Ask The Neurologist Updates

Go to Neurology homepage!
Enter your E-mail Address
Enter your First Name

Severe teeth, gum and jaw pain (non-dental)

What can I do about my migraines?
Are strokes and migraines related?

Severe teeth, gum and jaw pain (non-dental)

New postby Everything on Tue Apr 08, 2008 3:37 pm

Hi!

My name is Steven.

My mother has been suffering chronic pain in her lower and upper teeth and gums since the 27th January 2008 (I can remember the date as it was the day I got baptised that it started). The pain is located on the right side of her jaw (her right), and she says it feels like a nagging, drawing ache which feels like it is coming from the gums and/or the bone on the upper and lower teeth on the right side.

Obviously she thought it was a dental problem. She has been to four/five seperate dentists, who have all said after close examination and X-rays of the upper and lower teeth that it is not a dental problem. She has had her lower right wisdom tooth extracted since the pain, as she was convinced that was where the pain was coming from, but the extraction site healed perfectly well, and she still has the chronic discomfort. She has been to an Ear, Nose and Throat specialist who found nothing to be wrong in that field, and an Orthopedic specialist who after a quick inspection found nothing.

I was wondering if it could be nerve related, or if someone could give me and her some advice on what it could be.
To add, if it helps, she has had a chronic discomfort, which she describes as someone wiggling a thick pencil up one side of her head, for 15 years. She has been to multiple doctors who have not been able to find out what it is. She has had an MRI scan two years ago which showed there to be slight degeneration of the C3 to C7 disks/nerves.

Despite all of the people she has been to, she has never been to a Neurologist.

I would appreciate it if anyone could offer any help. She cries nearly every day, and as I speak, she is crying herself to sleep. I don't want to see her in this agony any more, as she shouldn't have to go through this pain every day - no one should. :(

Thank you for any help that I recieve,

Regards, and God bless you always,

Steven.
User avatar
Everything
 
Posts: 2
Joined: Tue Apr 08, 2008 3:24 pm

Re: Severe teeth, gum and jaw pain (non-dental)

New postby SanjpatelMD on Mon Apr 28, 2008 11:10 am

Thanks Steven,

Do you know whether your mother has any "electric shock"like pains that come and go quickly in short stabs?

Irrespective of the cause of her pain there are many ways of helping her deal with it.

Please could you give me a list of any / all pain meds / other methods that have been tried

all the best
" The most important thing to remember when diagnosing MS is that other likely diagnoses must be excluded first "


http://www.asktheneurologist.com/multip ... cture.html
User avatar
SanjpatelMD
Neurology Expert MD
 
Posts: 9
Joined: Thu Mar 27, 2008 4:45 pm

Re: Severe teeth, gum and jaw pain (non-dental)

New postby Everything on Mon Apr 28, 2008 12:57 pm

Thanks for the response! :D

She has no electrical, stab like pains. That is a sign of trigeminal neuralgia, isn't it? Nevertheless, her doctor has prescribed her pills to cure Trigeminal Neuraligia I think. Here is all the medication she has taken;

[*]Pain Killers (Ibroprofen, Anadin etc.)
[*]Pregablin
[*]Amityptiline (no longer takes it I think)

Thanks again for the response!

- Steven.
User avatar
Everything
 
Posts: 2
Joined: Tue Apr 08, 2008 3:24 pm

Re: Severe teeth, gum and jaw pain (non-dental)

New postby SanjpatelMD on Mon May 05, 2008 10:20 am

Sorry about the delayed reply...I was at the AAN meeting and have been snowed-under since.

I think that a trip to the neurologist would certainly be advised. If no physical cause of the pain is present then she may have a type of trigeminal neuropathy that may be causing her pain. This can occur in a variety of conditions including autoimmune conditions such as Sjogrens syndrome.

In terms of the symptomatic relief, there are some other possibilities around these days, personally I have had very good results with cymbalta (duloxetine) in this sort of situation. It may be worth asking about this drug.

Let me know how it goes.

SP
" The most important thing to remember when diagnosing MS is that other likely diagnoses must be excluded first "


http://www.asktheneurologist.com/multip ... cture.html
User avatar
SanjpatelMD
Neurology Expert MD
 
Posts: 9
Joined: Thu Mar 27, 2008 4:45 pm

Re: Severe teeth, gum and jaw pain (non-dental)

New postby Tifanny Hill on Thu Jan 13, 2011 8:37 pm

Yeah! SanjpatelMD advised would be the best thing to do. If it was out of dental issues then maybe you have to try another options and a visit to neurologist would do. Wishing that your mom would be in good condition now with no more pain and agony. This share sound very touching (glendale dentist)
User avatar
Tifanny Hill
 
Posts: 1
Joined: Thu Jan 13, 2011 7:25 pm

Re: Severe teeth, gum and jaw pain (non-dental)

New postby jimparter on Sat Jan 22, 2011 5:39 am

Tifanny Hill wrote:Yeah! SanjpatelMD advised would be the best thing to do. If it was out of dental issues then maybe you have to try another options and a visit to neurologist would do. Wishing that your mom would be in good condition now with no more pain and agony. This share sound very touching (glendale dentist)

I am agree with you We should careful in dental issue.Mechanicsburg PA Dentists
User avatar
jimparter
 
Posts: 2
Joined: Tue Jan 04, 2011 4:39 am

Re: Severe teeth, gum and jaw pain (non-dental)

New postby Ryba on Wed Feb 16, 2011 5:25 pm

I was just curious if your mother ever found out what was going on? It seems strange that it wasn't due to a dental problem of some kind. I had the same symptoms as your mother and wasn't able to figure out what caused it for the longest time. I finally was able to determine that every time I experienced jaw/tooth pain I was under a lot of stress and would wake up at night clenching my teeth. When I didn't wake up my clenching my teeth, I didn't experience any jaw pain. I hope your mother got some answers and feels better.
User avatar
Ryba
 
Posts: 2
Joined: Tue Jan 25, 2011 2:49 pm

Re: Severe teeth, gum and jaw pain (non-dental)

New postby Ryba on Wed Feb 16, 2011 5:27 pm

I was just curious if your mother ever found out what was going on? It seems strange that it wasn't due to a dental problem of some kind. I had the same symptoms as your mother and wasn't able to figure out what caused it for the longest time. I finally was able to determine that every time I experienced jaw/tooth pain I was under a lot of stress and would wake up at night clenching my teeth. When I didn't wake up my clenching my teeth, I didn't experience any jaw pain. I hope your mother got some answers and feels better.
User avatar
Ryba
 
Posts: 2
Joined: Tue Jan 25, 2011 2:49 pm

Re: Severe teeth, gum and jaw pain (non-dental)

New postby kurtkhole on Mon Oct 03, 2011 1:18 pm

Hi,

It’s important that your mouth be free of any dental diseases before smile reconstruction can begin. Any sign of dental diseases such as gum disease or dental decay must be sorted out for any cosmetic work to be long lasting and effective.

http://www.dentaloptimizer.com/best-dentist/
User avatar
kurtkhole
 
Posts: 1
Joined: Mon Oct 03, 2011 1:13 pm

Re: Severe teeth, gum and jaw pain (non-dental)

New postby katiejoy1010 on Thu Oct 27, 2011 12:17 am

Hi,
Did your Mom ever find out what was wrong? Did she find any relief? I have the same pain.
User avatar
katiejoy1010
 
Posts: 1
Joined: Thu Oct 27, 2011 12:10 am


Return to Help my headaches

Who is online

Users browsing this forum: No registered users and 5 guests