I Have written to you before with my problem.
I had an infected root canal removed in may 2013 and they root canaled the tooth again, the tooth is an upper lateral front tooth. I never had any pain in this tooth which had a false crown on it because my own crown had broken many yeras ago byt the false crown suddenly fell out of my mouth when I was floshing. My dentist did an x ray and saw a "change" in the bone an said that he had to do the root canal again to stop the infection. So he did that and just briefly glued the crown but it was always falling out and I had do go to the dentist for 3 times to glue this crown stuck after he had done the root canal cleaning treatment. Finally he did some work and the crown was stuck, he took a very long time in this, I remember, but after this 3rd time with the dentist I suddenly felt pain, like a pain in my bone. He put me on dalacin (clyndamicin) and the pain stopped but it mooved down to my front lower tooth, the opposite tooth. The pain there was felt like something was stuck between my teeth, very very irritating. Nothing even touched that pain, I took Vicodin but this strange feeling in my lower front tooth just stayed there. Until I decided to go to the dentist and he decided to root canal that tooth too. This tooth just had a very little filling, leeking filling, but a root canal was not the right thing to do, but he did that. About 3 days later the pain suddenly stopped in the lower tooth. I felt good. Then, 2 week later, in the middle of July 2013 the pain came crawling back and then it was felt both in the upper front toot and the lower front tooth. The lower front tooth was very sensitive to touch, both on the inside and outside and when I use dental thread. The lower tooth pain is not bad, just when I touch the tooth, it has a "burning sensitvie" felling (I know what you are thinking now, nerve damage) . But this is so strange because if I the lower tooth is sensitive to the touch I can not feel the pain in the upper tooth and vice versa. In july 2013 I had to go to the dentist so that he could finish to fill the root canal lower tooth, at this point they had already finish the upper tooth. After they finished the lower tooth the pain just got worse, both in the upper are and the lower. Then my dentist tried to numb me by injecting analgesics on the upper area to see if the lower tooth would be ok with that and the sensitive lower tooth does get a little bit better when the upper area is numbed but not on the side of the tooth were I flosh with dental thread. OK, Me and my dentist decided to remove this upper tooth which had been root canaled tvice as you know now. On August the 24th they took the tooth. I thought I would just get better wright away but NO. I just stayed the same, I got a flipper which gave me really horrible pressure pain in my mouth and the pain in the upper area and the lower area just stayed the same. I went to a neurologist who put me on Gabapentin, the drug took the pressure pain from the flipper away but nothing touched the other pain.
On 7th of November 2013 I went to a special dentist who specialices in implants. He gives lectures all around the world and is thought to be the best in my country. He put the implant in, also a bone graft. When he opened the area he said: "there is an infection poll hanging around the bone" . He scraped that away, and worked on this and then put the bone graft I think followed by an implant.
After this surgery I did not get better. The pain just stayed the same. In late January I got a crown, "a plastic crown" to begin with because he wants the gum to adjust further to my teeth before he puts the final porcelin crown some day later.
After I got this crown and stopped jusing the flipper the pressure pain from the flipper went away and it was like the pain in the upper are stopped for a 2 - 3 days but then came back and it had mooved to the area were the bone graft is. Now I am still in pain, the pain switches from front lower tooth to the upper. I have tried to take gabapentin again because they say that it is neuralgia, atypical. It is like the Gabapentin takes the edge of the pain away. My pain is not big. It is maybe 3 - 4 on the scale 1-10 but is is pretty constant. Always when I wake up the lower tooth is sensitive. Then I get up and after a few hours the pain mooves to the upper area and then during the day is either on the upper side or the lower. The pain in the upper side is deep and is like a pain in the bone. I try to use lidocane but it does not take the pain in the upper side away. I the pain is in the upper side and I put lidocane on the gums aboeve the implant tooth it only stopps the pain in the lower tooth a bit. My pain specialist dentist whic I am also seeing he tried to inject me with analgesics and that is the only thing that stops the pain in the upper area, always a big relief when he does that, just to help me.
2 days ago I went to see another specialist who also is a professor in the univeristy hospital, a dentist also. He sent me the university 2 days ago and they took a picture, I was standing and had something in my mouth while they were taking the picture, is that a 3 d picture? I am not sure.
But before they did the picture he examed me and he said that he felt like the implant was a little little bit loose and the lower tooth too. Not much though. He contacted me by e- meil yesterday and said that he had looked at the picture and siad that it does not look 100% allright. He was going to let some specialists look at it further with him. I am waiting for an answer. He talked about the possibility of a "low grade infection" but was not sure.
Dear Bryanna, can you please tell me what you think? I would reallay apressiate it because I do not know wether this is a typical facial pain, nerve trauma, damage after dental work or an infection? After what I have written, that do you think? I am so sad an this is so hard. I want some answers. The implantolist dentist took some x rays 3 weeks ago and did not see anything abnormal were the implant is but I am curious what this university specialists will say. I just find it strange how this pain mooves between too teeth. +I had to have too molars root canaled a couple of weeks ago, they had benn root canaled befor but there was also an infection there. That was not a problem, it just hurt for a couple of days and then done. I just find it strange that I suddenly hav a nerve damage in this are , why not else were, you understand what I mena.
Anyway, sorry for how long this is and I know what you think about root canals. I also wish that I had never had root canal, then I would not be in this agony now.
Please help me. My best regards, Annika Samper.

