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Old 06-22-2012, 03:41 PM #21
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Bryanna Bryanna is offline
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Hi bbano,

The most common dental problems seen in every dental office have to do with root canaled teeth or areas of the mouth where root canaled teeth use to be. Even once the tooth has been removed, there will still be at minimum, remnants of bacteria lingering in the jawbone. Sometimes the bacteria is more extensive than others due to the longevity of the infection and/or the immune system of the patient. Most people are unaware not told that they have a problem until they develop a large swelling.

The warning signs of an ongoing infection are similar whether the tooth is still present or extracted, with a few exceptions.....bad breath, bleeding or inflamed gum(s), sour or salty taste, achy or tenderness felt in one area moreso than another, the on/off formation of pimples (called fistula's) high up in the gum area along the bony ridge, loose tooth (teeth) or crown, gum recession, deep pocketing, temperature sensitivity, swelling.....etc.

If the dental implant was placed in bone that was not healthy and/or the sinus was perforated or the mandibular canal was nicked during the placement, then you will experience symptoms similar to those of an ongoing tooth problem. Dental implants placed in healthy bone with no complications, do not feel like anything.... there is an initial sensation during chewing of the "tooth" being firmer than a natural tooth because there is no ligament surrounding the implant as there is with a natural tooth, but that sensations
subsides in time.

Obviously, you feel that your overall health is being affected by this dental issue. Did you inform the ENT, the allergist, the jaw specialist, and the chiropractor that you had a root canaled tooth extracted prior to the dental implant? Did you by chance give them the history of that tooth prior to the root canal, meaning was the tooth infected or broken.. and for how long? Was it root canaled once... twice? Also, how long after the extraction was the implant put in? Did the dentist place bone graft material prior to the implant placement? All of these things give the history of the longevity of the problem and they are meant to give them a clearer perspective of what may be going on there.

Bryanna


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Originally Posted by bbano View Post
Hi, I too have been having the exact same problems since a root canal two years ago. I've since had the tooth extracted and a dental implant placed - but still my condition is the same. I've been to every oral surgeon, ENT, allergist, jaw specialist (even a chiropractor) under the sun and nobody can figure out what the problem is. I'm very curious to see if anybody has any luck with their problem.
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Old 06-22-2012, 04:52 PM #22
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Hi Becdedo,

Please don't apologize for a lengthy post.... have you seen some of mine? LOL!

Your words....are typically heard in every dental office, every single day....

<<<<I have a tooth (I believe its #13) that had a root canal 10 years ago and never really got better. The dentist who did the work told me at 6 months that pain that long wasn't unusual and everything was fine.>>>>

Your tooth is obviously infected and it most likely ties into at least some of your on going sinus problems. Root canal therapy cannot cure an infected tooth irrelevant of how many times it is performed. The main reason is due to the millions of microscopic canals that every tooth has, of which there is no access to. So irrelevant of how many times the root canal is performed, these canals continue to harbor necrotic, infected nerve material. Thus the pressure, thus the inflammation, thus the pain.... thus the on going infection.

The roots of tooth #13 can be very close if not directly into the sinus membrane. Because your tooth has had a long term infection, the chances of the bacteria proliferating into the sinus is increased. What makes that occurrence even more likely is the apicoectomy (a surgical root canal) that you had by the oral surgeon 3 yrs ago. Do you recall him saying anything about a sinus communication?

Becdedo, your tooth is the source of a severe, long term infection. The only way to stop the proliferation of the infection is to remove this tooth. I would urge you to NOT have this tooth removed by anyone working in a dental clinic or dental school. It will most likely be a complicated extraction and there may be a need to go into the sinus at the same time. This type of oral surgery requires a very experienced oral surgeon, not a student. I also urge you to NOT wait to have this done.

I'm sorry this is so blunt, but you have a severe infection that needs to be tended to asap. NO antibiotic is going to cure this infection, it may not even subside the pain for very long. The pain you have now is worse than it will be after the extraction because once the tooth is out, the source of the problem will be gone and the pressure will be less. Please see an oral surgeon asap.

