face jaw and gum pain 8 months and counting. help!

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geminidreamatl30

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I have recently been treated for TMJ after terrible pain in the last 8 months and its been miserable. constant face and jaw pain. ice and heat dont help, meds dont help and i also had a case of gingivitis which i got treated for in march with a root cleaning and deep tooth cleaning and since then ive brushed flossed etc every day and have not missed and my gums above that one tooth have gotten worse. they are swollen, burning and my right cheek is a little puffy/swollen and ive had the tooth in question x rayed twice in the last couple months and theres no abscess or infection according to my dentist. he even cleaned it out and flushed it with chlorhexidide and i had his higenist do a cleaning and my gums still hurt, they are irritated, slight bleeding, very sore to touch but no throbbing toothache. my face is very painful feels like i have a bruise and someone punched me. feel like i have poison in my face and i get sharp burning radiating into my neck and ear. ive been on several anti biotics and nothings helped, ice does not help and otc pain pills dont help. maybe someone on here can help me! well my dentist did a cat scan and i have torn ligaments in my jaw, arthritist in it and its out of socket on one side so he is treating me with splint therapy. lately though my jaw joints have not hurt that much its mainly been my right side and swelling. my general doctor diagnoised me with mild trigeminal neuralgia on my right side and im on meds for that which sometimes help and other times not. so thats where im at right now. no clue whats causing my swelling and gum pain. help!
 
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Leftie

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Very similar to what I am going through only mine is 4 months and on my left from Centre of my nose to my left hand cheekbone, been diagnosed with Atypical Facial Pain but I truly don't believe it is looking online my symptoms just don't match it.

Which antibiotics and for how long?

Which meds for the TMJ?
 
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geminidreamatl30

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antibiotics was amoxicilian and a z pack, for tmj flexiril and robaxin which have not been working. dr dainel im on gabapention aka neurotin 600mg twice a day and 900 at bedtime. only helping a little. my swelling is only on the right. my face feels stiff, tight and feels like i have fluid or poision in it and my face aches constantly and nothing works. sometimes it feels numb and sometimes it feels like ants crawling on it and sometimes feels like im bruised some days and others the pain is tight around my throat and lower face. my burning nerve pain is also on my right side on the jaw line and comes and goes. sometimes it last for hours but sometimes not. somedays its constant but even when i dont have nerve pain i have face pain on both sides but its intense on the right and has not let up. my dentist just made me a perm splint which im sure needs adjusted as im having more pain on my left then i used to. but im going to my doctor this week to see if i do have an infection or something wrong with my sinuses. now my gums have been sore and raw for 2 months now and ive cleaned them with mouthwash, warm salt water, home remidies like herbal tea, honey, ice doesnt help with the swelling, heat helps with the pain. i never ran a fever, no swollen lympnodes, i have knots but my dentist said they are muscle knots. my face quivers a lot cause of my over worked face muscles. i have not had headaches in months but my face pain is constant. but my face is def swollen and def doesnt feel like tmj or trigeminal neuralgia. can tmj cause facial swelling? again i saw my dentist wensday and he x rayed the teeth with the sore gums and he said they are swollen and very irritated but no infection he can see and said no abscess on the tooth. had it x rayed in august too by emergency dentist and my current dentist. so im at my wits end. the swelling is def in my cheek and goes down to my lower face. i cant even eat on that said of my face without nerve pain or gum pain. maybe my face is tight from not chewing on that side for months. i dont know im at a lost.....i didnt have this swelling until i had the tooth next to it extracted in late july.
 
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Dr. Daniel

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Your complains might have to do with the Neurotin. It is a very potent drug with many side effects.
 
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geminidreamatl30

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Your complains might have to do with the Neurotin. It is a very potent drug with many side effects.

