Aa
TN or Dental Issues
Ok, I'll admit it. My Kryptonite in this world, is the dentist. I hate the dentist, or rather, shall I say, I'm scared to death of them. I've had so many surgeries, you would think that I wouldn't be scared of too much, but yes, I am scared of the dentist. I hate the way it smells. I hate the taste of latex in your mouth. I hate the feeling of the scrapping with those hooks. I hate everything about the whole experience. Besides, my mouth tends to spasm and lock, when messed with too much.
I guess you could say it's been awhile since I've been to the dentist, and I do need to go. My excuse in the past was that we didn't have dental insurance and could not afford it,but now we do. I noticed a few weeks back that one of my molars (the last one in the lower back/ right side) is a little loose. I had to put it off because of family reasons, and my surgery.
This past week, I notice that I started to get pain. I'm on percasets from the surgery, and this wasn't even taken the tooth pain away. The pain was more than just tooth pain, it involved my face, jaw, tongue, ear, and throat. The pain would shoot from in front of my ear, to my lower and upper jaw, it would involve my upper and lower lips. Sometimes it would feel like hot liquid was being put in the ear. At one time this pain involved the right side of my tongue, and the right side of my throat. It was intermittent. It would happen for several minutes, then go away, then come back. I would have a aching, constantly, but when everything was involved it was horrible.
My teeth don't bleed when brushing or flossing, and I don't have any sign of inflammation or puffy gums. My gums are pink and I also don't see any sign of receding gum lines. I can push on the gum itself, where the loose tooth is, and there is no pain or funny feelings. The tooth, is a different story. It has a constant numb/aching feeling. It's hard to describe, but this pain is also effect other teeth that aren't loose.
I have a pretty high pain threshold, but this brought me to tears. I could deal with the aching, but when the episode would happen that involved my whole face, I would burst into tears because of the pain. I would get some relief from my Neurotins, and that is only because I upped the dosage. I do have a dentist appointment for Monday, because I know that the teeth issue does need to be address, but can a teeth issue effect your whole face and occur intermittently or could this be TN on top of teeth issues? Should I go to my GP or just wait it out for my appointment with my dentist? I can't get in with my neuro, because she is back up until June :(
I guess you could say it's been awhile since I've been to the dentist, and I do need to go. My excuse in the past was that we didn't have dental insurance and could not afford it,but now we do. I noticed a few weeks back that one of my molars (the last one in the lower back/ right side) is a little loose. I had to put it off because of family reasons, and my surgery.
This past week, I notice that I started to get pain. I'm on percasets from the surgery, and this wasn't even taken the tooth pain away. The pain was more than just tooth pain, it involved my face, jaw, tongue, ear, and throat. The pain would shoot from in front of my ear, to my lower and upper jaw, it would involve my upper and lower lips. Sometimes it would feel like hot liquid was being put in the ear. At one time this pain involved the right side of my tongue, and the right side of my throat. It was intermittent. It would happen for several minutes, then go away, then come back. I would have a aching, constantly, but when everything was involved it was horrible.
My teeth don't bleed when brushing or flossing, and I don't have any sign of inflammation or puffy gums. My gums are pink and I also don't see any sign of receding gum lines. I can push on the gum itself, where the loose tooth is, and there is no pain or funny feelings. The tooth, is a different story. It has a constant numb/aching feeling. It's hard to describe, but this pain is also effect other teeth that aren't loose.
I have a pretty high pain threshold, but this brought me to tears. I could deal with the aching, but when the episode would happen that involved my whole face, I would burst into tears because of the pain. I would get some relief from my Neurotins, and that is only because I upped the dosage. I do have a dentist appointment for Monday, because I know that the teeth issue does need to be address, but can a teeth issue effect your whole face and occur intermittently or could this be TN on top of teeth issues? Should I go to my GP or just wait it out for my appointment with my dentist? I can't get in with my neuro, because she is back up until June :(
I'm so sorry that so many people have dentalphobia - my daughter is the same way. It is an irrational fear that she can't overcome, based on traumatic childhood dental problems. And she is among that population that novacaine for numbing does not work - its a small number of people that have this problem and she is one of the unfortunate few.
