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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Shooting Pain In Teeth

47yr old male, 5 11 , 235lb. Controlled diabetes, multiple sclerosis, SVT, low to normal BP. Issue: momentary acute shooting pain in the three rightmost teeth, both top and bottom that happens a couple of minutes at a time, every hour or so. What should I do?
Thu, 15 Jun 2017
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Dentist,  's  Response
Hello,

Your symptoms are appearing to be due to nerve related problem that can be due to trigeminal neuralgia as trigeminal nerve is nerve of face and short bouts of severe pain are commonly seen due to trigeminal neuralgia only. It is less likely to be due to tooth related problem. So my suggestion is to consult an oral surgeon and get evaluated so that he can rule out the exact cause as general dentist has a bit of limitation in treating this problem.

If trigeminal neuralgia is suspected then an MRI scan can be done for diagnosis. You can be advised neurotic painkillers like Carbamazepine, Gabapentin for relief after a confirmed diagnosis.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Honey Arora
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Suggest Treatment For Severe Shooting Pain In Teeth

Hello, Your symptoms are appearing to be due to nerve related problem that can be due to trigeminal neuralgia as trigeminal nerve is nerve of face and short bouts of severe pain are commonly seen due to trigeminal neuralgia only. It is less likely to be due to tooth related problem. So my suggestion is to consult an oral surgeon and get evaluated so that he can rule out the exact cause as general dentist has a bit of limitation in treating this problem. If trigeminal neuralgia is suspected then an MRI scan can be done for diagnosis. You can be advised neurotic painkillers like Carbamazepine, Gabapentin for relief after a confirmed diagnosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora