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Oral and Maxillofacial Surgery (Expert Forum)
severe pain- no symptoms
Answered by
Michael H Kirsch, DDS - Oral Surgery, Maxillofacial, Dental Implants, Wisdom Teeth, Bone Grafting
Dr. Michael H. Kirsch
Caldwell - NJ
Questions in the Oral and Maxillofacial Surgery forum are answered by Dr. Michael H Kirsch. Topics covered include teeth extractions, wisdom teeth, dental implants, bone grafting, orthognathic surgery, facial bones realignment, facial trauma repair, jaw alignment, anesthesia, jaw cyst or tumor diagnosis, reconstructive jaw surgery, temporomandibular joint syndrome (TMJ) and TMJ surgery.
severe pain- no symptoms
by lajevardi, May 08, 2008 08:26PM
Living a bit of a nightmare and I hope you can help.
My wife is having severe pain in the lower left side of her mouth. The pain comes in waves (sometimes throbbing, sometimes sharp) and resonates to the back of her head. She cannot pinpoint exactly which tooth the pain is coming from and her dentist has perfomed several test (hot/cold, pressure, xrays) and cannot find a problem. She gets very little relief from over the counter meds. She finds temporary but immediate relief when she swishes with PerioMed or chlorohexidine gluconate rinse. The relief is instantaneous but only lasts 4-5 minutes. Her oral surgeon and general dentist are at a loss.
Should also mention that she had her 4 wisdom teeth removed about 7 weeks ago and suffered 2 dry sockets.
I HOPE YOU CAN PROVIDE SOME GUIDANCE. Thank you.
My wife is having severe pain in the lower left side of her mouth. The pain comes in waves (sometimes throbbing, sometimes sharp) and resonates to the back of her head. She cannot pinpoint exactly which tooth the pain is coming from and her dentist has perfomed several test (hot/cold, pressure, xrays) and cannot find a problem. She gets very little relief from over the counter meds. She finds temporary but immediate relief when she swishes with PerioMed or chlorohexidine gluconate rinse. The relief is instantaneous but only lasts 4-5 minutes. Her oral surgeon and general dentist are at a loss.
Should also mention that she had her 4 wisdom teeth removed about 7 weeks ago and suffered 2 dry sockets.
I HOPE YOU CAN PROVIDE SOME GUIDANCE. Thank you.
Doctor's Answer
by Michael H Kirsch, DDS, May 09, 2008 09:34PM
, May 09, 2008 09:34PM
Several sources come to mind... fractured tooth syndrome, osteomyelitis of the jaw, reversible pulpitis, atypical pain.
At this point she should see an endodontist (root canal specialist) who can perform objective testing on all the teeth on that side. Other studies may include a bone scan and comprehensive TMJ/Facial Pain exam.
Try another oral surgeon if the first one has truly "given up."
Information contained within this reply is intended solely for general educational purposes and is not intended nor implied to be a medical diagnosis or treatment recommendation. This is not a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your own doctor for medical condition. Only your doctor can provide specific diagnoses and therapies.
At this point she should see an endodontist (root canal specialist) who can perform objective testing on all the teeth on that side. Other studies may include a bone scan and comprehensive TMJ/Facial Pain exam.
Try another oral surgeon if the first one has truly "given up."
Information contained within this reply is intended solely for general educational purposes and is not intended nor implied to be a medical diagnosis or treatment recommendation. This is not a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your own doctor for medical condition. Only your doctor can provide specific diagnoses and therapies.
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