Despite what many may believe - dentists don't get a thrill out of pulling teeth. Their job is to save them whenever possible. Even if they were *evil* and just looking to make money, extractions make no sense. Once the tooth is gone there is no longer something to treat and no more money to be made. :-)
I have had a few root canals (and yes, I lived to tell about it! LOL) and always prior to the problem I experienced pain in the jaw and ear. Dental pain and those nerves can really cause havoc to your entire face.
Please go to the dentist and have this checked - if you need it, most dentists will rx valium or another relaxant to get your through the appointments.
feel better,
L
Despite what many may believe - dentists don't get a thrill out of pulling teeth. Their job is to save them whenever possible. Even if they were *evil* and just looking to make money, extractions make no sense. Once the tooth is gone there is no longer something to treat and no more money to be made. :-)
I have had a few root canals (and yes, I lived to tell about it! LOL) and always prior to the problem I experienced pain in the jaw and ear. Dental pain and those nerves can really cause havoc to your entire face.
Please go to the dentist and have this checked - if you need it, most dentists will rx valium or another relaxant to get your through the appointments.
feel better,
L
cydpink- That website Quix listed has a lot of good info. If your dentist has never been able to find a reason for your tooth/teeth/facial pain, then TN could very well be a cause.
supermum_ms- I feel for you! I've never had an abscess tooth before, until now, and it was no fun. Mine didn't swell up my face, but I did start to run a low grade fever with it. All my other symptoms started to act up as well, so I was in pretty bad shape. Try to get on antibiotics ASAP, because I did read it can be an emergency situation if you let it go to long, but I'm sure you already know that. No need to apologize for being grumpy LOL..you should have seen me! I would have bitten off your head and chewed it off, if it wasn't for my teeth hurting so bad.
Wobbly- I'm glad you did call the clinic first before getting them extracted. When I went to the dentist the other day and they told me I needed an extraction, they had to refer me out, because there is another dentist that does that, but he is only in there once a month.
The problem I had with this guy is that, he told me another tooth was loose. Now, my dentist checked every tooth, and said that everything else looked good, except for the 2 that were loose and abscess. This other guy that was doing the extraction said another one is loose too, and I argued and said no it wasn't. He held a mirror in front of my face and said "You see it now! It's loose!"...I said, "No, I don't see it, it's not loose." I think I made him mad, but I truly didn't see any movement. I came back home and tried to wiggle the tooth he said was loose, and I had my husband try. Still no movement. I don't get it. If it was loose, it wasn't obvious to me, or my husband. My husband said to just listen to my regular dentist..not this guy.
Take Care
supermum_ms- I feel for you! I've never had an abscess tooth before, until now, and it was no fun. Mine didn't swell up my face, but I did start to run a low grade fever with it. All my other symptoms started to act up as well, so I was in pretty bad shape. Try to get on antibiotics ASAP, because I did read it can be an emergency situation if you let it go to long, but I'm sure you already know that. No need to apologize for being grumpy LOL..you should have seen me! I would have bitten off your head and chewed it off, if it wasn't for my teeth hurting so bad.
Wobbly- I'm glad you did call the clinic first before getting them extracted. When I went to the dentist the other day and they told me I needed an extraction, they had to refer me out, because there is another dentist that does that, but he is only in there once a month.
The problem I had with this guy is that, he told me another tooth was loose. Now, my dentist checked every tooth, and said that everything else looked good, except for the 2 that were loose and abscess. This other guy that was doing the extraction said another one is loose too, and I argued and said no it wasn't. He held a mirror in front of my face and said "You see it now! It's loose!"...I said, "No, I don't see it, it's not loose." I think I made him mad, but I truly didn't see any movement. I came back home and tried to wiggle the tooth he said was loose, and I had my husband try. Still no movement. I don't get it. If it was loose, it wasn't obvious to me, or my husband. My husband said to just listen to my regular dentist..not this guy.
Take Care
I called the MS Clinic on Friday, because the pain came back and I wanted to see what they thought. I explain everything to the nurse and she put me on hold while she talked with the Neuro.
She said DO NOT GET MY TEETH PULLED, I have to wait till monday and see how I feel, but if the pain is in more then one spot and it comes and goes like it does...she doesn't want me to do anything yet.
Last night the pain got so bad and sharp down the side of my face, it lasted about 10 mins then subsided abit.... today it's mainly gone, my right side of face still feels abit numb and ear is abit sore.
My teeth are not loose to me, but the dentist said they are loose when he moved them?, I don't feel this are loose when I brush them, they are not sore then.
