it’s actually tooth pain and not pain from infection or some neuroligical problem.
“His mouth. Typo. I was adapting a frantic request for help on Facebook.”
Since I don’t trust lawyers (they go to graduate school to learn how to lie professionally), it makes me wonder whether you’re trolling for excuses to use on his behalf in a suit for pain and suffering, eh? Just saying...
JC
Tegretol was the only thing that worked for me. Once I found the right dosage, which took about 8 weeks, it was miraculous in relieving the pain and allowing me to lead a normal life.
The Facial Pain Association is a good place to find info and care providers in your area.
It doesn’t happen to everyone, but neurontin can cause suicidal thoughts. Younger adults who take neurotin must be monitored carefully because they tend to be more prone to acting on these thoughts. TNA is called the suicide disease for a reason, and treating neurotin with TNA is getting a double whammy for suicide. Neurotin can work, but the patient needs to be aware of this side effect and rationalize what they might experience while on the drug.
“Some roots go deep. Heard of them going into the sinus cavity before.”
Had two teeth with roots in the sinus. It went pretty bad suddenly. Removing the teeth fixed things just fine.
The author says they have been thru standard doctors and dentists. So I assume they have taken an xray. The roots in the sinuses was pretty obvious in my xrays. So I doubt it’s that.
Actually a mandibular block should work (temporarily), but it has to be placed much higher using a longer needle and the correct approach to reach the root of the nerve. Get a new dentist if the current one doesn’t know the correct procedure. There are a few dentists with expertise in TNA, but not very many. Your friend needs to be under the care of a board-certified neurologist, preferably one with facial pain experience.
It will sting really bad for a few minutes.
Jut dig a q-tip and hold it on the gum and tooth.
The users tongue will even get a burning sensation from it... you wan use a few drops in water but that is less effective.
A few minutes and the pain will go away.
It has amazing antibacterial properties too.
Also works the same way on spider/mosquito/ and other bug bites.
Stings pretty severely when first applied and within a few minutes the sting and pain goes away.
I use the stuff by Source Naturals I get on ebay.
No I am not connected to either ebay or source naturals.
The stuff just works. A 1 OZ bottle last a long time.
Just try it.
I had all my lower teeth pulled and the phantom pain is still there. Mine is not excruciating, however. My oral surgeon explained that sometimes ends of nerves get caught in heald incisions. He told me that if it was bad enough, the only real cure was opening things up again and hoping to kill or free the nerve. I wish your friend the best.
Hot drinks can sometimes soothe things. Oddly enough, and this will sound counterintuitive, hanging with my head off the edge of the bed has been known to give temporary relief. My father swore by bourbon, but he also was an alcoholic.
Just my opine, but, go to a neurologist and get an MRI of the affected area done for a thorough evaluation.
Oxy..works like magic...
ancient chinese method that freezes the ganglia
I wanted to thank everyone for their help here. This is a redacted copy of the e-mail I sent out to mutual friends:
To some who may not know, Howie _____, QRS 1971, SHS 1975 passed away on July 31, 2011.
I spoke with Norman ____, probably my closest friend through the years and who lived across the street from Howie. Norman provided much support and comfort in the last days.
In grade school, I often played in a toy log cabin his parents erected in his back yard on Meadow Road, and I played with his dog, Marvin.
Over the years of high school and college, I knew Howie well. We both enjoyed many a “guess the lyrics” contest involving our mutual near-favorite musician, Neil Young. He had me over for dinner in Nashville while I was considering Vanderbilt Law School where he was an undergraduate.
Howie had a big heart and meant and did well for everyone. His loss saddens us all.
Jim
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