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-   -   Dental Work and RSD (https://www.neurotalk.org/reflex-sympathetic-dystrophy-rsd-and-crps-/84397-dental-rsd.html)

Millerprof 04-16-2009 09:27 AM

Dental Work and RSD
 
I had a horrible dentist appointment yesterday. I had one of my bottom teeth capped a few years ago and then root canaled. I had been having this horrible taste in my mouth on that side, and yesterday they found that the tooth is totally decaying under the cap, which is forcing the cap loose. The only thing holding the tooth together is the cap, and that could come off at any time. The tooth needs to come out. I am fearful of this on two levels. One...RSD. I developed this after foot surgery in August 07, and after MANY treatments, meds, PT, etc., I have FINALLY broke free from the grips of it (I only have very mild issues which are not even worth complaining about at this point, and I'm sure they will resolve over time, as the rest of it has--hopefully). So my body does not do well with surgery. Two... about a year ago the doctor had me on oral Fosomax and then Boniva for osteopenia, which I was only on for probably 3-4 months at the most when I decided to take myself off because I didn't like the risks of osteonecrosis of the jaw, and being that I'm only 38, the risk of needing dental work at some point is high. But I hear these can stay in your system for 10 years. I also find it curious that the tooth decayed so quickly. Last time they x-rayed it--I think in Oct.--it was FINE. Now it's a mess. Is this a side effect of meds (or nerve blocks, etc.)? Are there other options for having the tooth removed? I suppose not, I can't leave a rotting tooth in there. I will definately plan to let the oral surgeon know about this, and I've found the best one I can. But are there preventative measures that can be taken to prevent problems after oral surgery? UGHH! Not happy.

miatri 04-16-2009 09:49 AM

hi, a few years back i had a similar situation, in a crazy short period of time my teeth began to deteriorate, xtractions were needed and many many caps. in researching i discovered that the few years i'd been on copious meds they mite have undermined the building codes for dental strength; they also create acid in the gut which eats away at tooth enamal, as does 'dry mouth'. additionally, rsd impacts bone, teeth included. at that time i was also dealing with tmj, very nervous the dental work would pop the bones outa place, ouch!

on the UP side, with very good dentists who didnt mess up the nerve areas none of the work done aggravated my system. i even found dental surgeon familiar with rsd so felt in safe hands when having the xtractions.

best of luck

Millerprof 04-16-2009 11:30 AM

Which meds do they believe were related to the deterioration?

tjbird 04-17-2009 08:13 AM

I have read somwhere that teeth problems are actually, or can be , directly related to the RSD as another issue of the disease. I have lost two and have had seven crumble to the point of need to be cut out, as is my plan when I get my SSD. I will have to work with my pain center so maybe I can find an oral sergion that knows about RSD, and I want them yanked out while I am asleep. They have only been a source of extra pain for the last 2 1/2 years, but I too am curious about the teeth issues.
Curious Members,
tjbird

Curious 04-17-2009 09:10 AM

I like Curious members. :D

sorry...tjbird....couldn't help myself...:o

DianaA 04-17-2009 10:46 AM

Debbie/Curious
 
Cute! I got a chuckle, Curious.
Sorry slipped with the Debbie Title....Millerprof and Tjbird....RSD Brain..sorry
I have teeth problems too as said before, RSD, dry mouth from meds and biting or chewing my teeth from pain. I had to have a few extracted. I am still biting and chewing from the pain. The dentist gave me a mouth guard, but it makes me gag.:eek: Good luck hon!

miatri 04-17-2009 05:09 PM

Quote:

Originally Posted by Millerprof (Post 496772)
Which meds do they believe were related to the deterioration?

sorry i dont recal specifics kiddo, to some degree all the pharms' we try for rsd tend to have toxic aspects when put into a human body. considering that rsd softens bones, changes nails etc. its no surprise it gets a handle on teeth. it was all rather sudden and as u mentioned, from one xray to the next a few months later decay had set in. and i'm a very obsessed kinda gal about my teeth, have been known as 'farah flossit' cause i like my teeth clean! but please know i have not had further issues with them since all the work was done, tho i also take no pharms, think i was still taking adivan at that time, which was causing the dry mouth.

