Any Advice from Dental Professionals...Dr Sam???

(second posting of this question)





I have had chronic and severe pain in my teeth on the right side for several years. In particular it seems to effect teeth #%26#039;s 4, 5, 6, 30, 27 and 24. I have gone to several dentists and have even had RCT done on #%26#039;s 5 and 30 but nothing seems to alleviate the pain.





All the radiographs I have ever had done never show any caries present on any of my teeth and there is no evidence of a TMJ disorder. Also I have had an occlusal adjustment on several occasions but it never seems to improve the problem.





Is there some systemic or perhaps chemical condition that could be causing this pain? Or could it be a case of damage to the nerves leading to these teeth and if so, is there a way to test for such?





I would very much appreciate any informative answer by a dental professional ....thank you.

Any Advice from Dental Professionals...Dr Sam???
Hi. I%26#039;ve been kind of spotty here lately, so I%26#039;m sorry I missed you previous post.





Without seeing you and your x-rays, it%26#039;s really not possible to say what is wrong.





I%26#039;d agree that #4-5-6 could actually be a sinus problem rather than a tooth problem, but I would not associate that with #24, 27 and 30.





I would consider it unlikely that there is some central nervous pathology, because the pain has skipped 25, 26, 28 and 29 - assuming that they are all present. Likewise, I do not know of any chemical conditions that would affect random teeth like this.





I would ask a few questions... Is there anything that makes the pain worse or better, such as hot, cold, or biting pressure? How long does the pain last when it occurs? Has it been getting worse over time or staying the same?





Again, I%26#039;m sorry not to provide much help, but the person (people?) who have been searching for the problem in person have not come up with anything and they know a lot more about your teeth than I do.
Reply:If it is truly all of the teeth in the upper and lower and NO dental source can be found, I would consider an evaluation by a neurologist for something affecting the nerve at a much more central location. Seriously. Report It

Reply:I don%26#039;t know which teeth are present and which are absent, but perhaps you are really enumerating all of your teeth on the affected side...? Report It

Reply:All teeth are present except #32 and 1. I have just had further dental work done to %26quot;correct%26quot; the pain and had fillings replaced on #%26#039;s 2,3,4 31,29 and a new crown placed on #30 which has had RCT (none of these teeth showed further caries BTW) Report It

Reply:The pain is still very present. It%26#039;s odd, when I wake up in the AM I am pain free but by 2 pm the whole right side of my jaw is throbbing...anyhow. I have an appointment scheduled with a neurologist next week and hope to get some good solid answers...thanks for your insight and information Report It

Reply:Sinus problems.
Reply:TRY A MASSAGE OR CHIROPRACTOR.
Reply:Ask for a referral to an endodontist or an oral surgeon. There are many things that can cause pain in the mouth or teeth. If there is absolutely nothing wrong with the teeth there are some possibilities such as a sinus problem (though your problems with your lower teeth would not be explained by this) or a neurologic issue such as a damaged nerve.



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