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Old 09-02-2009, 03:29 PM #1
ashley4555 ashley4555 is offline
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Help Jaw and ear pain after silver filling replaced

On August 19 while chewing gum I felt something different on my back tooth; I looked at it in the mirror and noticed the filling on top had cracked (a crack running across the top). Approximately 8 months prior I was chewing gum and something similar happened and the side part of the filling chipped off, which left a type of hole in the side. This tooth never bothered me though, no pain. I did have a treatment plan done several years ago and that dentist wanted to do a root canal on that tooth because they said there was an infection in it; I didn’t believe them because there was no pain.

I made a appointment for the next day. (8-20-09) This was an old filling and just needed to be replaced. After getting this tooth and the one behind it re-filled (mouth was open for a little over an hour)I started having pain that night and especially the next day. I went back to the dentist a couple days later and they took x-rays and found nothing wrong, put me on penicillin just in case an infection was starting. (8-25-09) Still no pain in the tooth or the one behind it; but severe pain in the jaw and ear and glands in the neck. The dentist wasn’t very optimistic about a root canal and said that was an option or having it pulled, I chose to have it pulled; but wasn’t sure which tooth needed pulled. She said the one that had a cracked filling; the tooth might have a crack in it. I had that one pulled (8-27-09)and still have the same amount of pain or more; even went to the ER (8-30-09) thinking it might be a ear infection which it isn’t. No dry socket either. Is it a jaw bone infection? After I had the tooth pulled I was put on clindamycin. I went back to the oral surgeon (8-31-09) because the pain is so bad and he said it is healing nicely and gave me Percocet and said to give it a couple more days. It has been a week since I have had the tooth pulled and the pain is getting worse. I am taking 2 Percocet (325) every 4 hours and that isn’t taking the pain away. Only lasts about 2 hours. I can’t live like this, it is terrible. I don’t know what to do. I don’t think there was anything wrong with the tooth in the first place, I think the pain started when my jaw became infected while the first dentist drilled out my old filling and put in the new one. Not to blame anyone, I just think that is what happened.

Any advice on what I should do, or what is going on?
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Old 09-02-2009, 03:39 PM #2
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Ashley, welcome to NeuroTalk. I copied your post over to the Dental forum, too. I thought you might get more responses if it were there also. I hope you can find some relief soon.

http://neurotalk.psychcentral.com/forum89.html
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Old 09-02-2009, 05:29 PM #3
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Quote:
Originally Posted by ashley4555 View Post
On August 19 while chewing gum I felt something different on my back tooth; I looked at it in the mirror and noticed the filling on top had cracked (a crack running across the top). Approximately 8 months prior I was chewing gum and something similar happened and the side part of the filling chipped off, which left a type of hole in the side. This tooth never bothered me though, no pain. I did have a treatment plan done several years ago and that dentist wanted to do a root canal on that tooth because they said there was an infection in it; I didn’t believe them because there was no pain.

I made a appointment for the next day. (8-20-09) This was an old filling and just needed to be replaced. After getting this tooth and the one behind it re-filled (mouth was open for a little over an hour)I started having pain that night and especially the next day. I went back to the dentist a couple days later and they took x-rays and found nothing wrong, put me on penicillin just in case an infection was starting. (8-25-09) Still no pain in the tooth or the one behind it; but severe pain in the jaw and ear and glands in the neck. The dentist wasn’t very optimistic about a root canal and said that was an option or having it pulled, I chose to have it pulled; but wasn’t sure which tooth needed pulled. She said the one that had a cracked filling; the tooth might have a crack in it. I had that one pulled (8-27-09)and still have the same amount of pain or more; even went to the ER (8-30-09) thinking it might be a ear infection which it isn’t. No dry socket either. Is it a jaw bone infection? After I had the tooth pulled I was put on clindamycin. I went back to the oral surgeon (8-31-09) because the pain is so bad and he said it is healing nicely and gave me Percocet and said to give it a couple more days. It has been a week since I have had the tooth pulled and the pain is getting worse. I am taking 2 Percocet (325) every 4 hours and that isn’t taking the pain away. Only lasts about 2 hours. I can’t live like this, it is terrible. I don’t know what to do. I don’t think there was anything wrong with the tooth in the first place, I think the pain started when my jaw became infected while the first dentist drilled out my old filling and put in the new one. Not to blame anyone, I just think that is what happened.

Any advice on what I should do, or what is going on?
if you never ran a fever, i would suggest getting your neck checked out..chiro or ortho.....could be radiculapathy
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Old 09-02-2009, 06:36 PM #4
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I had intense jaw pain after some dental surgery last year. Still have it. Two things happened. the surgery activated a viral infection. HSV-1 which apparently lives dormant in the nervs in your jaw, the trigeminal nerve. Also having my mouth open that long and so awkward, I burst the disc that is in the jaw joint. I had an MRI and it was plain as day how damaged the joint was. So now I wear a special splint at night to keep from clenching and I use msucle relaxers to calm the jaw muscles and I use ice and heat to try to treat it

The ear pain sounds very similar to what I experienced.

