Dental

Ask a Dentist. Get Answers to Your Dental Questions.

Ask an Expert,
Get an Answer ASAP!

Dental
This answer was rated:

I have chronic pain in my lower right side jaw and gum area

that has now lasted for...
I have chronic pain in my lower right side jaw and gum area that has now lasted for 3 years ever since I had an ill fitting bridge placed. I have seen all the experts and tried all the meds. I''ve tried antiseizure meds, antiinflammatory, antidepressants,narcotics,injections of steriods and marcaine to the tmj area. I recently was very excited to get a botox injection to this site as I JUST KNEW this would be the answer, well, it wasn''t. I have done microcurrent therapy with some relief but it requires a great deal of time daily and I have a young family and a consumming nursing job that makes that tx almost impractical. I have spent hours surfing the web trying to google key words to find that one person out there with the answer and tx. Please someone direct me. My pain is daily, constant with a few variations. Sometimes the burning changes to intense ache and very rarely I have some shooting pain. Please, somebody give me another idea to check out.   Thank you. Dawn in Montana
Show More
Show Less
Ask Your Own Dental Question
Answered in 3 minutes by:
3/19/2008
Dr. Behere
Dr. Behere, Dentist
Category: Dental
Satisfied Customers: 2,847
Experience: Masters degree, years of experience with all kinds of dental problems.
Verified
Hello,

Thanks for putting up your question on Just Answer.

Before I answer, can you please supply the folowing information :

1. Were X rays of the TMJ made ? Any diagnosis given?
2. Do you hear a clicking noise when you open or close your mouth ?
3. Is the bridge still there ?

Regards,
Dr. Behere.
Ask Your Own Dental Question
Customer reply replied 9 years ago
xrays and an MRI was done which was found to all be normal. No nueromas or and abnormalities. I have no clicking noises. The bridge was removed about 5 months after it was seated. When the bridge was removed the dentist noted that the pontif (sp) was especially large and the tissue under the bridge was weeping serous and the tissue was white and gray in color, almost like a mascerated look.
Hello,

Thanks for responding.

From what I gather, the illfitting bridge, in the 5 months that it was there in the mouth, has caused havoc with the tissues in the lower right jaw region.

What I dont understand, that if no organic problem with the TMJ was ever found, if all X rays, MRI studies were normal, no clicking noises, no pain in the TMJ, then why was therapy direceted towards the TMJ ?

In fact would say that you are lucky, that so much intereference in the working of the joint did not worsen the situation.

Now, you have tried antiinflammatory meds,antiseizure meds,injections,botox,microcurrent tx,root canals, apioectomty,MRI, narcotics, antidepressants, fentanyl patches.

Phew, thats quite a list.

Has anyone considered a flap surgery in the area where the bridge was ? It is possible that therapy was misdirected all this time. The bridge probabaly was improperly constructed and it caused a deep seated gum infection. The periodontist could open up the gums there, curette out the area( clean it) and suture the gums back on again.

Or , if the X rays show significant bone destruction there, the teeth involved could be extracted ( fi they have a poor prognosis).

We need to focus our treatment locally, in the are of the bridge. Thats where the problem lies. Taking tablets and capsules isnt going to do a great deal.

You mention that the pontic was very large when the bridge was removed. Maybe that is interfering with your occlusion ( biting arrangement). That should be reduced in size ASAP.

I know this is not the answer you were probabaly hoping to get, but sometimes the problem is very simple and can be overlooked in the wake of expensive and lucrative investigations like MRI.

Hope this answers your question. Feel free to contact me again for more information.

I wish you a speedy recovery !!!

Regards,
Dr. Behere.

If my answer has helped you, please click on the *ACCEPT* button and give me *POSITIVE FEEDBACK*. This tells me that my advice was indeed beneficial.
Ask Your Own Dental Question
Customer reply replied 9 years ago
The tx has not been directed towards TMJ but instead the junction of the nerve branches, that is why I have rec'd the external injections in this area. When I have rec'd the marcaine and steriods the pain is instantly gone. I have had a complete blood work up and there has been no obvious elevations to indicate infection, of course that would not pick up local infections right? I have three teeth that are gone with only the last tooth which they were trying to save as an anchor in case I got another bridge. Could a local infection in the gum/bone cause this pain which seems to act like nerve damage? I agree that I need a local solution and I am searching, I am SO done with pain meds but right now it's the only way I can live and be sane. One more thing, I never have the pain upon first rising in the morning, almost like a positional/pressure issue. Can nerves respond that way? Sorry, so many ?'S. I'm just reaching out. There's so many people with great brains that I just need to pick. Also, no bone distruction and no improper bite as there is no teeth to oppose.
Hello,

A local infection in your gums/bone is not likely to mimic pai thjat is due to nerve damage.You might be suffering from neuralgia.

