sudzs
Well-known member
- Joined
- Jun 25, 2009
- Messages
- 241
Following on from all my previous questions about pain following what should have been a simple filling in an upper incisor a full year ago. Straight after that was done I had symptoms of discomfort, pain, headaches and a couple of migraines which I just don't suffer from ordinarily.
After 6 months of this and worse pain as the nerve was dying I had RCT by the same dentist. But I was having all sorts of the same symptoms from what I think was irritation of the trigeminal nerve due to inflammation from the tooth. Apart from the pain and discomfort in the tooth itself there was slight numbness in upper lip and nose tip. Sometimes moving up the side of my face, headaches and a few more migraines.
Eventually referred to endodontist who x-rayed and said there's decay under that filling. Back to general dentist, decay removed, filling changed and symptoms improved for a few weeks. But they came back so I went back to the endo who tried to tell me it was nerve pain. I was adamant it was inflammatory. He x-rayed and found an apical or periapical granuloma in the bone. So he redid the RCT just before Christmas. Symptoms started to improve slowly and I was hopeful this was the end of it. But over the last week the pain and numbness are back, it's constant and I'm back on Ibuprofen full time which does help.
So what's the prognosis for this tooth? Could there still be a lot of bacteria in there? Surely not after an expensive endodontist did the work. Is there some other problem? Do I have a wonky immune system? Could all the inflammation have triggered an autoimmune problem in the area?
Could it just be that it's just a flare up as the granuloma is still healing? I know they take months or years to heal fully. But surely symptoms shouldn't be getting worse again. In tears writing this as I'm terrified of what it could be and what further treatment I might need. And the endo doesn't seem to think my symptoms are to do with the tooth, he keeps saying it's probably nerve pain. "because at your age nerves tend to die and cause pain" Even after the latest RCT he said that if symptoms persist then I should consider going on amitriptyline. What good will that do for something that improves after taking ibuprofen and applying cold to the area behind the tooth root which feels a little hot at times. Surely that's inflammation and not crazy dying nerves firing when they shouldn't?????
I'm attaching the first x-ray I had done after the initial filling and I was having pain and the other symptoms. Can you see the decay there??
Also the latest x-ray taken following the RCT in December. Could that narrow bit neat the tip of the root be the problem? And is that a small channel to the left of that? I'm probably seeing things though, I've no radiology training! And surely the endo would see anything that was amiss.
Sorry for long post. Any advice greatly appreciated.
After 6 months of this and worse pain as the nerve was dying I had RCT by the same dentist. But I was having all sorts of the same symptoms from what I think was irritation of the trigeminal nerve due to inflammation from the tooth. Apart from the pain and discomfort in the tooth itself there was slight numbness in upper lip and nose tip. Sometimes moving up the side of my face, headaches and a few more migraines.
Eventually referred to endodontist who x-rayed and said there's decay under that filling. Back to general dentist, decay removed, filling changed and symptoms improved for a few weeks. But they came back so I went back to the endo who tried to tell me it was nerve pain. I was adamant it was inflammatory. He x-rayed and found an apical or periapical granuloma in the bone. So he redid the RCT just before Christmas. Symptoms started to improve slowly and I was hopeful this was the end of it. But over the last week the pain and numbness are back, it's constant and I'm back on Ibuprofen full time which does help.
So what's the prognosis for this tooth? Could there still be a lot of bacteria in there? Surely not after an expensive endodontist did the work. Is there some other problem? Do I have a wonky immune system? Could all the inflammation have triggered an autoimmune problem in the area?
Could it just be that it's just a flare up as the granuloma is still healing? I know they take months or years to heal fully. But surely symptoms shouldn't be getting worse again. In tears writing this as I'm terrified of what it could be and what further treatment I might need. And the endo doesn't seem to think my symptoms are to do with the tooth, he keeps saying it's probably nerve pain. "because at your age nerves tend to die and cause pain" Even after the latest RCT he said that if symptoms persist then I should consider going on amitriptyline. What good will that do for something that improves after taking ibuprofen and applying cold to the area behind the tooth root which feels a little hot at times. Surely that's inflammation and not crazy dying nerves firing when they shouldn't?????
I'm attaching the first x-ray I had done after the initial filling and I was having pain and the other symptoms. Can you see the decay there??
Also the latest x-ray taken following the RCT in December. Could that narrow bit neat the tip of the root be the problem? And is that a small channel to the left of that? I'm probably seeing things though, I've no radiology training! And surely the endo would see anything that was amiss.
Sorry for long post. Any advice greatly appreciated.
Not sure why you're asking again? 
