I have a history of a sensitive tooth being involved with a first episode of trigeminal neuralgia. Tooth pain alleviated but left me with excruciating episodes triggered by eating, talking, random . Started on Tegretol with relief in 4 days. Second episode same tooth but this time continued pain with biting . Emergency dental visit .. tooth numbed diagnostically to determine if tooth infection VS TN. No relief with numbing infact after I left the dentist pain worse. I increased my Tegretol.
I had no let up on pain 24/7 for 4 days always around 7 on pain scale even with opiates, Tylenol and Motrin. The spasms would be frequent shooting pain greater than 10 and would involve my ear, tongue and palate. I developed swelling and skin sensitivity . Back to urgent care I was placed on antibiotics the question here is I had less than 12 hours on antibiotics , 4 days on increased tegretol? I woke the next morning back in the world with a pain level of 2-3. The question and quandary ... Did I have a tooth infection or TN. I am to see in endodontist 8 days post antibiotic I am so worried as first off I do not want to have a root canal if I do not need one especially with TN. I am sending all my scans , X-rays so they have a complete picture. Has anyone had work done to their teeth on the side they have TN. I am terrified it could trigger another horrific episode.
What is everyone’s pain Management plan when they have an episode ? Thank
You for listening.