Ongoing dental problems

[venezia22]

I had 3 root canals in a tooth a few weeks ago, the tooth did not settle and I continued to have continuous pain, worse after eating or drinking. The pain and sensitivity increased so the tooth was eventually removed.  I thought this would be the end of the problems.  Things still have not settled and whilst there was some improvement the teeth either side of the extraction are now aching and ache for some time after eating or drinking.  The extraction site still throbs but I expect that is nornal and will settle.  The pain and throbbing goes round to my chin but it is only the teeth either side of the1st(?) molar that are sensitive to touch.  I sometimes get pins and needles along that side in particular near my chin.  It is possible to get a difficult to detect infection in the bone around this area.  I also have a yeast infection from antibiotics that is not responding to  treatment of diflucan, could there be some connection.  My doctor has done a range of blood tests a week ago and they were fine.Thank you.

[Jerome Tsang, DDS]

Ok.  Sounds like you're taking some anti-inflammatories. That's good.

As for the lower molar side, there is a large nerve that runs along that area which provides nerve sensation to the chin area.  Its possible the nerve was injured and it'll take some time for it to heal.  The anti-inflammatories will help.  Have the symptoms improved?

[venezia22]

It was a lower molar on right side.  I am taking paraceatamol and voltarin.

[Jerome Tsang, DDS]

Which tooth was extracted?  Was it an upper or lower molar?  I wonder if there was some injury perhaps to the nerve itself?  What pain medication are you taking right now?

[venezia22]

I am no further ahead.  After a course of antibiotics the pain and throbbing stilll remains.  Anything I eat or drink sets off the pain and throbbing and it will then be there all day.    Xrays show nothing.  Blood tests came back normal. What are the likely causes of something like this?

[Jerome Tsang, DDS]

In that case, I would recommend going back to your dentist.  Are you taking any antibiotics currently?

[venezia22]

It is getting worse.  Almost constant throbbing which increases if I eat.  The increased pain lingers long after eating or drinking. It seems to be affecting the tooth in front of the extraction site as well as the extraction site.   I am still getting the tingling in my chin and also have some nausea.

[Jerome Tsang, DDS]

I think that as long as the pain and symptoms improve, you should be okay.  I wonder monitor the situation.  Hows it doing now?

[venezia22]

Thank you for the reply.  I had the tooth out 1 week ago.  Initially the area felt better but now today it is back to aching continuously again.  The teeth either side of the extracted tooth seem to be getting worse rather than better.  I get lingering aching after eating or drinking on that side of my jaw (lower) which is what I had prior to the extraction.  The pins and needles are not all the time, just occasionally, normally later in the day. Thank you

[Jerome Tsang, DDS]

It may take some time for the area to heal.  I am a little concerned about the pains and needles of the chin though.  I would definitely let your dentist know about that because usually pain from an extraction is more of a throbbing or dull ache rather than a pins and needles type of pain.  When was the extraction done?