Ever since tooth #11 was extracted over 3 yrs ago, I have had redness/inflammation and burning pain in that area. An implant was placed 2 yrs ago, and the problem persists. Multiple dentists offer absolutely no help, saying they have no idea what it is, so I go in search of yet another professional.
Sometimes it looks worse, as far as the redness, but the burning pain only subsides during sleep. I have been evaluated by an ENT who found nothing. I have been evaluated by a Neurologist ( whose opening line was " I am tired of dentists messing up and then referring their patients here" ) who tried a few meds (nortryptyline and lyrica) to no avail. One dentist gave me a tiny tube of kenalog paste. I used it for a few days and the burning pain subsided somewhat.. Then, when I stopped using it (tube empty) the very next day, its back. Wouldnt that in itself indicate a dental issue? My current dentist will not prescribe kenalog paste and gave me what he called "Miracle Mouthwash" which is like applying orajel to the entire inside of the mouth. Both he and the Neurologist say its probably some form of neuropathy, but then why the inflammed look to the gums from tooth 10 to 13? Its not just a mild soreness. It ranges from mild redness to full blown beet red and it HURTS. So I am told that its not Dental and as far as the neuropathy, they have no clue about that either. I am unable to take NSAIDS due to a prior anaphylactic reaction.
I have undergone multiple procedures - 2 flap surgeries, a root canal and ultimate extraction of #12, and a root canal on #13. I had laser surgery to remove some of the resulting scar tissue, but it feels like scar tissue still remains. Most days when I awaken, the pain is low, maybe a '2' but gradually increases.. by mid-day it peaks at about 6 or 7 and remains there all day. I have also tried two antibiotics - amoxcillin and clindamycin. No side effects, but no benefit from either. CT scan showed nothing except 'possible' peri-implantitis and a shadow (artifact?) at the top of missing #12..This shadow appeared on a CT scan before the #12 root canal and extraction and was thought to be an abscess or infection and that is why that tooth was treated.
I currently have a 3 unit bridge (#11 implant, #12 pontic, #13 crown) that is very uncomfortable, assumably because there is something else wrong with the gum or nerves. This is my 3rd attempt at temporary restoration, one time going all the way to a permanent restoration only to have it removed to start over again with a different dentist.
I have been patronized to the point that one doctor said I need to understand that it is not Cancer! I never implied it was, or even thought that for one moment. All I know is there is a problem that has been going on for over 3 years and no one has been able to identify or treat it.
Thank you for your reply.
Can you please answer this question..If the gum looks inflammed and red and burns, not so much to the touch, just an all-day/every-day pain... is this indicative of a neurological or dental issue? I did not think that even TN would present with inflammed gums.. Not that I think I have TN as I do not have the classic symptoms of that disorder. But I find it hard to believe a neuropathy would cause an isolated area over 3 teeth to be red and inflammed.