I had the facial swelling before the neurotin and the gum pain. Im convinced its my gums causing the swelling and intense face pain. I sometumes have nerve pain sometimes its muscle but sometimes it feels like a sick poison pain in my face and its unrelenting . Muscle relaxers dont work ice doesnt work heat works a tiny bit. Icy hot helps a little. Im going back to my doctor on wensday hoping he can help. This is the worse pain ive ever had next to my appendix bursting. I even cry a lot.
 
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geminidreamatl30

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Did you feel any improvement after the Amoxicillin?

no no improvement. even when i was on the z pack i felt a little better but my pain was still there. now my upper right jaw has swollen a little and i feel a cold pain in my temples, its hot to touch and i have an ear ache. face is still a little puffy. i have ice on it now. im going to my doctor tomorrow hoping he can help me. my dentist did say my gums are a little inflamed and swollen around my upper molar and wisdom tooth but he x rayed both last week and said theres no infection. so somethings causing the swelling and inflamation in my face. im just baffled.
 
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no no improvement. even when i was on the z pack i felt a little better but my pain was still there. now my upper right jaw has swollen a little and i feel a cold pain in my temples, its hot to touch and i have an ear ache. face is still a little puffy. i have ice on it now. im going to my doctor tomorrow hoping he can help me. my dentist did say my gums are a little inflamed and swollen around my upper molar and wisdom tooth but he x rayed both last week and said theres no infection. so somethings causing the swelling and inflamation in my face. im just baffled.

How long was you on the antibiotics?

You need someone to prescribe you some for longer period and better coverage.
 
Dr. Daniel

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How long was you on the antibiotics?

You need someone to prescribe you some for longer period and better coverage.

I am not sure. It is true that the Penicilline is not that effective as it used to be and the duration is not that long but still a bit of improvement should have been reached after the cure if indeed it is a bacterial infection.
In short, first a diagnose is needed. It is not advised to use heavy antibiotics without a diagnose.
 
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geminidreamatl30

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How long was you on the antibiotics?

You need someone to prescribe you some for longer period and better coverage.

the amoxicillian was for 10 days and in august i was on the z pack for 5 days. what i dont understand is if it is an infection, why do i have one when i keep my gums clean, i brush every day and never miss with sensodyne or a similar flouride toothpaste. i rinse with colgate alcohol free mouthwash for anti plaque and anti gingivitis, i rinse with warm salt water and floss every day with a water pick and regular floss but my gums seem worse and the pain im having on my right side is like a stinging constant pain near my ear andmy face has been swollen for two months now.
 
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Leftie

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the amoxicillian was for 10 days and in august i was on the z pack for 5 days. what i dont understand is if it is an infection, why do i have one when i keep my gums clean, i brush every day and never miss with sensodyne or a similar flouride toothpaste. i rinse with colgate alcohol free mouthwash for anti plaque and anti gingivitis, i rinse with warm salt water and floss every day with a water pick and regular floss but my gums seem worse and the pain im having on my right side is like a stinging constant pain near my ear andmy face has been swollen for two months now.

I am just thinking it could be a Jaw bone infection, has anyone consider this?

Actually re-reading your original post you didn't mention an infected tooth being removed. So I doubt it is that.
 
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geminidreamatl30

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I am just thinking it could be a Jaw bone infection, has anyone consider this?

Actually re-reading your original post you didn't mention an infected tooth being removed. So I doubt it is that.

i had the teeth that have the sore and swollen gums around them x rayed and dentist said no infection in my teeth but the gums are def sore inflamed and swollen and i may need a deeper cleaning. my doctor told me today i most likely have an ear infection or something wrong with my salviarly gland and referred me to an Ear nose and throat specialist. he said i still have the trigeminal neuralgia. so he gave me some 500mg keflex antibiotics percocets for the pain and some flexirils for my muscle pain in my TMJ. ill keep everyone posted so we can finally get to the bottom of this.
 