Is the pain sharp and stabbing ? Does it come on any random time during the day ?

Another question, is there is feeling of numbness or reduced sensation from anywhere in the mouth ?

Regards,
Dr. Behere.

If my answer has helped you, please click on the *ACCEPT* button and give me *POSITIVE FEEDBACK*. This tells me that my advice was indeed beneficial.
Ask Your Own Dental Question
Customer reply replied 9 years ago
Neuralgia is my official diagnosis right now. I do get sharp stabbing pain but not as often as the CONSTANT burning and ache. I do also have some altered sensation to the lateral side of the tounge which is directly across from my injury/pain. Other than having the procedure of a complete perminate block such as having the nerve clipped or the radiofrequency ablation is there any other thing you have heard of. I even tried to talk my dentist into doing a daily block but he said no. Do you think that the old type analgum (sp) could have wept into the opening from an old filling while I had the opening under my bridge? I will look forward to your answer. I understand this is a quick question web site and I have probably exceeded my quota of ?'s. I just hope that you have heard of something new and upcoming so I have something to look forward to. Thank you again.
Hello,

You are prepared to take a daily block ? I think you are the most fiercely motivated patient I have seen till date on Just Answer.

I suggest a very simple solution, if you do indeed have neuralgia.

I have successfully treated patients with neuralgia adopting the following approach. It is non invasive, guarenteed and life long.

Start taking tab. Tegretol ( Carbamexapine) 100 mg, 5 times a day. That would be a total of 500 mg of Tegretol in a day.

If you get complete relief, tell yourself that you will have to take this tablet throughout life. If there is partaila or no relief, gradually keep increasing the dose, till you reach a maximum of 1200 mg a day.

I am positive that you will get relief at this maximum dose, if not lesser thant that.

Carbamezapine is a part of a a group of drugs called anticonvulsants. It works by decreasing nerve impulses that cause pain.

You can read more about it at http://www.mentalhealth.com/drug/p30-t01.html

and http://www.drugs.com/tegretol.html

Dont worry about exceeding your quota of questions, there is no such thing. You can ask me 50 more, no problem !!!

Again. im sorry, you probabaly expected ,me to tell you a miracle cure that has just been invented, but neuralgias are best treated by the way I have outlined above.

And I really dont think this problem has been brought about by the old amalgam filling.

Hope this answers your question. Feel free to contact me again for more information.

I wish you a speedy recovery !!!

Regards,
Dr. Behere.

If my answer has helped you, please click on the *ACCEPT* button and give me *POSITIVE FEEDBACK*.

A * BONUS* will be highly appreciated. This tells me that my advice was indeed beneficial.
Dr. Behere
Dr. Behere, Dentist
Category: Dental
Satisfied Customers: 2,847
Experience: Masters degree, years of experience with all kinds of dental problems.
Verified
Dr. Behere and 87 other Dental Specialists are ready to help you
Ask your own question now
Ask Dr. Behere Your Own Question
Dr. Behere
Dr. Behere
Dr. Behere, Dentist
Category: Dental
Satisfied Customers: 2,847
2,847 Satisfied Customers
Experience: Masters degree, years of experience with all kinds of dental problems.

Dr. Behere is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Mark Bornfeld, DDS

Mark Bornfeld, DDS

Dentist

5,765 satisfied customers

Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA, American Academy of Oral Medicine

Dr. Alex

Dr. Alex

Dentist

1,607 satisfied customers

I am a General Dentist and founder of the American School of Dental Assisting

Dr. George McKee

Dr. George McKee

Dentist

1,392 satisfied customers

Licensed dentist with 30 years clinical experience in general practice and cosmetic reconstruction.

Dr. Girish

Dr. Girish

Dentist

788 satisfied customers

19 years of clinical experience in all phases of Dentistry.

Julian Chen

Julian Chen

Dentist

567 satisfied customers

Practicing General Dentist since 2002

Dr. Winterholler

Dr. Winterholler

Dentist

266 satisfied customers

4 years Private Practice, Heavy emphasis on Cosmetic Dentistry and Implants, Top 10% of Dental Class

Dr. Mitch

Dr. Mitch

Dentist

211 satisfied customers

DMD General Dentist Private Practice Over 20 yrs.

