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Oral Surgery/Nerve damage in extraction area

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Question
I am desperately seeking someone knowledgeable of nerves in gum tissue/teeth. My life changing ordeal happened when I had tooth #3 extracted after attempts to save it that failed. Soon after I started feeling like tooth#4 was popping when my tongue pressed on it. I went to several dentists and oral surgeon and was told it could have shifted. I had fillings redone in 4 and 5 being told it would help, which It didn't.  Eventually I started having an unbearable feeling that something was stuck at the gumline between the teeth. I flossed and  flossed and told e dentist and ha a periodontist check it. Other than a space between the teeh they saw nothing.  This ended with me having #4 pulled and it did not help the sensation, since I have had brain MRI, ct scan of sinus and cone beam scan, all negative. No trigeminal nueralgia, however I was sent to neurologist for medication. I have taken gabapentin titrating up to 1200 mg a day with no reileif. I am now on nortriptlyine 50 mg at night, but still feel it.  It is nor a pain that hurts, it is a feeling I have when tongue rubs across the gum where the teeth are missing and up against #5. It is constant and feels like something is pinchy or static/crawly under there. Please, if you can he in any way with why this is happening, I just want my normal life back. I have two beautiful boys that I want to have fun with again. There are no orofacial specialist in Pittsburgh where I am. Oh, and sensodyne toothpaste and lidocaine gel when placed there help a little. Also when invisalign retainer or night guard is on, I can't feel it. So if it  is covered I feel normal.

Answer
Linda - I am so sorry to hear about what all you have been through.  Are these symptoms from a nerve problem or did the doctor who extracted the tooth apply excess force to the area and in doing so weakened the bone?  I just cannot tell you.  Because the invisalign retainer or night guard makes it all feel so much more stable, the bone weakening seems to be more likely.  A scan of the bone determining the density might be helpful.  

That's the best I can come up with.  I think a more stable appliance should be applied over that space to help stablized and allow healing of the bone better.  

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Joel S. Teig, DMD, Diplomate ABOMS, retired

Expertise

I am a board certified oral and maxillofacial surgeon available to answer questions related to tooth extractions, implant insertion, facial recontruction, facial and oral tumor removal, TMJ dysfunction and various successful treatments, including surgery if all else fails, and occlusal discrepancy requiring orthognathic or jaw surgery.

Experience

Board Certified Oral and Maxillofacial Surgeon practicing for over 20 years. Assistant Clincal Professor at State University School of Dentistry.

Organizations
American Dental Association, American Association of Oral and Maxillofacial Surgeons, American Board of Oral and Maxillofacial Surgeons

Education/Credentials
BA- University of Connecticut DMD-University of Pennsylvania School of Dental Medicine Oral and Maxillofacial Surgical Residency - Roosevelt Hospital, NYC

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