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i had the teeth that have the sore and swollen gums around them x rayed and dentist said no infection in my teeth but the gums are def sore inflamed and swollen and i may need a deeper cleaning. my doctor told me today i most likely have an ear infection or something wrong with my salviarly gland and referred me to an Ear nose and throat specialist. he said i still have the trigeminal neuralgia. so he gave me some 500mg keflex antibiotics percocets for the pain and some flexirils for my muscle pain in my TMJ. ill keep everyone posted so we can finally get to the bottom of this.

Fingers crossed for you, I have been on Augmentin for 6 weeks I got worse for the first 4 and slow improvement since, although no where near feeling normal.
 
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geminidreamatl30

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My pain is still about the same. Im having terrible pain near my temples and upper jaw on my right ride. The pain feels cold, throbs a little and hurts near infront of my ear and in my face my upper teeth dont hurt to tap or push on that side but the gum is sore
 
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geminidreamatl30

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i am now on day 6 of antibiotics and my face still feels swollen, tight, crunchy numbness with unrelenting intense pain in my lower face up to my ear near my cheek. plus into my temples throbbing in my temples, all the way down. like a poision pain. it feels like someone is squeezing my muscles and nerves and i have intermedient sharp burning and attacks but its constantlly hurting even with pain pills. my neurotin for my nerve pain isnt helping, motrin isnt helping. heat and ice dont work. heat hurts more and ice doesnt do anything. however my gums are feeling better. i have no throbbing tooth ache but my face near my lower jaw bone is killing me its intense and comes and goes in waves. so i dont know what to do. i was crying tonight since nothing im doing is working.
 
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geminidreamatl30

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went to dentist again today to get mouth splint adjusted. still in facial muscle pain and my face spasams alot. he checked the gum again and had the hygenist numb the gum and do a deep root cleaning around it. it also has gum recession. he said my gum site where my last extracted tooth was looks better but is still irritated and inflamed and if not better in two weeks i need to see a periodontist or oral surgen but again no abscess tooth. i am on anti biotics as stated and still have the same pain. been keeping icy hot and cold on it though sometimes cold and heat aggrivate my nerve pain. just very frustrating especially since it feels like its swollen and its constant. like a crackly tight semi burning pain with fluxuations of intensity. ill again keep everyone noticed.
 
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Worse, better or the same since the antibiotics started?

Have you seen another Dentist or Specialist since all this started? Cone Beam CT Scan of the area?

Out of interest what was your pain levels like after the injection did it make it feel better until it wore off?
 
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geminidreamatl30

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Worse, better or the same since the antibiotics started?

Have you seen another Dentist or Specialist since all this started? Cone Beam CT Scan of the area?

Out of interest what was your pain levels like after the injection did it make it feel better until it wore off?

the current dentist treating me for tmj is different from my other specialist as he is much better. it was a dental cat scan of my entire jaw and head. this machine went around my head. pain is about the same since anti biotics. maybe a little better since root cleaning. pain same with injection and only felt it a little bit. the gums however are very sore around that tooth and mouthwash hurts when rinsining and it is alcohol free. brushing hurts a little too. face still feels a little swollen and the pain stays constant from mild to heavy in intensity. my right jaw hurts the most and protrudes more on the right. my partner says my jaw is def higher on the right and def out of alignment. still cracks and pops. pain pills dont do nothing.
 
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geminidreamatl30

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Well my gums are very very sore and swollen since deep cleaning. I accidently cut my gum bad with one of those metal GUM brand flossing pics and now my gums in between my teeth that the gums had been bothering me, are beyond sore and whenever I rinse or eat on that side the gums hurt badly. My right cheek above it has hurt more swelled and feels like there's fluid or a huge bruise so I'm thinking I got a localized gum infection cause I tapped on the tooth no pain no pain to push on it but the gums in between and around it are very inflamed and sore. Even wisdom tooth next to it hurts. It didn't before. Also on my left side whenever I chew or eAt I get these intense bouts of sharp pain in the back of my neck, ear jaw and head. The also jaw is very sore on Right side whenever I open wide and face feels sick like I have a sinus infection but no other symptoms. No fever, no swollen lymp nodes and I'm still taking the keflex .
 
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