Hello again having a very bad day. Thank you for answering my posts.
My cheeks bone is again bothering me such as before the extraction the extraction site feels mildly itchy. But my jaw cheek pressure is awful, I'm stressing out that maybe this extraction has done nothing.(the premolar hardly notice the wisdom tooth). It hurts not at all to open my jaw not stiff, just hurts all the time. Once in a while I also get weird aches in my chin. My three remaining teeth on that top jaw are very bothered aching. Closing my mouth is bothersome. I'm having a very hard getting my jaw/cheek to relax its really bothered. I'm sorry this is hard to explain, I used to gently rest my teeth together to relax now that is excruciating(or it gives me a tension headache)

Does this sound like nerve damage? Or tmj? Or like I just need more healing time? I took extra strength Tylenol and one Advil nothing.

Pam,

Your description of symptoms may indicate a sinus problem. Either infection or inflammation or both. Long term sinus problems can cause pain in various areas of the face, head, eyes......

Have you consulted with an ear nose and throat physician?

Bryanna

Hi Bryanna thank you again
Can I ask you more questions about sinus infections?

Hi Pam,

Sure. I'm limited to how much information I can give you about them but I will share with you what I know.

Hello again thank you for your continued help . Sorry I feel like I'm beating a dad dog with all these posts but I still have not found relief and it is so nice to talk about it. Gives me an idea of what to do. I found this post on the internet describing someone else's tooth pain that describes what I had been feeling.

"However, a few days ago, I felt a 'vibrating' pain in this tooth. (This was not a rootcanaled tooth mine was) It didn't hurt when I ate anything, but after eating or late in the night I would notice this vibrating pain. The 'pain' got worse, and when I tried to pay attention to exactly what I was feeling, I noticed that what I was really feeling was an "itching" sensation in the core of the tooth. (Yes! Me too)

I notice when either I grind my teeth, or if I chew on a napkin over this tooth, or even run a toothbrush back and forth over it...I feel relief - as it I'm scratching an itch. Very strange. (Yes me too I loved chewing or grinding this tooth as that felt better)

I can see the tooth and I don't see any swelling, discoloration or rotting appearance. The tooth feels sound and solid, it isn't loose. Just this 'itching' feeling in the root.
Someone responded to her with

i had a very similar experience to yours, part of a filling came out after chewing a toffee and left a small cavity!! NO PAIN...just a funny sensation when eating or pressing down. brushing was ok but i started to bite my teeth together to relieve the funny pressure. a couple of months later, amazing tooth and jaw ache, sleepless nights and lots of headaches! I went to the dentist (too late) and after xrays was told i had a small abcess under the tooth which was tingling and causing infection, i wish with hindsight that I went straightaway to get it sorted, the tooth had to be extracted under general anesthetic (2 month waiting list) as the roots of the tooth were crooked and my, by now, large abcess scraped out! Antibiotics, time off work in pain, swollen cheek. not good. Please go to your dentist as soon as possible, be brave and get it seen to. your itching sensation could turn out nasty. stop it before it gets worse. good luck.

So I have gone to the dentist they see nothing. I have had a re root canal done, didn't fix it(though I didn't give it a lot of time...). Now I've had an extraction and still feel this itchy pain like I need to grind this now missing tooth. Plus a pain pressure in the gums where the tooth was. No sharp or stabbing pain just this constant deep ache itch. The cheek temple pain I think could be from tense muscles on that side? Now it's starting to feel like it's the tooth behind the now extracted tooth. Also my the two teeth in front (the canine and second incisor) are still pressure sore. So this super long was just to see if this better explanation would help at all. Any ideas?

Oh I almost forgot I'm seeing a facial pain doctor next Friday not sure if this is going to be a waste of money but I'm hoping some help will come out of it.

Pam

Oh I forgot I didn't think it was sinus because I haven't had a cold. It only one side. I am not plugged up or stuffy. The gums where my tooth was look funny to me like bruised a bit and protruding, like there's a hard itchy bump but that could just be the bone. I'm not sure also the canine which never bothers me and has nothing wrong with it has a small hard bump to which is a very pale color. Wiggling or flossing the premolar behind the extraction sight feels very good while I do it... Try not to. Oragel helps a bit.

Pam,

When a patient has an "itchy" feeling in or near the socket of an extracted tooth this could indicate that the periodontal ligament was not removed at the time of the extraction and it is irritating to the socket and tissue. It could also indicate that there is bacteria, plaque or something else causing an irritation. Orajel has preservatives in it and some people are allergic or sensitive to them which would cause an itchy feeling. Sometimes you can become sensitive or allergic to it with repetitive use and the discomfort can become more widespread from the irritation and reaction to it.

Are you aware of other teeth in your mouth that have problems?

Bryanna

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

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

Hello again I am positive he did not remove anything but the tooth. He yanked it out I asked is that it? You don't need to clean anything else out? He said no that's it just the tooth.
So I saw the tooth it looked quite clean nothing else on it. I will ask in the consultation I'm having Monday. I have a feeling they will look at me like I'm speaking A different language. Would this cause this pressure feeling in my other teeth?

Pam