Pained,
I assume the copy of that radio graph of a tooth is your tooth? I have not be on here for several days and have not yet read any other posts by you.
I know for a fact that unexpected or unintended issues, unbeknown to the patient and sometimes even the dentist, can and do occur during dental treatment. Unless the issue is blatant at the time of occurrence or it proceeds to become symptomatic, most of the time the "issue" goes unnoticed or unmentioned. Something can occur that is injurious to the patient that does not affect the trigeminal nerve but rather a different area of the mouth or possibly the sinus area which can cause symptoms of atypical facial pain. Sometimes the injury is permanent and other times it's not.
I agree that treating the symptoms is not usually a solution to the problem. For instance, treating facial pain that presents itself as a neuralgia type pain when the pain is more than likely associated with an infected and/or root canaled tooth... or a cavitation in the jaw bone where infectious bacteria has migrated to from either a present or previously removed infected or dead tooth... is certainly not the solution. I agree that the longer the "issue" is present, the less likely for a permanent solution.
The problem that occurs with many people who are misdiagnosed and therefore mistreated for ATN or other similar problems supposedly not related to their "existing" dental problems, will most likely never find relief. The systemic concerns associated with infected teeth and dead teeth are numerous and because these people are repeatedly misdiagnosed, the problem becomes widespread. Again, the longer the issue is present, the less likely for a permanent solution.
Also an injury to the trigeminal nerve in the jaw, whether it be due to infection or trauma, can absolutely create problems in other areas of the face, and head, including the brain. There is an intricate connection of nerves, ligaments, muscles, blood vessels.... that communicate from the TN to other areas of the face, neck, head.... etc. One communication to one area, sets off communication to yet another area, and so on. Along with that, inflammation and infectious bacteria really have no boundaries.
I'm curious if that xray is of your tooth, do you still have this lower molar or was it extracted?
Bryanna
Quote:
Originally Posted by pained
Because there seems to be much confusion on other posting sites....
If you go to the dentist and walk out in pain, you do not have Type 1, Type 2, or ATN. You have neuralgia on the trigeminal nerve which is an injury, not the disease/disorder. Treating dental nerve injuries with treatments that are intended to be for the disorder/disease such as, MVD, Gamma Knife, Freezing, Cutting, Botox, will only make it worse. It may get better for a period of time but the pain will return with a vengeance.
People, including doctors, throw out that TN diagnosis like it is a one type fits all. It isn't. I'm not sure that many doctors even know the difference. They are VERY different. Unfortunately, most dental nerve injuries are not treatable with anything other than medications unless you are able to intervene immediately after it happens.
Please just be aware of the difference and proceed with caution. Understand your injury and what your doctor is recommending.
An injury to a nerve in the jaw does not cause a blood vessel to press on a nerve way up stream towards the brain.
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