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Severe pain in mouth

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lajevardi

New User, Becoming EHEALTHy
Joined: 08 May 2008
Posts: 1
Severe pain in mouth
Posted: 05-08-08 21:14pm

My wife is having severe pain in the lower left side of her mouth (29, non-smoker). The pain comes in waves (sometimes throbbing, sometimes sharp) and resonates to the back of her head. At its worse, the pain is unbearable. She cannot pinpoint exactly which tooth the pain is coming from. Her dentist performed several test (hot/cold sensitivity, pressure, x-rays) and cannot find any problems (we were there today). She gets very little relief from over the counter meds (Ultram seems to be helping). She finds temporary but immediate relief when she swishes with PerioMed or chlorohexidine gluconate rinse. The relief is instantaneous but only lasts 1-2 minutes. Her dentist is at a loss and suggested that we see her oral surgeon (see below) or a neurologist.

I should also mention that she had her 4 wisdom teeth removed about 7 weeks ago and suffered 2 dry sockets. We saw oral surgeon today as well- he took more x rays and did not see a problem either. He opened the site of her dry socket to see if there was any infection or bone spurs- and found nothing.
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Duchessljb

Experienced User , Rather EHEALTHy
Joined: 22 Jul 2007
Posts: 80
Location: USA, Earth
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Posted: 05-10-08 16:37pm

Hi lajevardi,

I'm sorry to hear that your wife is having such terrible pain. You said your dentist did several tests, and if there was no reaction to those I would guess (and it is only a guess; I am by no means a professional) that it's not a tooth causing the problem.

You mentioned that she had her sidom teeth removed awhile ago. When I had mine removed, earlier this year, one of the concerns that I was told about had to do with the nerve in the jaw bone. I was told that removing the teeth on the bottom can bump the nerve, possibly causing pain and/or numbness.

Is there a possibility that one of the nerves on that side was damaged, and that's what's causing the pain? This would make sense with her not being able to pinpoint a tooth location and the pain radiating back into the head. I don't know how mouthwashes would help with this (unless the nerve is exposed somewhere and the mouthwash has some kind of topical numbing agent that I'm not aware of, so it numbs for a few seconds, relieving the pain).

Obviously, this is all just a guess, but it might be something to look into.

The only other thing I could suggest would be the possibility of a tooth 'dying' indicating the need for a root canal, but you said that she'd already had the hot/cold sensitivity test, which is the main one for testing for that.

Good luck; keep us posted.
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