I'm glad you got your teeth pulled and hope the pain subsided quickly.
JJ, I see that you have joined us with not liking dentist so much.... I understand that, but we have to deal with them at times. Sometimes I think it's best if we go more often and take care of them...HAHAHAHA... brave aren't I... we will see how things go
good luck JJ.. It will feel better soon.
take care
wobbly
She said DO NOT GET MY TEETH PULLED, I have to wait till monday and see how I feel, but if the pain is in more then one spot and it comes and goes like it does...she doesn't want me to do anything yet.
Last night the pain got so bad and sharp down the side of my face, it lasted about 10 mins then subsided abit.... today it's mainly gone, my right side of face still feels abit numb and ear is abit sore.
My teeth are not loose to me, but the dentist said they are loose when he moved them?, I don't feel this are loose when I brush them, they are not sore then.
I'm glad you got your teeth pulled and hope the pain subsided quickly.
JJ, I see that you have joined us with not liking dentist so much.... I understand that, but we have to deal with them at times. Sometimes I think it's best if we go more often and take care of them...HAHAHAHA... brave aren't I... we will see how things go
good luck JJ.. It will feel better soon.
take care
wobbly
COMMUNITY LEADER
Now this is just not fair!!!!
Yesterday i had an ear ache in my left ear, and my cheek was feeling tight (?) and this $#&^$#& morning i've woken up with another golfball sized abscess. This is the exact same place and i'm loath to pull the tooth but this is not funny, i'm not looking forward to this but i'm going to have to go to the dentist, booo hoooo.
It was April 2009 that it first happen and thats what set off my walk on the wild side, not haaaaaappppppyyyyyyyyyy!! I hate the #$%^%$# dentist, sorry but im in a very grumpy mood and i think i'm pmting on top of it, god help anyone who crosses me today, OFF WITH THEIR HEAD!!
JJ
Yesterday i had an ear ache in my left ear, and my cheek was feeling tight (?) and this $#&^$#& morning i've woken up with another golfball sized abscess. This is the exact same place and i'm loath to pull the tooth but this is not funny, i'm not looking forward to this but i'm going to have to go to the dentist, booo hoooo.
It was April 2009 that it first happen and thats what set off my walk on the wild side, not haaaaaappppppyyyyyyyyyy!! I hate the #$%^%$# dentist, sorry but im in a very grumpy mood and i think i'm pmting on top of it, god help anyone who crosses me today, OFF WITH THEIR HEAD!!
JJ
Hi all
stumbled across this discussion whilst surfing and it hit a nerve - please excuse the pun!
I've had similar problems with my teeth/face, in fact I've been to my dentist twice between regular check-ups becasuse of the pain I've experienced and each time and on my regular check-ups she's not found any reasson. Each time I've bugged her to x-ray the tooth and this has revealed nothing either.
I'm going to check out the websites you've listed and see what they say, thanks.
Big hugs, I hate the dentist too x
stumbled across this discussion whilst surfing and it hit a nerve - please excuse the pun!
I've had similar problems with my teeth/face, in fact I've been to my dentist twice between regular check-ups becasuse of the pain I've experienced and each time and on my regular check-ups she's not found any reasson. Each time I've bugged her to x-ray the tooth and this has revealed nothing either.
I'm going to check out the websites you've listed and see what they say, thanks.
Big hugs, I hate the dentist too x
I'm sore, but doing ok. I have gauze in my mouth right now and the numbness from the shots is just now wearing off. I hated to have to loose the teeth, but I guess it happens. It's the first ones I've ever lost since my wisdom.
They warned me my issues could be from abscess from a bad filling or periodontal, so I guess I'm going to have to strengthen up, and face my fears of the boogeyman dentist LOL. I hate it, but periodontal disease does run in my family and they said it can be hereditary. I'm still having pain in other places, tongue, throat, upper jaw, and I hope that will go away since the abscess is gone.
I would call the MS clinic, just in case.. see what they think if I was you. It wouldn't hurt. How loose are they? Sometimes a simple root canal can tighten things up too. I could have gotten that today instead of the extractions, but it would have only last for 2 years before they needed to be pulled.
