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Old 10-03-2014, 09:30 AM
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Bryanna Bryanna is offline
Grand Magnate
 
Join Date: Feb 2007
Posts: 4,624
15 yr Member
Bryanna Bryanna is offline
Grand Magnate
Bryanna's Avatar
 
Join Date: Feb 2007
Posts: 4,624
15 yr Member
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Pam,

The esthetic appearance of our teeth is not a good indicator that they are healthy. So to have a great smile or similar is wonderful but it can be deceiving. That is why pathology as to what is happening inside our teeth and jaw bone is most important from a health standpoint.

Every root canaled tooth is infected and diseased, there are no exceptions to that. So even a root canaled tooth can look esthetically great but it is black and putrid on the inside.

The itchy feeling indicates an irritant and it may be due to the periodontal ligament still being in the bone. This ligament needs to be removed when the tooth is removed otherwise it will be a constant source of bacteria and inflammation which can eventually lead to referred discomfort or pain as it becomes irritating to the bundles of nerves. All too often people who are diagnosed with facial neuralgia after a tooth has been removed will blame it on the extraction when in fact it may be linked to the ligament being left in the bone. I recall, you didn't see the OS, you had your general dentist remove these teeth, correct? Most general dentists do not remove the ligament as they think the body will just miraculously absorb it.

Just to give you an idea of the purpose of the periodontal ligament and to give you a comparison to something that may help you understand it's purpose and why it should not be left behind after the tooth is removed.
The periodontal ligament is a live and very hearty fibrous tissue that wraps around the circumference of the root structure of the tooth. It helps to protect the tooth from harm and it feeds the tooth and the surrounding bone nourishment via the blood vessels. When the tooth is removed and the ligament is not, the ligament dies and becomes diseased having a negative and unhealthy affect on the bone. The periodontal ligament is comparable to the placenta or after birth of a pregnancy. The ligament and the placenta have the same functions, to protect and nourish as long as there is something present that needs protecting and nourishment. The difference between the two, aside from the obvious, is that the placenta is in tissue and is able to disengage itself with or without help... the ligament is in bone and is not able to disengage itself without physical intervention. You can imagine how ill a woman would become if the placenta were left inside of her body after the birth of her child. So imagine the progression of problems that can occur when the periodontal ligament is left in the jaw bone.

I can no be sure this is your problem as I was not assisting the dentist when he removed your teeth. But all too often this situation occurs and goes undiagnosed and then misdiagnosed as some form of neuralgia.

The only person that can answer the question as to whether the ligament was removed or not was the dentist who extracted the tooth. But do not expect him to be completely honest as to admit he left it behind is not professional in his best interest. Sometimes an xray will show if the ligament is still present. But it may not show until the site has healed for awhile. So maybe you should have an xray done in a few weeks from now.

Also, I believe you previously mentioned that you were using a lot of orajel. Again this stuff can cause further irritation and an unpleasant reaction to occur.

Bryanna



Quote:
Originally Posted by Pamissotired View Post
Hi my teeth I am always told look good and healthy. Even the two I just got extracted. Everyone was very sure surprised I wanted them out even though they have bothered me for years. Worse this last year. It feels like I need to scratch the missing tooth. Also the gums above where it was closer to my nose itchy pressure aching feeling. I'm not really in pain though so I think I'm going to have a hard time getting a dentist to help out.

I've only really used the Oragel a few times I'm desperate for something other than the advil Tylenol combo I've been trying. I really don't like pill popping especially when it's not really helping.

I do however have very real pain in all the muscles on that side and find it impossible to get my jaw comfortable. Still only chewing on the other side, which is difficult for me. I never realize I used up do all my chewing on the now useless side. Not sure why I favoured it, been told by a few people my jaw opens nice and straight.
Is there anything I should be askng dentists? I have no idea what to try. The endodontist is sending me to "the facial pain specialist" whatever that is. He simply told me that's where he sends people he doesn't know what else to do with. Very expensive for who knows what help, I'm guessing just more pills but I'm hoping something else.
Pam
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Bryanna

***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.***
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