as long as u r well frozen and the dentist has a good record of NOT aggravating nerves its probably one of the better odds at not causing u additional issues. personally i find face pain xtremely challenging to get a handle on, so i'd hi tail it back to a dentist if i absolutely had to.

if u can, focus on a positive outcome, breathe and run an internal conversation that all will resolve in ur best interest and speak ur anxiety to the dentist, enroll him in empowering u for success.

best wishes

Millerprof 04-20-2009 09:40 AM

Quote:

Originally Posted by miatri (Post 497610)
sorry i dont recal specifics kiddo, to some degree all the pharms' we try for rsd tend to have toxic aspects when put into a human body. considering that rsd softens bones, changes nails etc. its no surprise it gets a handle on teeth. it was all rather sudden and as u mentioned, from one xray to the next a few months later decay had set in. and i'm a very obsessed kinda gal about my teeth, have been known as 'farah flossit' cause i like my teeth clean! but please know i have not had further issues with them since all the work was done, tho i also take no pharms, think i was still taking adivan at that time, which was causing the dry mouth.

as long as u r well frozen and the dentist has a good record of NOT aggravating nerves its probably one of the better odds at not causing u additional issues. personally i find face pain xtremely challenging to get a handle on, so i'd hi tail it back to a dentist if i absolutely had to.

if u can, focus on a positive outcome, breathe and run an internal conversation that all will resolve in ur best interest and speak ur anxiety to the dentist, enroll him in empowering u for success.

best wishes

Thank you!

miatri 04-20-2009 05:43 PM

Quote:

Originally Posted by Millerprof (Post 496772)
Which meds do they believe were related to the deterioration?

hi, i just heard a commercial from a dental office mentioning that meds which cause dry mouth inhibit the bodys normal antibacterial activity which then leaves the mouth unable to eliminate germ buildup. they also said it occurs very quickly, certainly my xpereience. there r mouth washes which can help generate the necessary cleansing of the mouth.

ask ur pharmacist about the side effects of ur meds if u r not sure u have dry mouth issues.

all the best

Chemar 04-20-2009 06:03 PM

Quote:

Originally Posted by Millerprof (Post 496652)
I had a horrible dentist appointment yesterday. I had one of my bottom teeth capped a few years ago and then root canaled. I had been having this horrible taste in my mouth on that side, and yesterday they found that the tooth is totally decaying under the cap, which is forcing the cap loose. The only thing holding the tooth together is the cap, and that could come off at any time. The tooth needs to come out. I am fearful of this on two levels. One...RSD. I developed this after foot surgery in August 07, and after MANY treatments, meds, PT, etc., I have FINALLY broke free from the grips of it (I only have very mild issues which are not even worth complaining about at this point, and I'm sure they will resolve over time, as the rest of it has--hopefully). So my body does not do well with surgery. Two... about a year ago the doctor had me on oral Fosomax and then Boniva for osteopenia, which I was only on for probably 3-4 months at the most when I decided to take myself off because I didn't like the risks of osteonecrosis of the jaw, and being that I'm only 38, the risk of needing dental work at some point is high. But I hear these can stay in your system for 10 years. I also find it curious that the tooth decayed so quickly. Last time they x-rayed it--I think in Oct.--it was FINE. Now it's a mess. Is this a side effect of meds (or nerve blocks, etc.)? Are there other options for having the tooth removed? I suppose not, I can't leave a rotting tooth in there. I will definately plan to let the oral surgeon know about this, and I've found the best one I can. But are there preventative measures that can be taken to prevent problems after oral surgery? UGHH! Not happy.