Take
They warned me my issues could be from abscess from a bad filling or periodontal, so I guess I'm going to have to strengthen up, and face my fears of the boogeyman dentist LOL. I hate it, but periodontal disease does run in my family and they said it can be hereditary. I'm still having pain in other places, tongue, throat, upper jaw, and I hope that will go away since the abscess is gone.
I would call the MS clinic, just in case.. see what they think if I was you. It wouldn't hurt. How loose are they? Sometimes a simple root canal can tighten things up too. I could have gotten that today instead of the extractions, but it would have only last for 2 years before they needed to be pulled.
Take
so did you go to the dentist yet? How did it go? are you OK?
thanks for the info on Peridontal?? I think that is what the dentist said, but not sure.. my other dentist said she couldn't figure out why I was loosing my teeth.. she took care of my mouth for years?
oh well... my face is sore again today and numb.. I think I will call the MS clinic and she what they say about getting some teeth pulled?
hope your ok and feel better soon
wobbly
thanks for the info on Peridontal?? I think that is what the dentist said, but not sure.. my other dentist said she couldn't figure out why I was loosing my teeth.. she took care of my mouth for years?
oh well... my face is sore again today and numb.. I think I will call the MS clinic and she what they say about getting some teeth pulled?
hope your ok and feel better soon
wobbly
I'm here for you.... BIG HUGS... I will have to book my appt soon, but I will find out for sure if I need to get mine done.. My dentist seemed like he knew that for sure??
Good Luck and know we are thinking of you.
wobbly
Good Luck and know we are thinking of you.
wobbly
Phoenix177- I think my fear of dentist is just because I've had a bad experience with one..maybe a little post traumatic stress lol. I was bruised and battered from a teeth extraction. I also, don't just like the taste , smells, feelings, etc.. of the whole experience of having your teeth worked on. I know, I'm weird. I'm also afraid of spiders..they've done nothing to me, except walk on me at night, and scared me half to death.
Well, I have an abscess tooth and I need to get 2 teeth extracted. My dentist also believes that some of my pain wasn't all because of the abscess. The abscess occurred because of a bad filling. I'm getting it done tomorrow. He thought that the pain in the upper jaw,tongue,throat, was because of something unrelated, and I'm suppose to discuss this with the doctor tomorrow. Pray for my soul.
Well, I have an abscess tooth and I need to get 2 teeth extracted. My dentist also believes that some of my pain wasn't all because of the abscess. The abscess occurred because of a bad filling. I'm getting it done tomorrow. He thought that the pain in the upper jaw,tongue,throat, was because of something unrelated, and I'm suppose to discuss this with the doctor tomorrow. Pray for my soul.
Fear of the dentist is ingrained through difficult experiences and pain from prior dental visits. It is neither rational nor easily overcome, just like fear of a closed MRI or fear of being on the top of a tall building, neither of which bother me at all.
Not all dentists have your father's touch or professionalism.
I know of people here that fear the next visit with a new neurologist based on humiliating experiences with prior ones.
It just is.
Not all dentists have your father's touch or professionalism.
I know of people here that fear the next visit with a new neurologist based on humiliating experiences with prior ones.
It just is.
You and I are having a difficult time with Dentist.. I just posted what my dentist said today... and he wanted to take them out right then... I said NO>>> I need my hubby to drive me there and home when I get teeth taken out..
hope we get through this..let me know how things go.
I'm taking T3 codine... it helps me sleep... doesn't take all the pain away, but soothes it down alittle.. for a short time.
take care
wobbly
dx
hope we get through this..let me know how things go.
I'm taking T3 codine... it helps me sleep... doesn't take all the pain away, but soothes it down alittle.. for a short time.
take care
wobbly
dx
I hope you feel better soon and the dentist can shade some light on whats going on.
I don't get why so many people are afraid of the dentist. my bf is terrified of them and I take him in next Friday (cleaning). my dad was a dentist, now retired, so I know all my teeth (right side only) going bad at the same time and w/o warning and no injury to the area....not possible. I have fallen asleep many times in the chair and my dentist has to wake me up (I close my month).
when my dad bought his practice (when a dentist/doctor sells their practice this includes their patients), he started routine cleaning for all of his patients (every 6 mo, the old dentist didn't do these) after the cleaning and probing the teeth, he'd have you stick your tongue out at him and he would feel under your tongue. he'd check how the jaw moved. my dad is rare as he listens to all complains. after he got all his patients caught up, he referred 1/3 to other doctors, some people had cancer in stage 1. some people had TM or TMJ, he even dx'd some of them and sent them in for a 2nd opinion. my point being the dentist is a doctor and s/he can help you. most people think they only learn about the teeth, this is false. from the neck up is what they learn in school.
