Dental problems again

[PostHeads123]

Any dentists in the house ? I have a dull uncomfortable feeling on left side of mouth started last Wednesday, its not unbearable but you cant forget it, I was also getting a pain on the left side of my throat when swallowing, it doesn't seem to be getting any worse, its feels like its swollen but it doesn't look like it I'm not having to take any pain killers but its doing my head in and making me miserable.

I went to dentist on Saturday, they did x-ray and there was nothing obvious they tapped each tooth on that side and got no pain they couldn't see anything obvious. The only thing they though was on my last tooth at the bottom back has a huge filling in and the nerve is very close to the filling and that could be the issue and the nerve is dying they suggested a root canal and crown, all private so we are talking £450 for canal and £600 for the crown which is a lot. I'm worried that I could end up spending all this £ (which is a lot to me) and still not sort the issue so wondered if anyone else had similar and what was it ? Annoying thing is they only do root canals on a Friday so got to wait till them. They gave me antib's which I started on Sat just in case there was some infection but feels no different apart from Antibs making me feel sick and Im on day 3 of the tablets.

[PostHeads123]

I cant wait till Friday so going in tomorrow, the receptionist said they can open the tooth up, clean it up and remove the root then, then I need to come back on the Friday for the root canal. I though removing the root was root canal ? What worries me is this going to cost me £1200 with crown, when an implant is say 2.2k, anyone trained in this area what would they recommend as I know root canals can fail, this is a molar tooth, if you were m would you spend the £1200 or just cut your loses have it pulled and go for an implant ?

F**king teeth, all my other teeth are fine but I have 2 that had fillings years ago and over time they cost me a fortune, fillings become root canals, root canals then need crowns.

Edited by PostHeads123 on Monday 15th October 13:33

[PostHeads123]

So I went yesterday and again and the x-rays showing nothing and tapping on teeth no obvious pain, my cheek is swollen though and hurts one side to swallow sometimes. Dentist didn't want to open a tooth and start root canal in case it was the wrong tooth so left it and going back on Friday. I've been on antibiotics since Saturday and today it feels a bit better so may be an infection though x-rays show nothing. I've had the same thing 3 x in last 12 months usually goes after a few days but this time its been the worst, it feels like an infection, I was very unwell Mon and Tuesday with it. I'm at a lose now what to do may be its not dental, may be its my sinus but I've not had a cold. In the area it feels tender I had a dental implant 12 years ago may its that playing up, dentist mentioned CT scan to check that. Can implants get infected somehow may be in the gum around the post ? Should a dentist be able to easily remove the crown off an implant ?

Really at a lose now what my next steps should be, may its not dental issue at all, its really getting me down.

Edited by PostHeads123 on Wednesday 17th October 12:09

[PostHeads123]

I'm day 6 on antib's still no right I'm back at dentist tomorrow, I trust this dentist been with him a long time, the other times I had the issue I did go to another 2 local dentists to get an opinion and again couldn't see anything. The discomfort has now localised to a top set of teeth on left side 1 is implant, 1 already had a root canal years back and a big filling, dentist say I should feel no pain from either of them I don't really its discomfort its like my cheek is numb or there is pressure under the tooth in the cheek its really weird as xrays show nothing wrong. I'm starting to think its my implant its about 10 years old now, may be the jaw bone receded too much or something going on around the post but only CT scan will show that, I think having an implant out including post would have to be a hospital job as I cant see a dentist being able to remove a screwed in implant post that bone has grafted to that's been there for 10 years ?

Edited by PostHeads123 on Thursday 18th October 11:38

[PostHeads123]

Crasher242 said:

PostHeads123 said:

I'm day 6 on antib's still no right I'm back at dentist tomorrow, I trust this dentist been with him a long time, the other times I had the issue I did go to another 2 local dentists to get an opinion and again couldn't see anything. The discomfort has now localised to a top set of teeth on left side 1 is implant, 1 already had a root canal years back and a big filling, dentist say I should feel no pain from either of them I don't really its discomfort its like my cheek is numb or there is pressure under the tooth in the cheek its really weird as xrays show nothing wrong. I'm starting to think its my implant its about 10 years old now, may be the jaw bone receded too much or something going on around the post but only CT scan will show that, I think having an implant out including post would have to be a hospital job as I cant see a dentist being able to remove a screwed in implant post that bone has grafted to that's been there for 10 years ?

Edited by PostHeads123 on Thursday 18th October 11:38

Late to the party...But was it just a typical dentist X-Ray (i.e. stick a small card in-between your teeth, point the machine and scarper whilst it x-rays)?
My dentist does a yearly full lower skull x-ray, that does a 180 (or more) scan round the lower skull taking in the whole jaw etc. Last year it picked up a dark patch at the base of the left-hand-side of my jaw, underneath a really old (i.e 20+ years) root canal. Turned out to be bone decay caused by infection - had to have it treated to prevent it from spreading further afield in the jaw - just thinking if a regular x-ray hasnt picked anything up whether something like this might?