Bryanna








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Originally Posted by Becdedo View Post
I'm so glad I found this board. I'm going to apologize for the long post in advance. I have a tooth (I believe its #13) that had a root canal 10 years ago and never really got better. The dentist who did the work told me at 6 months that pain that long wasn't unusual and everything was fine. I have always had a lot of sinus issues and had sinus surgery to correct several issues about 5 years ago. The pain I felt in my tooth was unbearable while my sinuses healed. I went to a different dentist 3 years ago who sent me to an oral surgeon, who did another root canal on the same tooth. About a year ago the filling came out and I have had nothing but problems. I don't currently have dental insurance so I have been going to dental schools and dental clinics with sliding fee scales trying to get the tooth fix or preferably removed. They keep quoting me outrageously high fees to do yet another root canal. This past weekend I woke up in extreme pain and with a lot of facial swelling around that tooth. I went to the ER who put me on keflex (I'm allergic to penicillin and sulfas) and pain killers then referred me to another dental clinic. The dentist cleaned out the tooth and then tried to "open up" the abscess so it could drain. It didn't and caused more pain than I ever thought possible. I went back the next day in extreme pain, saw a different dentist who said it looked like the jaw is infected, once again tried to get the tooth to drain, and said I probably have a sinus infection when I mentioned that lots of pus had been draining out of my sinuses on that side. He told me to stop the keflex and put me on clindamycin and a stronger pain pill and said when it heals I need to get a root canal. A couple of other things-I notice the sinus/tooth problems either happen together or one after the other, and why can't I find a dentist willing to just extract the tooth? It's cost me thousands of dollars and more lost hours to debilitating pain that I would rather have put toward work and family. I checked the website I've seen mentioned several times but unfortunately there aren't any dentists in my area. I have been using cold packs several times a day, taking 600 milligrams ibuprofen every 6 hours, rinsing with warm salt water but am still not getting any relief.
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Old 06-22-2012, 06:28 PM #23
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Thanks for your Reply Bryanna. I know the oral surgeon and the second dentist I saw this week both said that the roots sit right under the sinus cavity and that is why when one acts up the other soon follows. I have been begging to have the tooth pulled but haven't found anyone willing to do it for me because, "its a good tooth, we can save it." To which I usually reply, "I don't think it wants to be saved. Lets put it and me out of our misery and just pull it." It's reassuring to have my gut feeling backed up and hear that if I go for root canal #3 I'll just be prolonging the infections and pain. I have been trying to find someone who will set up some sort of payment arrangement with me so I can get the work done but so far no luck. I am starting a new job with dental insurance so hopefully I can get the work done soon. I did notice today that the pain and swelling are better overall, however I've developed a round lump under my eye on my cheekbone. It's warm and painful to the touch. I had cellulitis in my leg after a spider bite several years ago and it reminds me of that. I'll keep up with my search for someone to take out the tooth and thanks again! While it makes me feel less alone to see so many others having the type of problems, it seems to also say something about how the dental industry in the US pushes for more expensive, less effective treatment. Or maybe it's just me and the bad experiences I've had coloring my view.
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Old 06-22-2012, 08:36 PM #24
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Becdedo,

No, you are not an isolated case at all and your view is not skewed by any means. If I had a nickel for every dental patient that I know to have experienced your exact situation...... no lie, I'd be a millionaire. That's how common this is. Does that make it okay to (mis)treat people this way... absolutely not.

I think you may be running into roadblocks for a few reasons:

1) You have to emphatically state that you want this tooth removed and you are not willing to treat it any further. This statement would be interpreted as a definitive decision from you and show that you are not willing to let anyone talk you into any further nonsense.

2) Finances are a huge issue in dentistry. Dental fees for most procedures have become unaffordable for many people and it can be a temporary hardship when you are in need of emergency treatment. However, when you seek cheaper treatment at a clinic or school, you need to be careful that you are not taken advantage of and that the treatment is not inferior.

3) If you are not an established patient of a particular practice.... and this goes for not having a referral from a dentist to an oral surgeon.... the worst thing you can do is ask the surgeon for a financial break in the fee or if you can make a partial payment and pay the rest at another time. The office assumes they will never see the rest of the money and that's because they have been burned many times.

In your case, your surgery is going to be complicated. You need a reputable oral surgeon and unless you are willing to pay his fee at the time of service, you are going to have a hard time finding a good one. I don't agree with this way of doing business... I believe everyone is entitled to honest, quality dental care. But that is not how the dental profession works.... not by a long shot.

I cannot emphasize enough that you should not wait to seek care of this problem. The new swelling under the eye is indicative of advanced inflammation... this is going to get worse, not better. Waiting until you have dental insurance may not be in your best interest. Please reconsider.

I wish you the best of outcomes....