Ask your doc to send you to a TMD (temporal joint derangement) specialist.

KNow that with the right treatment it does heal
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Old 09-03-2009, 01:14 AM #5
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In addition to what Shelley mentioned (and thank you so much, Shelley), it also might be a good idea to avoid foods, snacks, etc., that require a lot of chewing or effort - such as some breads, gum, any munching on ice, any food that isn't easily eaten.

For the longest duration I was on a soft food diet - to avoid TMJ surgery to the best of my ability.

Shelley is right; with the proper treatment the pain can dissipate. And, once it does "calm" down, during times of stress, just be mindful not to grit or clench. I know, it's not always easy but it is essential.

A maxillofacial surgeon, neurosurgeon and neurologist, along with a TMJ clinic have treated mine over a number of years. Bottom line is: seeing someone who understands and feeling beneficial results/effects .
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Old 09-03-2009, 07:59 AM #6
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I know it hurts really bad after I eat, especially if there is a lot of chewing involved. I just started to realize that. It also hurts real bad if I am talking a lot. I'm going to see my family doctor today to see where he refers me. I will print out these messages for him to read.

I really appreciate the comments I have gotten. Thanks!
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Old 09-03-2009, 04:46 PM #7
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hi Ashley
hope the pain is easing

I just wanted to let you know again that your post was also copied to our dental forum where you have replies waiting
here is the link
http://neurotalk.psychcentral.com/thread102159.html
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Old 09-04-2009, 12:29 AM #8
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Most importantly, you've not ignored the prob. or the pain, which is a sign something isn't right.

For years, I wore a night guard made from a cast; before that, I wore a splint but chewed through the thing.

To this day, when the old, familiar pain of TMJ starts its "thing," I do avoid foods that require chewing, and just do a ton of self-talk or positive reinforcement to get myself through the worst. It does pass... and with good treatment, as well.

Let us know how you feel in a week or so after discussing with your doc, and, possibly, having seen a specialist.

Quote:
Originally Posted by ashley4555 View Post
I know it hurts really bad after I eat, especially if there is a lot of chewing involved. I just started to realize that. It also hurts real bad if I am talking a lot. I'm going to see my family doctor today to see where he refers me. I will print out these messages for him to read.

I really appreciate the comments I have gotten. Thanks!
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Old 09-04-2009, 12:33 PM #9
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Quote:
Originally Posted by ashley4555 View Post
On August 19 while chewing gum I felt something different on my back tooth; I looked at it in the mirror and noticed the filling on top had cracked (a crack running across the top). Approximately 8 months prior I was chewing gum and something similar happened and the side part of the filling chipped off, which left a type of hole in the side. This tooth never bothered me though, no pain. I did have a treatment plan done several years ago and that dentist wanted to do a root canal on that tooth because they said there was an infection in it; I didn’t believe them because there was no pain.

I made a appointment for the next day. (8-20-09) This was an old filling and just needed to be replaced. After getting this tooth and the one behind it re-filled (mouth was open for a little over an hour)I started having pain that night and especially the next day. I went back to the dentist a couple days later and they took x-rays and found nothing wrong, put me on penicillin just in case an infection was starting. (8-25-09) Still no pain in the tooth or the one behind it; but severe pain in the jaw and ear and glands in the neck. The dentist wasn’t very optimistic about a root canal and said that was an option or having it pulled, I chose to have it pulled; but wasn’t sure which tooth needed pulled. She said the one that had a cracked filling; the tooth might have a crack in it. I had that one pulled (8-27-09)and still have the same amount of pain or more; even went to the ER (8-30-09) thinking it might be a ear infection which it isn’t. No dry socket either. Is it a jaw bone infection? After I had the tooth pulled I was put on clindamycin. I went back to the oral surgeon (8-31-09) because the pain is so bad and he said it is healing nicely and gave me Percocet and said to give it a couple more days. It has been a week since I have had the tooth pulled and the pain is getting worse. I am taking 2 Percocet (325) every 4 hours and that isn’t taking the pain away. Only lasts about 2 hours. I can’t live like this, it is terrible. I don’t know what to do. I don’t think there was anything wrong with the tooth in the first place, I think the pain started when my jaw became infected while the first dentist drilled out my old filling and put in the new one. Not to blame anyone, I just think that is what happened.

Any advice on what I should do, or what is going on?
The pain you describe can all be from myofascial trigger points in the muscles of the head and Jaw. contact me if you would like additional information. Look for a qualified Massage or Triggerpoint Therapist in your area.
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