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Thank you for your question. I'll do my best to answer it for you.I'm so sorry to hear about your mandibular pain.There are many things that can cause atypical pain, it may involve a nerve being compressed. sometimes it is a neuropathic pain without a clear cause and sometimes temporomandibular joint disorder can cause pain of this type.As a dentist specialized in Prosthodontics, on the base of history of your disease and your condition, I think your symptoms are most probably because of a Trigeminal Nerve Neuralgia.It is a very specific kind of facial pain that involves the trigeminal nerve and it is fairly rare condition.In such case the trigeminal nerve compressed by blood vessel at the pint where it leaves the brainstem and likely to your case, the pain worsens at night because when you are laying down, a blood vessel shifts to touch the trigeminal nerve in a different way from your standing positions.So I highly recommend you to visit an experienced oral neurologist or neurologist and ask for help. In the case of Trigeminal nerve neuralgia you may need to have a CT scan or MRI to find out where the nerve is compressed.Don't panic and worry about your condition, it is curable by medications that reduces the sensitivity of your nervous system enough that you don't have such pain at night.Also non drug therapies such as relaxation and meditation can help to reduce pain level and enhance pain coping.I hope you get well soon.
If you have any more questions, I am happy to help as much as possible so feel free to ask.
My 2 dentists have recommended that I extract that lower jaw wisdom tooth. I am not sure if the pain is due to the wisdom tooth.
No I don't agree
a decay can not cause such irradiating pain along the jaw
You have a night pain and it increases when you lay down
I had couple of patient with the same symptoms and other dentist extract their healthy teeth 7th teeth
And there is pain in my lymph node/salivery gland(i don't know what you call it), but is at the area of submandibular and parotid gland(at the point below my ear lobe) I also actually have a low grade fever on-off the past 1 week. My normal basal temperature is never above 37 degrees.. and now is actually 37 - 37.5
so they are sign of inflamations
it can be a different story
but it doesn't have dental origin
what about your mouth opening
Yes i can open
i am worried that it is some gum disease or infection going from my wisdom tooth to my surrounding gums and making my teeth loose?
if it was so your dentist could see the bone resorption around the teeth
what did he say about the dental X-ray?
it didn't actually start like that. When i had the pain at first, it was my right side(upper and lower) sensitivity to cold drinks, and even room temperature water. After the pain went off in 1 week - 2 weeks time, i started to have pain on my left and right upper and lower
she said that she can see slight decay between my wisdom tooth and the tooth in front of it.
such irradiating pain most of the time are neuralgia
and cause can not be determined
She said the decay is not able to cause such pain
Yes that's the point
so how they recommend to extract the teeth
I highly recommend you to do a CT scan
if you visit a neurologist it will easily diagnosed
on my upper wisdom tooth, it has been decayed to the core as seen on the xray. I had it removed on wednesday. But the pain seems to be coming from my lower left jaw, glands,
I also have a tooth in front of my upper wisdom tooth that require possible root canal treatment
and I think 80% it is from a neurologic factor not from a dental or gingival one
could that tooth be the cause?
it has the same process
pressure of the vessels of root on the nerves
and it will increase when you lay down
it can be the reason
but the tooth is located on the upper jaw
why is my pain at the lowe jaw
no it is impossible
pain can not irridiate from the maxilla to the mandibule and chin
did you have any tooth extraction
or any trauma
yes my upper wisdom tooth
which could lead to nerve damage before?>
in the lower jaw I ment
however i had the radiating, cramps like, throbbing pain before my extraction
Nothing done on my lower jaw
and you can normally open your mouth?
no pain or discomfort
more likely it is a trigeminal nerve neuralgia or neuropathic pain
when i touch my skin during when the pain is intense, the skin feel warm to touch, and the glands are very tender and painful to touch. Then i use my tongue to touch the "inner jaw" at the side where is painful, it feels even More painful when i use my tongue to touch it...
