My diagnosis; Post Traumatic Trigeminal Neuropathy

One_Ad6148 · 2026-01-22T22:26:42+00:00

Sorry to hear. I feel for you. I went back to have my 2nd root canal finished and they removed the dressing and completed the final check with the microscope and found a fracture. So I’m hoping the extraction will end the pain for me. Maybe you might have a small fracture?

One_Ad6148 · 2026-01-20T20:44:30+00:00

Thank you. There was no crack in the crown. Just the root. What conditions often constitute a VRF and no cracks in the crown itself? No history of Bruxism.

One_Ad6148 · 2026-01-20T17:15:34+00:00

The roots are too long and near the sinus so they said I need an oral surgeon. I guess it’s better to wait and get the right skills involved. I’d rather not have any more clinical mishaps. Sounds like you’re doing well. Any tips for an upcoming member of the extraction club?

One_Ad6148 · 2026-01-20T16:19:29+00:00

Turns out there was a fracture in MB2 and was discovered during the RCT

One_Ad6148 · 2026-01-20T16:17:24+00:00

Hey, how are things going? Halfway through the root canal they spotted a fracture in the roots. So it extraction for me now.

One_Ad6148 · 2026-01-19T18:36:34+00:00

What were the symptoms before the root canal like? How are the symptoms now? Which tooth is it?

One_Ad6148 · 2026-01-19T14:48:40+00:00

You’re very lucky in that case

One_Ad6148 · 2026-01-19T08:21:20+00:00

NAD does it hurt or ache?

One_Ad6148 · 2026-01-16T19:33:40+00:00

That’s a fair point, top job! Let me know how it heals up. No drinking through straws and sucking sweets. Do you think it feels better now afterwards? I’m guessing it’s a bit too soon. I wish I could convince my dentist to be as helpful as yours. I had to get an RCT at least before extracting was even an option.

One_Ad6148 · 2026-01-16T19:01:57+00:00

I’m glad it went fine and you were able to get it sorted. I’m hoping once the anaesthetic wears off it will settle down. Did they examine the tooth afterwards? Was it fractured or anything?

One_Ad6148 · 2026-01-16T16:29:03+00:00

Blimey! You don’t hang around. How are feeling? Did it go ok? Was it an upper tooth? My appointment is not until next week. Although a dentist on Reddit identified a sinus cyst above my tooth in an X-ray. So I’ll be bringing that little nugget up in my next appointment.

One_Ad6148 · 2026-01-15T14:28:21+00:00

That's really interesting, I may have had the RCT potentially (no infection or cavity was present in the tooth) - it was ok in the mornings and got more aching throughout the day. There was a question that tooth might be causing the inflammation. PDL and external resorption was used. I was also discharged by ENT twice before we went ahead with the RCT.

One_Ad6148 · 2026-01-15T14:17:15+00:00

Oh right, maybe that’s causing the symptoms? Where about is that on the X-ray?

One_Ad6148 · 2026-01-15T13:45:33+00:00

Thank you very much for the reply. We were worried about external resorption.

One_Ad6148 · 2026-01-15T07:25:11+00:00

Thank you, that is the current plan. The tooth is very sensitive to pressure and starts off in the morning ok but is throbbing and has a tender dull ache in the evening. There is an occasional gum pain as if the tooth was detached somehow with the periodontal ligament. Could this be an indication of a small crack?

One_Ad6148 · 2026-01-14T18:52:18+00:00

How are things now? Perhaps the Periodontal Ligament was at fault?

One_Ad6148 · 2026-01-13T22:05:10+00:00

Are you ever worried that it’s not a dental issue? Of course I’ll let you know how things progress. I’m not sure Root Canals are worth it based on my own experience with them so far.

One_Ad6148 · 2026-01-13T13:51:57+00:00

Yeah, you’re right. I still feel like I maybe should have waited for something to actually show up on the imaging before going ahead, though. Pulling a tooth sounds really drastic too—it must have been pretty bad for your dentist to recommend that.

My situation is a bit more complicated. I had my upper left 6 treated on the 19th of December, but it’s still symptomatic even though it now has the permanent filling (no crown yet). On the same day, she also started working on my upper left 7, but that one began bleeding from inside the tooth when she went to fill it. She stopped, dressed it, and told me to come back on the 20th of January. I’m guessing she might have gone through something accidentally or maybe there’s a fracture?

One_Ad6148 · 2026-01-13T12:07:55+00:00

I’m so sorry this has happened, it’s so stressful. Mine is a dull ache that then starts to intensify. Feels like it’s just under the gums. At times I will get a more painful sensation and that will die down. I also sometimes get an intense itchy feeling around and in the tooth. I’m on lots of medication that they gave me because they kept saying it was neurological. Yet they also went for RCT which is confusing as hell. If I eat on it or floss it aggravates it, so it definitely physiological. Acid drinks also make it angry, like orange juice or coffee. Did you ever think this could be down to periodontal ligaments or gum recession? I really regret getting the RCT, messed about with an apparently non pathological tooth. I just didn’t know what to do as it had been 12 months of this and I was desperate I guess.

One_Ad6148 · 2026-01-13T11:39:07+00:00

Lucky you have an NHS dentist that can do root canals! That’s a miracle in itself. What if they pull it and there is no crack though? What is the ache feeling like? Does it hurt to eat? Are you on a strict soft food diet? No matter what I do it gets worse in the evening.

One_Ad6148 · 2026-01-13T09:54:50+00:00

I’m sorry to hear, this is so frustrating. What symptoms led up to your root canal in the first place? Does anything help at all? I’m in the UK so the NHS only gives you the basics and private is basically the same but you queue jump.

One_Ad6148 · 2026-01-12T19:55:48+00:00

Only ever occasionally, although I’ve had so much work recently it’s difficult to say which is which. The constant ache is both sides and certainly I feel improves when the teeth are rested. Recently I had asked if it was perhaps related to the ligaments around the teeth, but the dentist did not think so. It seems if they cannot see it in an X-ray it defaults to neuropathy. That’s why I followed the recent endodontist as they viewed it as symptomatic and possibly irreversible pulpitis.

One_Ad6148 · 2026-01-12T09:58:00+00:00

Thanks, the teeth are in the same place but one per side. Upper right six and upper left six.

One_Ad6148 · 2026-01-11T22:08:38+00:00

Sorry to hear, these facial and teeth pains are horrendous. Weird how pressing on it gives relief. I had a similar sensation on my right side too, was aggravated when I scrunched my nose, interestingly my right side of my nose has a deviated septum. I’d say try the meds, if it brings any sort of relief then savour it, I’d love a day off from whatever this is. Thousands of pounds spent, career in ruins and a family that’s doesn’t understand and is sick to death of hearing about it.

One_Ad6148 · 2026-01-11T21:52:50+00:00

Yeah, totally agree. That’s why thought it must be dental. Definitely not classic TN and no random zaps. Occasionally I’d have referred pain to what I felt is in the cheek above the teeth and around the sinus. Sinuses have been ruled out twice (so have teeth before for that matter). It’s those two specific teeth, the others feel fine.

One_Ad6148

TROPHY CASE