Bryanna




Quote:
Originally Posted by Becdedo View Post
Thanks for your Reply Bryanna. I know the oral surgeon and the second dentist I saw this week both said that the roots sit right under the sinus cavity and that is why when one acts up the other soon follows. I have been begging to have the tooth pulled but haven't found anyone willing to do it for me because, "its a good tooth, we can save it." To which I usually reply, "I don't think it wants to be saved. Lets put it and me out of our misery and just pull it." It's reassuring to have my gut feeling backed up and hear that if I go for root canal #3 I'll just be prolonging the infections and pain. I have been trying to find someone who will set up some sort of payment arrangement with me so I can get the work done but so far no luck. I am starting a new job with dental insurance so hopefully I can get the work done soon. I did notice today that the pain and swelling are better overall, however I've developed a round lump under my eye on my cheekbone. It's warm and painful to the touch. I had cellulitis in my leg after a spider bite several years ago and it reminds me of that. I'll keep up with my search for someone to take out the tooth and thanks again! While it makes me feel less alone to see so many others having the type of problems, it seems to also say something about how the dental industry in the US pushes for more expensive, less effective treatment. Or maybe it's just me and the bad experiences I've had coloring my view.
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Old 07-10-2012, 10:48 PM #25
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Default Wow your wife pain sounds like mine

I have been going through the same pain as your wife for 3 yrs.It all happened from a cap on my tooth.Been to many dentist,Dr specialits,Cat scan ,MRI,Bone Scans and not just once many times.The only thing they can come up with is it Chonic pain,maybe nerve damage.They removed tooth with cap still not better pain moved to next health tooth.They have me on Chonic pain medicine 5pills a day,it does not work that great.The only thing that help is to wear a teeth whitening tray over the bottom teeth on left side.I do not have TMJ been ruled out, and see no dental problem.It really sucks to live this way. I hate taking all these pills too,what are the pills doing to are body.How is your wife doing ,did any Dr find the answer yet??

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Originally Posted by clvaughnsr View Post
I am writing for my wife who has been experiencing pain on the left side of her face (cheek, jaw, ear, & face) ever since a wisdom tooth extraction in April 2009. To this date no doctor has been able to specify what exactly is wrong with her, nor can they offer relief. There are many details so I apologize in advance for my randomness:

Her initial complaint was tenderness in and around her upper left molars. Her dentist decided to extract the wisdom tooth himself rather than refer her to an oral surgeon. The procedure turned out to be more difficult than he anticipated and took nearly 30 minutes of pulling and prying to remove the tooth. The dentist told us weeks later that he also removed pieces of bone along with the tooth.

My wife was in a lot of a pain following the procedure, more so than was normally expected. We noticed the next day that her left jaw protruded right at the joint whenever she opened her mouth, but not on the right side. It wasn't like that before the procedure and it's never gone away. She has had an MRI, two CT scans, and numerous X-rays but so far no doctor has found anything they felt was out of the ordinary.

Over the last 18 months she has been to numerous doctors and specialists which include: General Practitioner, 2 ENTs, Chiropractor, Oral Surgeon, Physical Therapist, TMJ Specialist, and Allergist.

The TMJ doctor told my wife that she did have TMJ and treated her for a period of time. This treatment included medication and a bite guard that she wears at night. During his exams he stated more that once that something was odd about her left jaw area but couldn't pinpoint it. On her last visit he told her the TMJ was gone, but that she should continue the medications he prescribed (Flexeril and Arthrotec 50) and continue wearing the nighttime mouth guard.

In February of 2010 we adopted a cat. A few months later my wife began having a lot of nasal congestion and drainage. Our GP suspected allergies and it was confirmed with a blood test that she was indeed allergic to our new cat. We promptly gave the cat up, and cleaned our home top to bottom, steam-cleaned everything in sight, and purchased HEPA filters. Her allergy symptoms have improved, but have not completely gone away.

Here's a point that I find interesting. Whenever my wife has a lot of sinus drainage, her pain subsides somewhat. And when the drainage stops the pain increases. This cycle has happened many times over the past months, so we don't believe it's a coincidence. It's as if the sinus and jaw issues are inversely related somehow.

Also, since day one, my wife has noticed what she calls "swelling" inside the left side of her palette. None of the doctors can see what she's referring to, but she insists it's always there. And the area she's referring to is in the same place she had complaints about when first visiting the dentist.

There are so many more bits of information but I don't want to inundate anyone with them. My wife has been suffering for so long with this ailment and to this date she's no closer to relief than she was back in April of 2009.

She's had good days and bad days throughout all of this. She's a wonderful woman and deserves a break from the bad ones, once and for all.

Thanks for reading.

-Craig V.
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