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Ongoing tooth pain in front tooth / Atypical odontalgia?

Chronic Pain | Last Active: Feb 15 1:30pm | Replies (17)

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@plo99ca

Anyone else dealing with atypical pain in a tooth or teeth which is not dental in origin? I have been dealing with this for a long time and am frustrated. I tried Amitriptyline and was surprised that it did help; however after many months I weaned off due to side effects and concerns about my memory and cognitive decline resulting from long term use of that medication... I noticed that I was forgetting things much more often. I have an appointment with a physical therapist to try to investigate possible TMJ/bruxism and trigger points in face/jaw muscles. I'm actively looking for other options that may have worked for others. Any feedback from those who've had similar issues greatly appreciated. Wishing you good health.

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Replies to "Anyone else dealing with atypical pain in a tooth or teeth which is not dental in..."

Praying for you. I have TMJ & Bruxism. My teeth became very sensitive. If you are grinding your teeth in your sleep, it makes them ultra sensitive. I even chipped my front tooth doing this before I realized I was grinding my teeth in my sleep. As much as 250 pounds of force come down on our teeth when when your grind them. It can crack your teeth, weaken your teeth and cause other problems. I would definitely get this checked. God Bless You!

I too have bruxism and about 8 years ago had severe pain on the right side of my lower jaw that seemed to be coming from the first molar on the right side. My dentist did an x-ray of that area and could see nothing that would cause the pain I was having. A week later I had a thermogram done of my face at the Earth Day Festival and there was a visibly inflamed area where the pain was centered. ( I had not mentioned the jaw pain to the person who was doing the thermogram.) My sinuses also showed inflammation on the thermogram. My dentist then referred me to an Endodontist who did a root canal on the sensitive tooth. The pain went away after the root canal - but in retrospect I would have liked to find an alternative solution since root canals can have long term health consequences.
I don’t know if this has helped - I hope you find a solution to your pain,

Sincerely,
Lynne

I had post dental work pain and was told it takes a while for the nerves to settle down. If I have it again, I’d explore anti anxiety meds. My dental experience over the course of 2 months was very traumatic. I’ve suffered with anxiety since.

@plo99ca ..

I have TMJ (My jaws slip out of place and I clench my teeth) and trigeminal neuralgia (might be neuropathy now since I have had Shingles 3 times in the same area as the trigeminal neuralgia).

I had some dental work done (a crown on lower left and filling upper left) the first week of December in 2023. I did fine for a couple of weeks and then had pain on upper left. .. front tooth to last molar. My brother and his wife were visiting from the opposite side of the states. By time they left the pain was intense. Of course the dentist out of town for the holidays. So 11 January I had the bite fixed. I think my bite went haywire because of the TMJ. It seems like my jaw slips out of place more often than it used to. My dentist said that with age the muscle gets weaker. (I am 72+)

Now last Friday morning .. 02 February .. I awakened with the right side of my face shoved hard into my pillow. Yep .. my jaw slipped out of place. It is usually my right jaw .. this time it was my left that slipped. The sound of the popping was loud and in a place it normally isn’t. Very weird that my right side was shoving hard into the pillow and it is the left side that slipped out of place. I got my jaw back where I thought it belonged. I did take one Valium each night Saturday, Sunday and Monday to relax my neck muscles to reduce pain in my neck. Hopefully I will sleep tonight without it.

I called my dentist office on Monday .. but as most Mondays they were busy and my call was not returned. Of course my pain increased.. especially one tooth. I called this morning and I got the person I needed to talk with. She made arrangements for me to come in at 1:00pm. A hygienist took x-rays .. difficult with the pain I had. .. I could not bite down; she had to hold the x-ray card. All looked good on them. So, out of alignment. The dentist came in and examined and fixed the bite again. We discussed how I couldn't keep doing this and he said I need the bite guard. My husband was with me and he helped with the correct questions. I go to the office again Thurs. His team will do a scan and impression and when the guard is ready I will get a call to pick it up. Hopefully this will help along with some exercises to strengthen the jaw muscles. I found some on youtube.

Oh .. my tooth still hurts, but is better. It is bruised from the extra force of hitting my other teeth from the shift of teeth. That should ease over the next few days .

I hope you find relief.

@fourof5zs ,
Oh my….I do sympathize. Dental pain is horrendous. I hope the treatment works out and really helps. Sending positive thoughts your way.