The nature of initial tooth pain

[visiotrap]

This is a question for you with experience (or knowledge) of TN-related tooth pain!

(English isn’t my first language, so excuse me if some more technical terms are a bit odd.)

I probably have a very early stage of TN. In short: it began with tooth pain, 3 dental visits and no damage found really explaining the pain. Before my third dental visit, the pain (still localized to the teeth root area-ish) would start to be triggered by certain movement of and/or touching the gum, upper lip and nose. Then I had a short episode of two or three full-blown bursts of electric, fiery pain from my nose area, via the cheek up to the eye. Right now, I'm back to just having the initial tooth sensitivity (sudden pain), nose area is back to normal (no sensitivity) and no more bursts of face pain.

I’ve read enough about TN to know that tooth pain is a very common first sign, but more specific information is hard to come by. A lot of people (some, at least) have done multiple root canals or pulled multiple teeth, and additionally the dental work rarely (never?) seemed to help. Is this because the pain is/was hard to localize, or did other teeth start to hurt after the initial tooth was "taken care of"?

The reason I’m asking, is that my pain originates from a specific tooth – there’s no question about it. The pain is to some extent triggered by sweet and sour, but especially any form av vibration, be it an electrical tooth brush or if it comes into contact with another tooth when I speak, hum or cough. I can only bite into soft things; anything hard or crisp triggers pain.

I have sensitive teeth in general (corrosion to the enamel and exposed tooth necks), so the sensitivity in itself isn’t weird, and generally my tooth paste for sensitive teeth takes care of that. Not with this tooth.

[ayranton]

In order to recognize the nature of TN, data from tomography (neuroimaging) of the skull and the nerve itself is used. With true neuralgia, the treatment is primarily focused on the nature of the disease, while with secondary neuralgia the symptoms are treated and the underlying disease is eliminated. I think you should change doctor if you`re still in pain. I recommend my dentist jeffreygrossdds.com. If this pain is so severe in the tooth, I think you should be treated not only by a neurologist, but also by a dentist. Because it`s possible that there`s really something wrong with your tooth besides facial nerve disease.

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