for a little more then a year now, I've been experiencing numbness that follows the nerve above my right eye. it lasts a few seconds to maybe a minutes or two. it goes around my eye and moves down my cheek and stops on my upper right lip and/or I get one that follows my jaw to my lower lip. I've also notice 1/2 my tongue (right side) doesn't feel normal. kinda tingling can't feel it 100%. I slur when this happens.
about 2 months ago, it changed to a electric type pain. it hung around 2 day (on and off multiple times through out the day) then disappeared for at least day then come back. it was just above my right eye and the other one was in the cheek bone just below my R eye. I still get tingling/kinda numb feeling down this nerve. about a month ago, the shocking electrical thing has included most of my teeth on my right side.
I don't get why so many people are afraid of the dentist. my bf is terrified of them and I take him in next Friday (cleaning). my dad was a dentist, now retired, so I know all my teeth (right side only) going bad at the same time and w/o warning and no injury to the area....not possible. I have fallen asleep many times in the chair and my dentist has to wake me up (I close my month).
when my dad bought his practice (when a dentist/doctor sells their practice this includes their patients), he started routine cleaning for all of his patients (every 6 mo, the old dentist didn't do these) after the cleaning and probing the teeth, he'd have you stick your tongue out at him and he would feel under your tongue. he'd check how the jaw moved. my dad is rare as he listens to all complains. after he got all his patients caught up, he referred 1/3 to other doctors, some people had cancer in stage 1. some people had TM or TMJ, he even dx'd some of them and sent them in for a 2nd opinion. my point being the dentist is a doctor and s/he can help you. most people think they only learn about the teeth, this is false. from the neck up is what they learn in school.
for a little more then a year now, I've been experiencing numbness that follows the nerve above my right eye. it lasts a few seconds to maybe a minutes or two. it goes around my eye and moves down my cheek and stops on my upper right lip and/or I get one that follows my jaw to my lower lip. I've also notice 1/2 my tongue (right side) doesn't feel normal. kinda tingling can't feel it 100%. I slur when this happens.
about 2 months ago, it changed to a electric type pain. it hung around 2 day (on and off multiple times through out the day) then disappeared for at least day then come back. it was just above my right eye and the other one was in the cheek bone just below my R eye. I still get tingling/kinda numb feeling down this nerve. about a month ago, the shocking electrical thing has included most of my teeth on my right side.
Good heavens--you have to wait until Monday? I would definitely try to find something to kill the pain. It sounds like you have may have a combination of dental issues and TN. Maybe the dental thing is making the TN flare. I take gabapentin for TN which seems to help. I still am having the TN, and when the pain strikes, I throw my head back instinctively because it feels like someone stabbing me with an ice pick.
I'm hoping you get relief soon!
Deb
I'm hoping you get relief soon!
Deb
Hey Quix, I looked at the picture (one of the more clear ones I've seen) and it looks like CN-V innervates the eye/behind the eye? Is this correct? Most of my TN pain is in my jaw and cheek, but I sometimes get the same pain (only worse) behind my eye. It's awful!
The neurosurgeon seemed to think that was really odd and asked me if it was more my cheek, but this is definitely behind my eye and it's the worst (though luckily the least frequent of the pains). Is this part of TN?
Slightlybroken, I do hope you figure it out soon. It oculd be both TN and dental pain, and the last thing you need with TN is more facial pain, so go ahead and get your tooth fixed no matter what. Good luck at the dentist.
Stephanie
The neurosurgeon seemed to think that was really odd and asked me if it was more my cheek, but this is definitely behind my eye and it's the worst (though luckily the least frequent of the pains). Is this part of TN?
Slightlybroken, I do hope you figure it out soon. It oculd be both TN and dental pain, and the last thing you need with TN is more facial pain, so go ahead and get your tooth fixed no matter what. Good luck at the dentist.
Stephanie
As far as how bad this is, remember that TN has historically been called The Suicide Pain.
SB - It sounds like TN. Firstline drug is carbamazepine. Yes, all the things you describe sound like TN. Dental pain usually hurts with pressure. TN can be felt all along the course of that branch of the nerve.