< Previous | Next >

Related Dental Questions
I had a root canal 2015 It is reinvested. It will cost 2000
I had a root canal 2015 It is reinvested. It will cost 2000 to have it fixed. I can not afford this More problems to have it pulled… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,904 satisfied customers
I had a root canal done in two parts. One half before
I had a root canal done in two parts. One half before Thanksgiving and the 2nd part right after Thanksgiving, I went back several weeks later with excruciating pain in the gum area. It felt like shoot… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,904 satisfied customers
Need to know what is street price for root canal in
need to know what is street price for root canal in Brooklyn, NY or NYC. Need to do #15. My doctor said 3 canals, may be 4.… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,904 satisfied customers
I have an appointment tomorrow for a root canal to fix an
I have an appointment tomorrow for a root canal to fix an abscess. I was originally taking an antibiotic to see if that knocked it out. I now have a white coating on my tongue, but does not hurt or ca… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,904 satisfied customers
I had a root canal done, as well as a retreatment on that
Hello,I had a root canal done, as well as a retreatment on that same tooth after a few years (canine upper right). It's been another year, but I still have occasional pain and tenderness inside the no… read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
339 satisfied customers
Is it normal for a root canal procedure to take more than 7
Hi, is it normal for a root canal procedure to take more than 7 hours and it's still not over?… read more
Dr. Katz
Dr. Katz
Dentist / Anesthesiologist
Doctoral Degree
3,683 satisfied customers
I had root canal last Wednesday on a tooth that was just
Hello, I had root canal last Wednesday on a tooth that was just sensitive to heat and cold. After the root canal the tooth is not sensitive anymore but it is extremely painful on bite or pressure. Bas… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,904 satisfied customers
I had a root canal done, that turned into abscess, i went on
I had a root canal done, that turned into abscess, i went on antibiotics for some time and it seemed to clear up and now it looks like i have a skin tag growing off the side of my gum on that toot. Wh… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,904 satisfied customers
I had a root canal done in a bottom tooth 8 months ago. The
I had a root canal done in a bottom tooth 8 months ago. The tooth is covered with a crown. Had no problems until the past 2 weeks I have noticed an occasional mild pain in this tooth--a couple of days… read more
Dr. Katz
Dr. Katz
Dentist / Anesthesiologist
Doctoral Degree
3,683 satisfied customers
I had a root canal last week Thursday and severe neck pain
I had a root canal last week Thursday and severe neck pain started suddenly Sunday evening. Pain moves around down the top of shoulder and up back of head and sometimes all over neck. Quite sharp at t… read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
339 satisfied customers
Tooth 18 is in pain and suggestive of root canal but I have
Tooth 18 is in pain and suggestive of root canal but I have root canal on tooth 19 and an infection has been spotted and been told I will loose it and root canal is not option for it? Should I go ahea… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,904 satisfied customers
I had a root canal treatment on a tooth in 2010 and it
Hi, I had a root canal treatment on a tooth in 2010 and it started paining a couple of days ago.. My dentist took an x-ray and said tooth needs to be extracted as there is an abcess at the root.. I ha… read more
Dr. Katz
Dr. Katz
Dentist / Anesthesiologist
Doctoral Degree
3,683 satisfied customers
I have a painful root canal with pain all the way to my ear
Hi. I have a painful root canal with pain all the way to my ear and eye on left side of my face. I feel swollen around tooth, and having hard time swallowing on left side. There is no dentist opened o… read more
Dr. Katz
Dr. Katz
Dentist / Anesthesiologist
Doctoral Degree
3,683 satisfied customers
Can you recommend a dentist specialising in root canal
Can you recommend a dentist specialising in root canal treatment please-in the stockport area … read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
339 satisfied customers
Can or will a periodontist who is in the middle of a
Can or will a periodontist who is in the middle of a treatment plan with a patient for a full mouth reconstruction, extract a tooth? In July I had my first surgery. Four maxillary implants and several… read more
Dr. Katz
Dr. Katz
Dentist / Anesthesiologist
Doctoral Degree
3,683 satisfied customers
I have a tooth #15 with a root canal that is sensitive to
I have a tooth #15 with a root canal that is sensitive to temperature, but not sensitive to pressure .... I woke up with the corresponding lower molar now aching and sensitive to pressure ..... … read more
Dr. Katz
Dr. Katz
Dentist / Anesthesiologist
Doctoral Degree
3,683 satisfied customers
I just had a root canal done. The dentist told me that the
I just had a root canal done. The dentist told me that the cavity has approached the nerve. He use some kind of cold test and I don't feel anythjng. He said I haven't have any infection but I need a r… read more
Dr. Behere
Dr. Behere
Dentist
2,847 satisfied customers
My dentist recommended getting a root canal on tooth #15. He
My dentist recommended getting a root canal on tooth #15. He said the tooth was already dead. I have never had any pain or sensitivity in the area in question. Is it possible for a tooth to have died … read more
Mark Bornfeld, DDS
Mark Bornfeld, DDS
Dentist
Doctoral Degree
5,765 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x