undiagnosed pain

[kmcc]

Long story - had a very traumatic tooth #14 extraction, resulted in dry socket, bits of bone and tooth left in the gum. Had those bits removed by a second dentist. Then waited months for bone to 'fill in'  (no bone graft).  Following that,  had the implant put in, and while waiting for that to take, the screw worked itself out - had to replace that. Continued to have inexplicable pain - throbbing, aching - had the implant removed 5 months later.  Now, it's been 6 months since the implant was removed - still having periodic pain that nobody can explain - all x-rays look good, had a bone scan which appears fine. Third dentist wants to redo the implant - this time a shorter, wider one. But, I'm afraid to do it since the pain is still there. It's so hard to describe to people - throbbing, aching, sometimes I can almost feel it coming on - like a very light electric shock (and I can almost hear it when it happens).  I'm afraid there was some nerve damage or lingering infection when the initial implant was done.  Are there any other tests that can be run?  

[scottma]

Please visit the web site of american academy of orofacial pain, there is a list of members within U.S., including NYC. These members are supposed to be dealing with orofacial pain.or, there must be some faculty members in dental school such as New York University College of Dentistry, Comlumbia University, who treat or manage orofacial pain.If you go to NYUCD, and find Dr. Vernillo or Dr. Phelan, they may help you. They know me.

[kmcc]

thank you. I'm in NYC - any advice to finding an orofacial pain specialist?

[scottma]

Based on your descriptions and assuming past medical history is non-contributory, clinical differential diagnosis includes, but not limited to, deafferentation pain, traumatic trigeminal neuralgia, pre-trigeminal neuralgia, and neurovascular orofacial pain.Seeing an orofacial pain specialist or neurologist is advised.