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Dental Health  (Expert Forum)
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Chronic tooth pain?
Answered by
Questions in the Dental Health forum are answered by Dr. Jerome Tsang and Dr. Jerome Bogin. Topics covered include bridges, cavities, crowns, and x-rays.

Chronic tooth pain?

by frustrated_nyc, Jun 20, 2007 12:00AM
i saw a dentist almost a year ago about an off and on toothache. an upper right tooth, either a premolar or my first molar. he said it was the premolar, so i had a root canal and a crown placed immediately. it seemed to work, until about a month later i was having pain coming from that area and above. so i saw an endodontist and he tapped on the premolar and the teeth in front and back, he decided it was definately the premolar that had the root canal. so i saw an oral surgeon and he decided that i needed an apicoectomy. which i had a week later. after the surgery the surgeon told me that it went perfectly and he had to scrap my sinus a bit from the infection but that i was going to be fine. well about a week after the surgery i was in massive pain... but oddly enough it felt like the "tooth" itself hurt, even though there should have been no feeling. plus i started having a lot of facial pains in my sinus area and headached. so i went an saw an ENT and had an MRI done, he told me that there was no sinus damage. the tooth kept constantly bothering me and when i tapped on the side it was still very sensative... so i had the tooth extracted by the same oral surgeon 12 days ago. i am still bothered by this region. it almost feels like the same pain, coming from where there is no longer a tooth. i keep reading about nerve damage and neuralgia online, which i bought up to the surgeon and he is doesn't think that is what is happening and that he is stumped. what should i do?

by Jerome Bogin, D.D.S. , Jun 20, 2007 12:00AM
You would have to consider that the pain is post surgical and will dissipate in time, that it might be another tooth in the same area or that there is some type of neuralgia.I think you should wait awhile(2 to 3 weeks) and see what transpires before you have any more treatment.If you are in severe pain then you would have to see someone, but if the discomfort is bearable I think you should wait.Over treating the area is just as bad as not treating it at all.
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