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FAQ:  Pain: Teeth - Molars


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Question:
I am a 37 year old female. For the past two years or so, about every 3 to six months I get a dull toothache on my lower left side. It is difficult to pinpoint exactly which tooth hurts.

I have been to the dentist every time this happens and he can find nothing wrong. I have also been to an oral surgeon. My wisdom teeth are impacted, but they are so far down in my jaw that he says its unlikely that they are causing the problems. He also said they were so deeply impacted that he didn't want to remove them.

Usually the pain starts in the tooth then travels up to my jaw and ear. If I take Tylenol, the pain goes away. In the past the pain has only lasted 3 or 4 days and then has gone away. However, this time, the pain has lasted more than a week. It's usually worse in late afternoon and at night, and in fact has awakened me the past few nights.

Neither my dentist nor the oral surgeon thought I had TMJ. I am at a complete loss as to what to do about this. ...Visitor from NY

Answer:
First thing I would do is find a TMJ expert who can get transcranial x-rays to determine if your joints are compressed. Visit the AACFP.org for a referral.

Second, you need a postural assessment to make sure that you don't have a cervical vertebrae problem (maybe C5 or C2).

Third, see a neurologist to make sure you don't have a brain problem or neurologic problem. Let me know how it goes. Your pain is coming from somewhere. We just need to find out where. It's not that hard.

Editorial Staff

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