Yeah just standard x-ray, I was looking into the 3D dental scan and a few places do it near me but want a referral from own dentist first so that's next port of call, I'm back at dentist tomorrow so will get referral then. The feeling I get from it isn't sharp pain the left cheek just feels numb and swollen and it radiating from above the implant, the fact its not sharp pain makes me think its not a root issue so points the figure at the implant or the tooth next to it that has a root canal already but xray last time showed nothing for that tooth. If I rub my tongue on the implant crown the discomfort builds so its got to be the implant, I spoke to a dental implant place today and they said removal of the post could be done easily so luckily not a hospital job.

[PostHeads123]

rolex said:

Did the dentist mention Peri-implant disease? Maybe worth a Google.

No but I mentioned it and was they kind of dismissed it. Its no better after weeks worth of antib's, nearly 2 weeks now its been going on, xrays show nothing, only get some relief taking neurofen. I managed to track down the dentist who fitted the implant 9 yrs ago so going to see him on Thurs he has CT scanner and my old records / xrays so should get better idea of what it is. Doing my head in now cant focus at work or home.

Edited by PostHeads123 on Monday 22 October 21:25

[PostHeads123]

MentalSarcasm said:

Before going back to the dentist I'd try going to a GP. My Mum had severe toothache a few years ago, to the point of having a tooth taken out as she was convinced there was something wrong, dentist thought it might be a hairline crack but like you, x-rays showed nothing. Pain moved to the next tooth so dentist told her it couldn't be her teeth. Turned out she had arthritis in her jaw, several anti-inflammatories later she felt a lot better.

Personally I find I get a lot of discomfort on the left side of my face, just above my teeth, when I've got a cold coming on, as it tends to irritate my sinuses. Almost always on the left side only though, right side tends to be okay.

Thanks yeah I'm going to doctors as well 9am tomorrow so before the implant person on Thurs so got all bases covered, what your mum had does sound similar as I am now at the point I would happily have teeth pulled / implant removed to try resolve it. The issue I am having is on my left side / upper as well but sometimes feels like left side bottom, its not really pain but it feels swollen / sore, I don't have a cold at moment. My jaw does click when I eat lots of people over the years have told me that though I never notice it. Fingers crossed I get this sorted as its making me a very grumpy sod at the moment

Edited by PostHeads123 on Tuesday 23 October 12:24

[PostHeads123]

Saw guy who fitted implant today didnt need 3d ct as there xray machine much better. Turns out I do I have peri-implantitus basically infection around the implant but hard to treat as the bacteria lives in the ridges of the implant thread. Treatment is open up the gum a user a laser to kill off bacteria not cheap £850 if that fails remove implant. I wouldn't have another implant after this, I got 10 years out of so cant complain too much but when things start to go wrong with them its a painful / expensive to fix and your regular dentist cant sort so you have to go an implant person. Implants you need to really keep cleaner than real teeth. My issues are from when I was late teens didnt look after my teeth enough, now paying the price.

Another annoying thing is the dentist today said I needed 2 x fillings as well, one was in a tooth that my normal dentist xray last week, they said tooth was fine. Got them to recheck xrays from last week and they agreed needs some work.. may be time for new dentist

Edited by PostHeads123 on Thursday 25th October 18:27

[PostHeads123]

Well the cleaning of implant didn't work at all infact it got worse and Ive lost alot of feeling in left side of face also alot of sickness now it comes and goes Ive lost faith in the guy who fitted implant he doesn't seem to care. I went to see a facial maxmillory consultant this week and had CT, MRI and OPG scans done will know the results next Tues. I want the implant out now for sure as I cant go on like this and just want to remove all possibilities of cause. Can anyone recommend an experienced implant person particularly for removals London / Herts ? I'm nervous this thing been in there 10 yrs and looks well fused to the jaw bone, it's threaded but I guess it will be stuck ? Any one else had one removed how was it ? Xray below

[PostHeads123]

TheAngryDog said:

Sorry I cannot help OP, but after a recent bout of toothache I wish you all the best with getting this sorted and being pain free.

Thanks its just the worst thing I've had it on and off now for nearly 3 months, pain killers don't touch it, I just about function but its pushing mental health to the max, I just look forward to going to bed at night so I can 'hopefully' fall a sleep and get a break from it. Combined with the fact it always feel like these implant specialist's are keen to sell sell to you undermines my whole confidence in it, hence ideally a recommendation of one who is not so focused on the £ side of thing is what I'm after, I don't mind paying but a lot of time I feel there main focus is not me but the cash. Not saying implants are bad might work for some but if people are thinking about them think long term eg 10 years plus, as when things go wrong its hard to sort. A lot of implant people wont touch implants fitted by others as well as least I had my done in the UK so can go back to the original guy quickly if I had to.