Hello dear Bryanna again,
I got some answers from the specialists at the university hospital after they took a look at the picture and they say that there is no infection.
I do not know what to do know. Still in pain an they are talking about some analgesic treatment. I have read about Stellar Ganglion Block, do not know if that can help me. But please tell me what you think.
My best regards.

Hi annikasamper,

Based on your description it sounds like you have infection in different areas of your mouth. The teeth that have been root canaled and re root canaled are infected. There is no dental procedure that can cure an infected tooth. Inflamed and infected teeth cause pain to travel in different areas of the mouth, the face, the head, the neck.... etc.

Dentists and doctors will rarely talk against each other. One reason is because they don't want to lose future referrals of patients ($$$). Second reason is because dentists are trained to be tooth carpenters, not "doctors". Thirdly, physicians have not been educated on dental issues and they tend to treat the symptoms with medications instead of seeking the cause of the problem in the first place.

I have no doubt that you are suffering and desperately need medical/dental help. If you are not comfortable with the medication route and believe that there is a correlation between your teeth problems and your pain then you have no choice but to help yourself. The first step is to become better informed on the truth about root canaled teeth so that you can understand how these teeth are playing an integral role in the manifestation of your pain.

I know this is so difficult and you just want someone to make it all better. I wish I could do that for you. However, the best thing that I can offer you is to encourage you to become better informed as it is up to you to choose the course of action that you feel is best for you.

Google...

Dr Mercola and root canals. Dr George Meinig and root canals.

Here is another site that gives pertinent information.
http://www.robertgammal.com/RCT/RCTDangerous.html

Bryanna

Thank you so much for answering me.
Can I ask you one/two thing more, sorry for bothering.
The lower lateral front tooth is root canaled as you know. The pain in the implant area in the upper lateral tooth could be coming from the lower lateral tooth you mean, referred pain ? (Hardly from the back molars on the other side? (sorry, I know what you wrote though) The pain started when these two lateral opposite teeth were root canaled. I am just so scared that there is something wrong with the implant area, my bone there and bone graft but they see nothing wrong. When I wake up the pain is always in the front lower tooth, it is sensitive to the touch -, not to hot or cold.
Thank you again.

Sorry Bryanna, one more thing.
If I numb the upper area (the bone above the implant) I also get numb in the lower lateral tooth and it is not as sensitive as always in the meanwhile. Does this say something? Is the offending space maybe the bone graft side, were the root canal tooth used to be?
Sorry but I need help and good advice.

Hi annikasamper,

Every root canaled tooth causes inflammation and irritation to the surrounding tissue, bone, and nerves. Depending on how long the tooth has been unhealthy determines the extent of the inflammation and irritation. Also, when a root canaled tooth is extracted it is imperative for the dentist to remove all of the diseased tissue and bone along with the tooth. Frequently this is not done as thoroughly as it should be and some infectious bacteria is left in the jaw after the removal of the tooth. In some cases the body will deal fairly well with it... but in other cases that area is never healthy again. Placing a dental implant in unhealthy bone will result in chronic pain. This is the risk that people should be informed about prior to giving the okay to doing the root canal in the first place.