not sure if you have asked this on the dental forum here as well. Bryanna may have some insight for you

http://neurotalk.psychcentral.com/forum89.html

angelrsd 04-20-2009 09:29 PM

miller
i ams goin thro the same thing right now. i have teeth (molars) that are infected already been on 12 days of levaquin the pain went away for maybe 1-2 wks.. back with a vengece.. i dont have dental insurance. and have already paid 5k for teeth that had to be pulled out in 04 along with things for my TMJ . i dont have the money right now to have them fixed. went to an oral sur. last month that wil not do anything becuas ei am too young this is his reason.. because the rest of my molars need to be pulled i wont do root canal. i now am goin to have to go back to the uni hospital when i had the last done for 2xs more money because no one else will touch me and i have to have sedation becuase lido doesnt numb or novacaine.


but yes rsd roots your teeth the meds help to enable this to root the teeth.


carrie

Millerprof 05-05-2009 06:00 PM

I had the tooth out last Thursday, and was still in pain today so I went back to the dentist. It's dry socket. Leave it to me to not heal correctly! I just posted something on the dental issues board, too. I am having an awful pain in my NECK, too, and it feels like someone punched me in the jaw. I'm wondering how long to expect this to last? I also have a fear of necrosis, since I was on Fosomax and Boniva for a bit last year, and of course if there's one to have complications with something, it's me. I'm hoping this heals up "normally," but I'm wondering how long I should give it before I really suspect something else to be wrong? They did treat it with the medicated guaze, and the inside of the mouth feels better, but the jaw and neck (and ear) still hurt. Pain, pain, go away!! :(

angelrsd 05-05-2009 06:15 PM

i have tmj and with any dental work that is how my jaw feels.. do you also have this.. ? well im glad that tooth is out but not glad that you are having so many problems .. im like you if anything was to go wrong it would be me too LOL i just have bad/dumb luck since RSD go figure

hope that you get some control over the tooth pain

carrie

Millerprof 05-05-2009 09:38 PM

Quote:

Originally Posted by angelrsd (Post 506199)
i have tmj and with any dental work that is how my jaw feels.. do you also have this.. ? well im glad that tooth is out but not glad that you are having so many problems .. im like you if anything was to go wrong it would be me too LOL i just have bad/dumb luck since RSD go figure

hope that you get some control over the tooth pain

carrie

No, I don't think I have tmj (yet!) With the way I'm always locking my jaw and grinding, though, that'll probably be next!

angelrsd 05-05-2009 10:05 PM

Quote:

Originally Posted by Millerprof (Post 506306)
No, I don't think I have tmj (yet!) With the way I'm always locking my jaw and grinding, though, that'll probably be next!


yea dont hold ya breath thats for sure.. LOL i have just found out that i have cluster headaches and apperantly on everything that i have RSD the only other more painful is RSD go figure i guess im an over achiever huh LOL:eek:

Millerprof 05-05-2009 10:25 PM

Quote:

Originally Posted by angelrsd (Post 506317)
yea dont hold ya breath thats for sure.. LOL i have just found out that i have cluster headaches and apperantly on everything that i have RSD the only other more painful is RSD go figure i guess im an over achiever huh LOL:eek:

Ha, Ha!! :winky:

angelrsd 05-05-2009 10:34 PM

my sister is a pyschologist so i get analysed for free sometimes LOL she is the one that told me i was an over achiever about having both of the most painful things in the world LOL

Millerprof 05-06-2009 09:35 PM

Quote:

Originally Posted by angelrsd (Post 506340)
my sister is a pyschologist so i get analysed for free sometimes LOL she is the one that told me i was an over achiever about having both of the most painful things in the world LOL

Maybe you could get into the Guiness Book?! The holder of the most painful medical problems! Sounds like a sister to want to analyze you! I'm a psychologist by training, too, but I chose to go into teaching college instead of practice. But my family has been well-analyzed!

angelrsd 05-06-2009 10:32 PM

yea no kidding never thought of that LOL
my sister graduated in 06 and instead of goin into practice is a store manager at a BBQ place here and makes more money go figure LOL but she still makes no qualms about analyzing anyone she has a encounter with LOL thats just how she always has been .. LOL lucky me LOL

how are your teeth feeling today?
carrie


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