Ongoing pain after root canal. How is crack diagnosed?

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MountainMama

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Jul 1, 2018
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That is so interesting that your oral surgeon also mentioned an immune response. It sounds like you had a tremendous ENT. I might try and get a recommendation to one from my GP. Maybe i'll get a good one like you did.

I am female early 50's going through the lovely change of life. I often wonder if that is also part of this as it could coincide with the time that things started changing hormonally.

My ENT actually was the one who told me to give up on the root canal and get the front tooth out (the second failed root canal). He looked at my 3D x ray from the surgeon and said the infection was still present near the nerve. He also said that the immune issues could have been triggered by my first root canal, where my immune system started working overtime.

He is very good! My daughter had trouble with her ears for months. We had visited two different doctors on multiple occasions and they kept saying her ears looked fine. The ENT had her in there for 5 minutes and pushed on a muscle of her jaw from inside her mouth and immediately discovered the issue was with the TMJ joint. We had also mentioned the ears hurting with her dentist and orthodontist previously, thinking it might be related to her 12 year molars, which haven’t erupted yet. They said everything looked good.
 
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Kns

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Sep 6, 2017
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129
Oh my gosh I sympathize with you all I am in the exact same boat.

I started with a tooth ache when I would pull the dental floss out. It felt like the tooth was fractured. I saw my dentist who removed the filling but did not see a crack. He recommended me to an endo if the pain came back. It did so I saw the Endo. He was low pressure and sent me home a few times to just see if it would pass. It got so bad we decided to treat the tooth. It felt ok for a week and pain was back, he retreated it and placed medication in it twice. It never felt right since. He did a cone 3d xray on the tooth and saw no fractures and while inside the tooth he mentioned with his microscope he saw no fractures. But due to ongoing pain we concluded that the neighboring tooth was the problem as it tested to cold. Completed that tooth which was really inflammed in the pulp. I thought I would be ok but no the pain is now back. I have been dealing with this since September.

I think I am going to have it pulled but I read about Neuralgia and maybe that's the problem. On top of the ache and the strange uncomfortable sensation I get when tapping on the tooth I get a icy cold sort of vicks mentholated sensation in the tooth root and around the gums. I am at a loss. It does not wake me up at night and I have some good moments. I am in about 3k so far with root canals and one permanent crown which will probably end up being extracted

MountainMoma, if I can ask when you had your tooth pulled was it fractured at all? I am so tired. I am starting to wonder if this is neuralgia in my case perhaps I never needed any of the root canals and it was some atipical face pain. I am going to see my primary doc and ask about a low dose antidepressant and see if maybe that quells the pain.
I’m so sorry you’re dealing with this! I am curious about what you shared about the icy cold Vicks feeling. I definitely experience something somewhat similar. It feels almost like blood flow is suddenly stopped to that area and it gets cold and almost weirdly numb-like. It’s the oddest sensation and happens randomly, lasting for a few seconds to several minutes. My endodontist and dentist were intrigued by my report of the sensation but didn’t have an answer. My dentist still suspects a cracked root but the cone beam scans and xrays don’t show anything. I am now seeing an orofacial pain dentist at a local university dental school and she suspects a neuralgia and gave me a prescription for gabapentin. I may start it soon to see if it helps, although I had been hoping to avoid medications. She said neuralgias tend to show up more often in women over 50. I am in my 40s. It’s crazy that these issues we’re all having can’t be easily diagnosed. It’s frustrating. I would love to be pain free, but it’s hard to decide to pull teeth when no one can say whether that would help since nothing shows up clinically. I hope things get better for you soon! Let us know what you decide to do and how it goes! Sending you thoughts of support.
 
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Acheygirl

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Jan 20, 2020
Messages
84
I’m so sorry you’re dealing with this! I am curious about what you shared about the icy cold Vicks feeling. I definitely experience something somewhat similar. It feels almost like blood flow is suddenly stopped to that area and it gets cold and almost weirdly numb-like. It’s the oddest sensation and happens randomly, lasting for a few seconds to several minutes. My endodontist and dentist were intrigued by my report of the sensation but didn’t have an answer. My dentist still suspects a cracked root but the cone beam scans and xrays don’t show anything. I am now seeing an orofacial pain dentist at a local university dental school and she suspects a neuralgia and gave me a prescription for gabapentin. I may start it soon to see if it helps, although I had been hoping to avoid medications. She said neuralgias tend to show up more often in women over 50. I am in my 40s. It’s crazy that these issues we’re all having can’t be easily diagnosed. It’s frustrating. I would love to be pain free, but it’s hard to decide to pull teeth when no one can say whether that would help since nothing shows up clinically. I hope things get better for you soon! Let us know what you decide to do and how it goes! Sending you thoughts of support.

That's strange you get the sensation as well. I really think it's nerve related. If yours continues I would suggest to start the gabapentin. Its really not a terrible drug. I had taken it in the past for headaches. If this is a neuralgia it's good to catch it early for a better outcome to avoid a chronic pain situation. I also get the numb like feeling you get around the tooth. I have looked for a orofacial pain specialist but not having much luck finding one in my area. Wishing you the best feel free to message me if you need to talk. I get it!!
 
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