Referred pain is also typical because the bundles and branches of nerves that are in the jaw are all shared by other branches of nerves that are associated with other teeth. So you could be having a situation where you have various areas of inflammation associated with previously and present root canaled teeth which is causing you to have referred pain. Pain to the touch indicates inflammation in the ligament and bone. Pain to temperature indicates tooth decay, an open contact on a filling, a fractured tooth, root recession, and/or periodontal disease.

Bryanna

annikasamper,

The injection to numb the upper lateral does not normally affect the lower lateral. But if there are various areas of irritation going on in both the upper and lower jaw... then the anesthetic may spread along the irritated nerves and reach other teeth not normally affected by that injection.

You could have a problem going on at the site of the bone graft where a root canaled tooth use to be. Especially if the site was not thoroughly debrided when the tooth was removed. I mentioned this is my last post to you.

I know this is a very difficult thing to be going through. You need a dentist who will be truthful with you and not hesitate to give you the information that I am giving you. I have known many dental patients to be at their wits end with their dental problems and wind up on all sorts of nerve blocking medications when in fact it was a dental problem all along.

Have you looked in to possibly seeking a dentist who participates in the IAOMT organization? I cannot vouch for every member but generally these dentists/doctors are educated beyond their initial schooling and they understand the risks with root canaled teeth. Here is there website... IAOMT.org

Bryanna

Dear Bryanna,

I live in a very small country and I took a look at the site you sent to me and my country is not on the list. I think that holistic dentistry is not practised here in this little country. I just want to add a little thing: please help.
1. My implantolist he did some drilling I think, he said there was an infection outside the bone, "a pool of inflammation" !!!!! not osteomielities before putting the implant he said. He is supposed to be the best in my country (what do I know) My question is, if I take for example a course of clindamycin, would the symptoms get a little better with antibiotics if there is an ongoing infection? I just need some answers, there is no one here in my country to help me with this the way I need. I know that antibiotics will not cure anything by now but would help me to find out what is wrong?
2. The original pain was were the upper lateral tooth was, in the bone above the tooth. When I got the implant the pain moved to the bone graft side, it moved maybe 1/2 cm or 1 cm to the right.
Should I let another implantolist look at this an maybe take the implant away and the bone graft and get a bridge, what about my bone then and the pain?
3. To know if there is an ongoing infection on the implant side, would someone have to take a biopsy, would they have to move the implant to do it, is it a big procedure?
4. Will I always have a problem with this implant because the bone was bad and I got a bone graft? Why not take it away?
I feel so alone, this is horrible.
5. One more, I suddenly started to get pain in tooth number 5 , upper 2nd molar, on the same side as the implant is. This is an old root canaled tooth with a crown, it is totally black, the tooth itself, the crown is white ofcourse. I started to get pain in this tooth yesterday, have never felt anything in it, could it be the reason, referring pain to the implant side and lower lateral front tooth? Followed by this pain I suddenly felt very bad taste in my mouth ? Why now feeling this tooth, why not 5 years ago, if it is infected, maybe with necrosis? Today I feel no pain, just on the bone graft side and the horrible taste is gone? What is going on?

Please Please just try to help me, I have not got a pain clinics to go to or holistic dentist, I would have to travel to another country to meet someone.
Thank you and my best regards.

Sorry, I have to add two things, please help me with these ones too.

1. An x ray, taken in the university hospital, looked at by professors in the dental apartment and they see nothing wrong with my mouth. The picture was taken while I was standing with a "plastic mouth prop". If there is, say, a necrosis in one/two of the root canals in a "root canal treated tooth, would it show up in this kind of picture? I saw the picture and it was one picture not many I think? Will a serious necrosis and maybe followed by inflammation always show up on this kind of x rays?

2. I am always touching this front lower lateral tooth which is sometimes very sensitive to the touch, I am not biting on it, just always putting my fingers on it and feeling it, is this making matters worse?

Sorry but Please help me. My best regards and many many thanks to you.