About 6 years after having bone graft L lower jaw to L sinus area and 2 successful implants, began getting constant high-pitched ear noise, developing to pulsating. On left side of face have ache, constant throbbing of sinus area as well as unexpected increase in pressure and decreased hearing with very high noise. Have diagnosed TMD L jaw, disc worn. Wear splint. X-rays show no infection or dental cause to symptoms. Prescription Lyrica helps relax face, but now feel like I am drooling. Could the procedure of grafting into the sinus cavity have somehow be related? I am not looking for dentist fault, just possible cause to be able to treat symptoms. Might it have affected trigeminal nerve? Have had vertigo for almost 2 weeks now, and shock-type sensations when I move my head, breathe, swallow. L side of face from eye to neck acha and throb, just L side. Should we look for sinus/graft complication? What tests could be helpful? Thanks!
Age: 56; Female, Michigan
CT scan mastoids, MRI brain and IAC, MRI brain and cervical spine, (visualized portion of trigeminal nerve ok), MRA neck, all ok
L side of head/eye/jaw feel very tight and throb anad ache, even after Lyrica
This is an unfortunate event that you are having, and if I were to give you my input, I would believe that the sinus graft surgery irritated the trigeminal nerve, cause you to feel the symptoms of trigeminal neuralgia (TN). Just so you know, TN usually develops after the age of 50, more commonly in females, and can result from trauma to the trigeminal nerve, which may be your case. TN is a disorder that can create intense pain in the eyes, lips, nose, scalp, forehead, and jaw.
There is often no cure for TN. Many people do find relief from medication or chiropractic treatments. Carbamazepine is a common first line of medicinal treatment. Surgery can be done, but is risky and can make the problem worse. Home treatments include cold and hot compresses, plenty of rest, reducing stress levels, avoid caffeine, drink plenty of water, eat a healthy diet and exercise.
I hope this gives you some insight into your condition.
I am a General Dentist and founder of the American School of Dental Assisting