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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Headache And Inner Earache After Filling Cavities Of Teeth?

I had two cavities filled on my lower left molars (18,19) 2.5 weeks ago. Prior, I had no pain or sensitivity. Following the procedure I had dull pain in my jaw that radiated to the lymph node behind my ear all the way to my inner ear. The pain increased throughout the day causing a dull headache. Treatment with a Z Pack did nothing to improve the symptoms. I went back to have another cavity filled this past Monday and was told I had a high spot on the filling. It was ground down, and he moved on. 2 days later and I have had no improvement in symptoms, and I still feel like my bite is off. The dentist did not want to see me back and tried to refer me to an endodontist for "a root canal or re-do the filling". I am not eligible for endo work with my insurance for another 6 months, and begged my case to my dentist's office about out of pocket costs. My dentist agreed to see me but says I will have to go see endo anyways. I am confused about the cause of this pain -- is it from an offset bite, is it new TMJ symptoms (never had before), or can the nerve actually be dying and in need of a root canal even without prior symptoms or sensitivity? I am dissatisfied with my dental care and want to be prepared with questions when I go to my visit so I'm not referred for incompetent care.
Fri, 18 Nov 2016
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Dentist 's  Response
Hi..
Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concerns...

As per your complain and presentation of symptoms it doesn't seems that you have high points in fillings as well as TMJ does not become so acutely painful immediately after filling is done and has a high point..
It is most probably a nerve exposure caused by over cutting of the tooth for removing the decay and as the nerve got exposed and filling is done over it, the nerve irritation has led to severe pain..
You must be feeling off bite becausw as soon as the teeth touch the opposite jaw tooth there must be pain so it must be feeling uncomfortable and feels off bite..

You definitely need to get evaluated by an Endodontist and get an IOPAR ( x Ray) done and after reading the x Ray he can advise you a proper treatment..

As of now you can take Painkillers like TRAMADOL 50 mg (ULTRAM) for pain relief 3 to 4 times a day but long term intake can cause addiction so better take for only 5 days and get treated by then..

You can also consult me further by asking a direct question by visiting my profile and clicking on ask me a question..

Hope this information helps..

Thanks and regards..
Dr.Honey Nandwani Arora..
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What Causes Headache And Inner Earache After Filling Cavities Of Teeth?

Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns... As per your complain and presentation of symptoms it doesn t seems that you have high points in fillings as well as TMJ does not become so acutely painful immediately after filling is done and has a high point.. It is most probably a nerve exposure caused by over cutting of the tooth for removing the decay and as the nerve got exposed and filling is done over it, the nerve irritation has led to severe pain.. You must be feeling off bite becausw as soon as the teeth touch the opposite jaw tooth there must be pain so it must be feeling uncomfortable and feels off bite.. You definitely need to get evaluated by an Endodontist and get an IOPAR ( x Ray) done and after reading the x Ray he can advise you a proper treatment.. As of now you can take Painkillers like TRAMADOL 50 mg (ULTRAM) for pain relief 3 to 4 times a day but long term intake can cause addiction so better take for only 5 days and get treated by then.. You can also consult me further by asking a direct question by visiting my profile and clicking on ask me a question.. Hope this information helps.. Thanks and regards.. Dr.Honey Nandwani Arora..