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Old 11-08-2017, 12:07 PM   #1
typhoon35
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first off, i have trigeminal neuralgia and atypical all mixed together on both sides (lucky me) and its either that or the medication that stop me from getting numb.
so 8 days ago i had a bottom back tooth out and thankfully the dentist had got me numb, i had 4 shots and he said he used a different technique, it was a difficult extraction and in the end had to use the drill and im sure he said he took out some bone. i can't be sure. i went home and all was fine till next morning, had some pain that gradually got worse and worse. i kept looking in my mouth and checking to see if it looked ok but it was worrying me so i nipped into my normal dentist and he looked and said everything had healed up nicely and no sign of dry socket which i have had before, i had a bad taste in my mouth and was hurting but nothing like the dry socket i had years ago.

pain got worse and worse and since the extraction i haven't been able to bite down on the tooth next to extracted one and had been taking painkillers around the clock. so i called hospital dentist who asked me to go in, it was the same dentist and he said it looked fine, looks nice and if no better after 7-14 days then they would get me in and have another look. so, still taking paracetamol and ibuprofen around the clock the pain was terrible, every 4 hours i was taking them and i knew i was overdosing but there was nothing i could do.

i kept looking at it and something didn't look right, at the back of the tooth next to the extraction site, the stitches looked odd pain was bad and knew i couldnt take anymore meds so i called hospital yesterday and went in. they done a few tests and i knew where he was pressing so i said, you're pressing the back of that tooth, are you thinking what im thinking that it has something to do with that? he said yes, e both said infection. so i got an xray and they said they cannot see anything wrong with that tooth but they are going to treat it like and infection.

i had 4 jabs, my lips went numb but nothing else did and she cut the stitches and opened up. they drained the pus and there was dry socket! but while they were cleaning it all i could feel everything, i told them i could, i know you're meant to feel tugging and whatsnot but i mean i could feel the actual scrapping inside with the metal hook, basically i can only describe it as waking up during an op. they may awsell give me no injection. so it was traumatic to say the least, im not scared of dentists or needles but not being able to get numb and having work done is traumatic.

i went home and was so ill, i'd had all that, overdoing on meds and not being off the loo was awful. so far since yesterday ive done well. i slept well and only had 4 paracetamol. BUT, that tooth, i still can't bite down on it and i don't know what to do. have they not got rid of all the pus? is the tooth damaged? although it wasn't on xray. i have just about had enough of all this now. i have a horrible feeling they are going to have to take this tooth out aswell. its all been traumatic for me, i have no family and no friends and no one to talk to about it. does anyone know whats wrong please as i think im going to have to ring tomoro and go back again.

i would like to add,it is not my trigeminal neuralgia playing up all the pain i have had is completely different.
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kiwi33 (11-08-2017)
Old 11-08-2017, 03:31 PM   #2
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Hi typhoon35

Welcome to NeuroTalk .

I am sorry to read about your dental problems - I don't know enough about such things to make any helpful suggestions.

However, I am sure that other members will be able to help you.

Best wishes.
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typhoon35 (11-10-2017)
Old 11-09-2017, 10:52 AM   #3
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Don't hesitate going back to the dentist for this if you need to.
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typhoon35 (11-10-2017)
Old 11-10-2017, 05:32 PM   #4
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hi, thanks.

i went back again. i must say they are very thorough at the hospital dentist. either that or they were fed up with me.

i'd had a swab taken from the infection and that had come back as 'normal'. but i had two further xrays on that extraction site to check and double check to see if there was any tooth had been left behind and that was clear and nothing wrong with the tooth that hurt and all the socket and whatsnot looked fine. so they said it was referred pain. they cleaned it again and packed it again, they put so much of that stuff in it nearly choked me (im not sure if that was purposely done) but seriously, just touching it right now i've only just noticed it doesn't feel tender around there. the packing looks like its ready to fall out which im worried about incase i should get any pain, its friday night aswell so no dentist open until monday.
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Old 11-10-2017, 07:13 PM   #5
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Hi typhoon,

I'm sorry you are experiencing so much trouble with this dental issue. The area of infection that was recently cleaned out could be the result of several things. To just name a few of them...

** Is that tooth root canaled?
** Does the tooth have decay or a large or deep filling in it?
** Do you have periodontal disease?
** Was the tooth that was extracted a root canaled tooth?

All root canaled teeth are chronically infected as there is no dental procedure, such as a root canal, that can cure an infected tooth. So if a tooth has been root canaled, it would be typical for the infection to become more virulent if a tooth is extracted next to it.

If the extracted tooth had been root canaled, it is typical for the infection to spread to adjacent teeth. This spread of infection would show itself clearly when the rc tooth is extracted.

If the tooth has a large or deep filling in it, the tooth may be infected.

Periodontal disease is a systemic infection. The pus from this type of infection, even in adjacent teeth. would become evident when a tooth is extracted.

Have you been brushing and flossing your teeth routinely since the extraction? If not, then plaque will readily accumulate and infection will result in or near the surgical site.

Have you been eating on that side of your mouth since the extraction? It is recommended to avoid eating on the affected side until the surgical wound closes over, which could be several days. Food debris can become trapped inside or near the surgical socket (even if the site is sutured) and lead to a bacterial infection.

What have you been rinsing with since the extraction? It is best to avoid ALL mouthwashes as the chemicals are too harsh and will irritate the wound which could lead to inflammation and infection. It is best to rinse with warm salt water only, nothing else.