yeah i can open my mouth
It might be a salivary gland infection or stone but the symptoms are likely to neuralgia
specialy your laying down and night pain
and you don't have any swelling
and you don't have discomfort when you are eating food
I had 2 patients with the same symptoms
a dentist extracted 37th tooth
but it didn't help
till visiting the neurologist
the discomfort i had with biting food is with my upper tooth the one pending for root canal
not the ones below
i don't really feel discomfort
yes I see
i mean when chewing foods
patient with the salivary gnad disorder usually has pain and swelling when eating food
oh by the way
so it is unlikely to normal parotid gland infection or cyst or stone
when i had the pain at night while laying down, there is small swelling behind my lower ear lobe that will swell even more when i had the pain... is that also the neuralgia thing?
yes sometimes there is very painful swelling at the trigeminal neuralgia
your fever can be because of inflammation around your upper jaw tooth
you told 37.5
it can be normal in the inflammation of root
What should i do? Get a CT scan of the head? or?
you should visit a neurologist
and he will order a facial CT scan
is hard for me to get a referral to neurologist from public healthcare
i think they will all refer me to a dentist..
Also I want to mention that in some cases parotid gland cancer or tumour can have the same symptoms
it is so rare by the way
But I think the reason of your pain is not a dental issue
and it is likely to neurological pain
If neurologist could not diagnose the problem
visit an experienced oral pathologist
not a dentist
ya i know what u mean... i saw one earlier in the day...
it is not a serous problem
if say, i would like to try to remove that wisdom tooth, will it going to aggrevate the pain?
but some dentists can make a big complication out of it
I don't think so
such pain can not have a dental origin
unlikely to a Careis!!!!
many dentist when can not find any reason for pain they just extract the wisdom tooth or other tooth and most of the time it doesn't help
so even if i am standing up or walking around and i still have that pain, but it is not extreme, maybe say pain score of 2-3 out of 10? does that also point to neuralgia?
it varies by the pressure of the vessels on nerve
I must mention that, as a dentist sometimes the best way to treat a toothache is to not treat the tooth. Not all toothaches come from teeth, our job as a dentist is listen to the patient,relieve the pain and either treat the tooth or involve other doctors to treat the condition and source of the pain.
Why doesn't neuralgia respond to paracetamol or codeine or tramadol..? After i take them i feel drowsy, so i lay down thinking i will go to sleep... and so after i lay down, after a while i get very intense pain
We often see patients with pain that is difficult to diagnose and pain form different causes from a sinus infection to a neurological disorder and in some cases which likely to yours the complex network of nerves in the head face and neck.
so i have to sit up again..
you need an anti-convulsant medicine
not an anti inflammatory or just analgetic one
I recommend Carbemazepine in such condition
it can help the condition
usually it is of unknown cause? what if there is a cause, what is the more common one?
in case of trigeminal neuralgia the cause is pressure on the nerve
unknown for dentist
it can be invastigate and a CT scan will show the exact point of pressure
There are other things that can compress a nerve, including tumours. Other causes include diseases like multiple sclerosis, which cause damage to a nerve directly.
but in your case night laying down pain can make us sure that it is a blood vessels pressure
I hope you get well soon
what is a blood vessel pressure? so it is not likely to be a tumor sitting on some nerves?
when you are laying down, a blood vessel shifts to touch the trigeminal nerve in a way that is different from your standing positions.
no it can not be a tumour
unlikely to tumour
I hope my answers helps you
Thanks a lot Dr Fazeli
you are welcome
Earlier today i have also went to research online and i saw this neuralgia word came up, and coincidentally my friend had recommended me to a hospital she went for her wisdom tooth extraction. That hospital has a oral pathologist trained in this area..
I will come back to rate the answer another day... hope that you don't mind
I hope it helped
Thank you! I'll come back again after i check out with the hospital
Do you have any more questions?
It isn't neuralgia
they said is related to my tooth that is pending for a root canal
the root canal tooth is on my upper but my pain is lower
that's why I recommend you for other tests
by the way I hope you get well soon,
I hope you get well after root canal therapy,
by the way I don't think more than one hour time is a poor service!!!
but previously u were telling me is likely neuralgia
As a dentist I told the probability
somehow is not easy to nail the problem just from some words erm
but each probability needs further test
but i have a right to do a rating too
I did my best,
sure you can
Hope you get well soon