TEETH

[Supastah]

I have never had dental problems but for the last 2 weeks, my teeth hae become incredibly
sensitive to hot/cold and also ache all the time even when Im not eating or drinking...
Could one of the meds Im on be causing this?  Also, could one of thee meds be causing my
eyes to be very dry?  thank you

[Alison L, RPh]

Of the medications you listed, none of them cause teeth sensitivity nor do they cause dry eyes, however, tramadol and Neurontin can cause dry mouth. In regards to teeth sensitivity, over the years, enamel on the teeth can erode due to acidic items we eat or drink and sensitivity can occur all of a sudden. Refer to the American Dental Association on how this starts and what to do: http://ada.org/public/topics/sensitive.asp

[Supastah]

HI Alison...thank you for responding..the Dentist did do some kind of
flouride treament where he painted this stuff on each tooth for two days in a row.
It did nothing..Im wondering is Small Fiber Neuropathy can get into the teeth, and
if so, shouldnt the Neurontin be helping?
Thank you in advance for your help

[Alison L, RPh]

Small Fiber Neuropathy affects two types of nerve fibers: unmyelinated and myelinated.   The usual places where small fiber neuropathy occurs does not include the teeth. It does include places on the face and can cause dry eyes, dry mouth, sensitivity to hot and cold, but not specifically affecting the teeth. Now, Neurontin is used to treat small fiber neuropathy and should help the symptoms, however, it may not help with your teeth.

[Supastah]

Alison..Is there anything you recommend to help with sensitvie teeth?
Im already suing Sensodyne

[Supastah]

Sorry..I mean't using not "suing" Sensodyne...
I heard there might be a prescription mouth wash or tooth paste..
I have also head that Fibromyalgia can cause teeth pain..Have you heard that?
Thanks!

[Alison L, RPh]

Sensodyne should be used for several applications for the effects to take place. There are prescription toothpastes such as Prevident 5000 Sensitive to help prevent cavities and help reduce sensitivity. If products such as Sensodyne or Prevident Sensitive do not work ,  dentists recommend coming in for office treatments using gels, etc. In regards to fibromyalgia, it does affect the facial muscles and in turn increases the sensitivity to pain for patients.  Dentists are aware of the increased sensitivity in those patients when doing procedures such as cleaning, filling, etc.

[tjroden05]

Myofascial Pain and Fibromyalgia are not the same thing, and if I am reading this right you apparently think that they are.  That said, neither one commonly affects the teeth.  There are neuropathic pain states that affect the mouth but these are variants of Complex Regional Pain Syndrome (also called RSD in the past) and are treated with procedures and drugs that decrease Sympathetic Nervous System Activity.  You don't have any of the conditions that I have mentioned, at least not as it pertains to the tooth discomfort.