The packing that they placed in that area ... did they tell you it would dissolve on its own? If it is a non absorbing material, then you will need to go back when it falls out, if you still have pain, and have it replaced in a day or two. If the packing is falling out and you want to try to keep it in the socket until tomorrow, use a clean moist q-tip to gently push it in.... do not use your finger or anything else that could possibly cause bacteria to attach itself to the packing material. The material may not stay in and don't be forceful trying to make it stay in. Sometimes the area becomes inflamed from the bottom up and pushes the material out. In that case, pushing it back down could cause further inflammation.

You could try some pure clove oil, a drop or two, into that area when the packing falls out and if you still have bad pain.

It's important to not smoke as that will prevent the site from healing properly. It's also important to eat a health soft food diet and avoid chewing on that side.

I hope this information helps you and you are pain free soon!
Bryanna






Quote:
Originally Posted by typhoon35 View Post
hi, thanks.

i went back again. i must say they are very thorough at the hospital dentist. either that or they were fed up with me.

i'd had a swab taken from the infection and that had come back as 'normal'. but i had two further xrays on that extraction site to check and double check to see if there was any tooth had been left behind and that was clear and nothing wrong with the tooth that hurt and all the socket and whatsnot looked fine. so they said it was referred pain. they cleaned it again and packed it again, they put so much of that stuff in it nearly choked me (im not sure if that was purposely done) but seriously, just touching it right now i've only just noticed it doesn't feel tender around there. the packing looks like its ready to fall out which im worried about incase i should get any pain, its friday night aswell so no dentist open until monday.
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***I have been in the dental profession for over 3 decades. I am an educator, trainer and extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my professional experience and is not meant to be taken as medical advice.***
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typhoon35 (11-11-2017)
Old 11-11-2017, 03:46 AM   #6
typhoon35
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Quote:
Originally Posted by Bryanna View Post
Hi typhoon,

I'm sorry you are experiencing so much trouble with this dental issue. The area of infection that was recently cleaned out could be the result of several things. To just name a few of them...

** Is that tooth root canaled?
** Does the tooth have decay or a large or deep filling in it?
** Do you have periodontal disease?
** Was the tooth that was extracted a root canaled tooth?

All root canaled teeth are chronically infected as there is no dental procedure, such as a root canal, that can cure an infected tooth. So if a tooth has been root canaled, it would be typical for the infection to become more virulent if a tooth is extracted next to it.

If the extracted tooth had been root canaled, it is typical for the infection to spread to adjacent teeth. This spread of infection would show itself clearly when the rc tooth is extracted.

If the tooth has a large or deep filling in it, the tooth may be infected.

Periodontal disease is a systemic infection. The pus from this type of infection, even in adjacent teeth. would become evident when a tooth is extracted.

Have you been brushing and flossing your teeth routinely since the extraction? If not, then plaque will readily accumulate and infection will result in or near the surgical site.

Have you been eating on that side of your mouth since the extraction? It is recommended to avoid eating on the affected side until the surgical wound closes over, which could be several days. Food debris can become trapped inside or near the surgical socket (even if the site is sutured) and lead to a bacterial infection.

What have you been rinsing with since the extraction? It is best to avoid ALL mouthwashes as the chemicals are too harsh and will irritate the wound which could lead to inflammation and infection. It is best to rinse with warm salt water only, nothing else.

The packing that they placed in that area ... did they tell you it would dissolve on its own? If it is a non absorbing material, then you will need to go back when it falls out, if you still have pain, and have it replaced in a day or two. If the packing is falling out and you want to try to keep it in the socket until tomorrow, use a clean moist q-tip to gently push it in.... do not use your finger or anything else that could possibly cause bacteria to attach itself to the packing material. The material may not stay in and don't be forceful trying to make it stay in. Sometimes the area becomes inflamed from the bottom up and pushes the material out. In that case, pushing it back down could cause further inflammation.

You could try some pure clove oil, a drop or two, into that area when the packing falls out and if you still have bad pain.

It's important to not smoke as that will prevent the site from healing properly. It's also important to eat a health soft food diet and avoid chewing on that side.

I hope this information helps you and you are pain free soon!
Bryanna

Hi Bryanna. it was a large amalgam filled tooth that was decayed and was classed as a difficult extraction and was surgically removed.

my own dentist gave me Chlorhexidine Digluconate Antiseptic mouthwash and was given the hooked syringe. hospital dentist have been using the syringe each time to clean it out. they told me to just use the mouthwash.

They pack it with Alvogyl and it just falls out. unfortunately they won't give me a bit to take home so i can do it myself, it would avoid the unnecessary trips to hospital and take up their time if they would give me some as i also said its the weekend coming up and i know this packing will fall out and i will be back to square one, they don't seem to care! so i will have to keep taking up their time but in the meantime i will keep going one step backwards instead of forwards! i had smoked a couple of times but i have stopped as im determined to get it healed up. im also still on antibiotics.

Bryanna, i would like to ask what is stopping the anaesthetic from working, i have the trigeminal neuralgia on both sides, its a mixture of both atn and classic tn i was wondering if it was that or the medication im on, i take gabapentin, tegretol and lamotrigine. (i've also read alot about root canals and amalgam fillings being huge factors in TN and my dentist knows i refuse to have any of these and am due to have a root canaled tooth on the other side to be taken out next).
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Old 11-11-2017, 03:54 AM   #7
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also forgot to say, i have not eaten at all on that side since it was taken out but some drink has spilled over there!
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Old 11-11-2017, 08:59 AM   #8
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something else i forgot to add, i t still hurts to bite down on the tooth next to extracted tooth.
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