Possible Lingual/Inferior Alveolar Nerve damage which has led to Trigeminal Neuralgia

Discussion in 'Patient Forum' started by S3B, Nov 3, 2018.

  1. S3B

    MattKW Verified Dentist

    Mar 18, 2018
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    It used to be thought that pain relief would be achieved with alternating paracetamol and a few hours later with ibuprofen. Paracetamol taken with ibuprofen is now the best method for most dental pain. So the companies have brought out premade tablets, e.g. Maxigesic, Nuromol. You have to follow the instructions to keep within the daily limits, especially because of the potential paracetamol toxicity. It's not a nice way to die.
    Previous products like paracetamol with codeine or ibuprofen with low-dose codeine are being phased out e.g. Panadeine. The small amount of codeine meant that patients didn't always get the relief they wanted, so they would increase the tablet intake but could easily OD on paracetamol before they got a decent dose of codeine.
    MattKW, Nov 9, 2018
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  2. S3B


    Dec 6, 2017
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    I've not heard they are phasing them out in the UK. I've found great relief from any inflammatory pain with nurofen plus. Ibuprofen alone doesn't hit the spot for me. I didn't want to recommend combining paracetamol & ibuprofen at the same time as I am not a medic. So thank you for confirming that.
    Busybee, Nov 9, 2018
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  3. S3B


    Nov 3, 2018
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    Good morning everybody,

    I'm sorry if this post is a tad long, but I'm just giving you an update on what has transpired in the meantime.

    It's been a while since I last gave anyone any feedback regarding my tooth ache (yes, I'm referring to it as toothache now, because with time the pain has localised to said problem tooth and I can honestly say that I don't think it is specifically nerve/jaw-related anymore). Well done MattKW, it seems like you were right in the end! ;)

    Considering I STILL had (and have) pain (and it's been 6-7 months since the last inlay on this tooth was performed), and had seen other dentists in the meantime for 2nd opinions (amongst them endodontists). The endodontist I've decided to work with, sent me for a CBCT scan @ another practice with said technologies recently. I'm waiting for their feedback now as to what will happen next.

    I'd like to find out, logically, what the next possible steps I should take would be (i.e. what can the endodontist do to help me alleviate pain). All the dentists and endodontists (I even saw a periodontist 'cause I also have some mild gum recession) mentioned that the inlay looked fine, and that it was done properly (also, the the nerve and pulp seemed fine). Unfortunately I still have pain though, and I am MOST DEFINITELY NOT going to walk around with said pain for the rest of my life I'm afraid. If they can't find any problems with the inlay, wouldn't the next option be a root canal and a possible crown? Wouldn't doing the root canal take away all sensation? I've heard that this is usually an option if people have persistent toothache, but can't really get by with fillings and regular dental work. Also, do you HAVE TO get a crown after a root canal?

    I'm thinking that maybe this tooth has reached its end in terms of how many times they've worked on it. As far as I remember, they've done work on this tooth roughly 4-5 times (I'm busy finding out the exact amount from all my past dental records). I'm scared with my 2nd last inlay, maybe the one dentist went TOO deep and ventured into DENTINE territory, whereas the inlay after that which was done by the last dentist who worked on said tooth, was of better quality, but alas the damage had already been done and she just filled it up and made it look better.

    The pain is persistent, with a mild ache, which @ times gets worse. It has severely impacted on the quality of my sleep, and I wake up with toothache every morning. Also, when I rinse or drink liquids, I can feel tooth sensitivity akin to gum recession with dentine exposure from over brushing.

    Lastly, is it possible to request your dental records from dentists that you've seen over the years? I.e., can they directly email it to me, or do you have to go pick it up yourself?

    Any help would be much appreciated.

    Thank you in advance.

    S3B, Apr 29, 2019
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