Check out this picture. The pic shows just the biggest branches, but would cover all the space in between.
http://www.stjosephsatlanta.org/gamma_knife_center/images/gamma_knife_trigeminal_neuralgia_profile.jpg
Check out this picture. The pic shows just the biggest branches, but would cover all the space in between.
http://www.stjosephsatlanta.org/gamma_knife_center/images/gamma_knife_trigeminal_neuralgia_profile.jpg
Thank you for all the comments and suggestion. I wish the dentist could have gotten me in sooner. I'm not sure how much more of this pain I can take. I might try to get an appointment with my GP tomorrow, but I'm not sure if they can squeeze me in.
I've had pain before that I thought was TN, but this is the worst it's ever felt, if this is what I'm dealing with. I couldn't eat yesterday at all. I ate a yogurt, and that was it.
I'll pray for your soul Quix, if you pray for mine! lol.
I wish I knew if I knew if it was dental or TN, but I do believe it could be both.
I've had pain before that I thought was TN, but this is the worst it's ever felt, if this is what I'm dealing with. I couldn't eat yesterday at all. I ate a yogurt, and that was it.
I'll pray for your soul Quix, if you pray for mine! lol.
I wish I knew if I knew if it was dental or TN, but I do believe it could be both.
Yes, the first step is to definitively take care of any question of whether this is dental. BTW I share your dentophobia. OMG I wake up in tears the morning of dental visits. I was born minus 14 of my permanent teeth. Because of this my jaws undergrew, the teeth came in wherever they wanted to, rotated and on their sides. One molar grew down out of the center roof of my mouth - no kidding!
After spending a third of my youth in the dentists' chair and finally having the rest of my baby teeth pulled when I was 18, I was given bridges which have slowly broken down. Yes, I loathe those visits.
But, we discussed TN in the context of dental pain a few days ago. If you missed the discussion:
http://www.medhelp.org/posts/Multiple-Sclerosis/Early-exacerbations-and-TN/show/1193805
Good luck. And GO TO THE DENTIST! I can yell that because I finally have an appointment for next Monday, for an extruding molar and a loose cap. Please pray for my soul.
Go in peace, but make an appointment first.
Quix
After spending a third of my youth in the dentists' chair and finally having the rest of my baby teeth pulled when I was 18, I was given bridges which have slowly broken down. Yes, I loathe those visits.
But, we discussed TN in the context of dental pain a few days ago. If you missed the discussion:
http://www.medhelp.org/posts/Multiple-Sclerosis/Early-exacerbations-and-TN/show/1193805
Good luck. And GO TO THE DENTIST! I can yell that because I finally have an appointment for next Monday, for an extruding molar and a loose cap. Please pray for my soul.
Go in peace, but make an appointment first.
Quix
I too would suspect TN, except for the part about one tooth being loose. There could be an infection where you can't see it. You definitely need to bite the bullet :o) and see the dentist ASAP. The area needs to be probed and x-rayed. That's really the only way to rule out dental problems, and your GP would tell you that too.
I hope things get better for you soon. Let us know how you're doing.
ess
I hope things get better for you soon. Let us know how you're doing.
ess
Hi there... I'm going through the same thing right now for the past three days. It hurt so much last night I couldn't sleep very well. My right side of my face is so sore.. I don't know if it's my teeth or what, and I'm scared of dentist too.. I went a couple of months ago and told him about this pain, (I've had it before).. he said it didn't sound like my teeth? But I don't know..one of them is sore at times..not always though... it's sore to touch, then later it's not sore ??
if it doesn't stop soon, I should head to the dentist and/or call the MS clinic and let them know..
take care and let us know what the dentist says
wobbly
dx
if it doesn't stop soon, I should head to the dentist and/or call the MS clinic and let them know..
take care and let us know what the dentist says
wobbly
dx
As a sufferer of TN ,my two cents worth,is that you are experiencing TN. Dental pain usually doesn't radiate down your throat, although it can radiate to your ear.
I would go to your GP and see if they can't add Tegretol or Trileptal to your meds as these are the drugs of choices for TN.
I hope you can get relief soon! I know how bad this pain can get.
Ren
I would go to your GP and see if they can't add Tegretol or Trileptal to your meds as these are the drugs of choices for TN.
I hope you can get relief soon! I know how bad this pain can get.
Ren
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