Brief Answer:
next best move as follows..

Detailed Answer:
Hello XXXXX, Welcome to HCM,

I've gone through your query and understand your concern,

Yes, it's extremely disturbing when there's acute pain attacks at such a frequent intervals, and as a thumb-rule, You should not be send back home repetitively after such intense pain attacks, so in my opinion, you should be promptly hospitalized in the first place..

There's several advantage of that, as you don't have to seek out for any neurologist/ maxillo-facial surgeon/ primary care- as it'll be taken care by the hospital itself..

Secondly, a proper thorough set of investigation and serial study as well as follow-ups are needed at present which'll be initiated at the earliest for a proper systematic approach..

Thirdly, and most importantly, considering the severity of pain and it's recurrence you should be put on round the clock Intravenous infusion of analgesics (eg. Phentanyl etc.) for the time being, and then gradually taper it down over a period of time (varying somewhere between another 24-48 hrs) then switch over to tablets and/ trans-dermal sustained release patches..

There's a need to look for any possible nerve-entrapment (entrapment neuropathy) as well as any focal lesion/mass causing this or even acute infections causing nerve inflammation (viral most likely)..these are all differential diagnosis which can be narrowed down after thorough blood investigations as well as imaging studies (if CAT scan didn't pick up anything significant, there's a need to undergo for MRI of the head,neck to look for specific neural courses..)..

So please don't wait up any more, and go ahead for the much needed hospitalization (you should be admitted under Critical Care unit/ Neurology/ ENT dept.), it'll be just a matter of time till you'll be feeling better under proper institutional care and round the clock medical supervision..

Let me know how you stay in the due course..please keep me updated how it goes later on..

Take Care
Kind Regards

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