Edited by PostHeads123 on Friday 14th December 12:43

[PostHeads123]

Henners said:

Sounds nasty, and I cant really help

But... what’s the thing in the tooth on the left, looks to have 2 tails, quite interesting.

That one has had a root canal and then a very large filling that has been topped up a number of times over the years, this is another thing to be aware of with implants, the reason that tooth decayed in the way it did (from the side) and not the top, is as a result of how the implant was placed making it very difficult to clean that part of the tooth. Implant technology come on along way now so new systems don't have such an issue. All the dentists I have seen have said its not that tooth ... but who knows.

I've had an MRI, CT, OPG xray and blood tests to check for dental infections now, seeing consultant early next week so either way I pray to god they can find what the issue is, otherwise its time to start pulling the teeth / removing the implant. Thank god Im lucky enough to have private health care they agreed to cover the investigation work even if turns out to be dental issue, they just wont cover the dental work itself if needed.

[PostHeads123]

This is the OPG scan implant on the right on image, too me it looks like the post is butting up to the sinus or perferated it abit ? I'm no expert seeing consultant on Tues but images given to me before probably shouldn't of looked at them tbh.

[PostHeads123]

Update, finally found out (after a lot of expense and some dental work) the pain is not dental but after a second MRI scan I was diagnosed with ' atypical trigeminal neuralgia' , which means the nerve in the left side of my face is dodgy due to pressure on it. Been given some tablets to ease the symptoms which seems to have helped to some degree but they are suggesting long term I need a op where they drill into the skull behind the ear and put something in between the nerve and face. Somedays the pain has been unreal I don't know how I managed to keep going I can understand why 'trigeminal neuralgia' is also called the suicide disease as some days I was really low and agony.

Edited by PostHeads123 on Wednesday 13th February 14:34

Edited by PostHeads123 on Wednesday 13th February 15:09

[PostHeads123]

Any dentist in the place ? I started this post a while ago thought we had the issue sorted but its back, this time I have managed to get hold of the 3D scan thing of my teeth so had a look myself and I spotted something, I'm no expert but it looks odd to me. Below is a picture the tooth in front of the implant is has root canal and large filling you can see a little black hole on the side of it, now I'm guessing it shouldn't be there ? This picture is from the inside of the mouth looking out.




This image was done as imaging centre and sent to my dentist so he has time to review it, the tooth with the black hole on he suggested a crown which he has prepped it for and currently has temp crown on. I assumed he was going to remove the filling and check and then redo it before he started the crown prep it was only at the end of the treatment he said he didn't do that just prepped with the existing filling in there.

[PostHeads123]

Driller said:

I would be concerned about the bone loss around the implant (depending on how long it's been there). What sort of cleaning are you doing around it?

For the crown prep he would have other placed a little restoration in that hole before doing the prep or it could have been removed during the prep itself and will be replaced by the crown material. At any rate the tooth doesn't look to be in great shape and has already undergone quite a lot of treatment by the look of it.

Edited by Driller on Wednesday 20th March 12:01

Thanks, the implant has been there 10 years now, I was told to expect a little bone lose but this is the first time I have seen it myself from the under side and it looks worse there to be honest then I see on the 2D. I also had the original OPG when I had the implant fitted and compared it to one I had done last year and the bone loss is there but marginal, When I had the implant fitted they had to do jaw expansion for it to be big enough. I had the 3D x-ray thing done at the Cavendish imaging in London then my own dentist looked at it but, not sure how well he kind of looked at it for 5mins when I was there I had a good look at home, I asked him today about the black mark and he did say he would of drilled through it as you said.

In terms of cleaning I use those small brushes daily and go hygienist every 6 months, though I admit I probably didn't look after it well enough in the early days.

My dilemma now is what are next steps, I could just have the tooth in front of the implant pulled and hope that sorts it, my worry is if it doesn't though it then means I've pulled a tooth I didn't need to and a visible one to. Other option is to try treating the bone lose around the implant first and hope that helps but I've had quotes of £1500 + for trying to treat that cover lazer cleaning or antibiotics injections, and the only people who I have found who would do it seem to be Harley Street practices who have prices to match, unless you know anyone on the implant side who is more reasonable price Im happy to travel in the UK ? I'm already 1.5k in from seeing dentists, ct scan, 3 scan having other work done to rule that out as the cause.

Its not a tooth ache pain buts its a fullness / tightness tingling in the cheek above the implant and tooth, I did notice when it first started and before the crown prep that tooth the bite seem to change it was like the tooth had dropped a bit and was hitting the bottom tooth more but that would come and go as well so not sure if it swelling somewhere, After the crown prep that went but not 100%. I've had a few courses of antib to rule out infections they did nothing to help.

My own dentist is suggesting extract the tooth first see if sorts it then tackle the implant if its still an issue.

The whole thing is driving insane, cant concentrate with it and has really got me depressed, I've got to get it sorted.

thanks

Edited by PostHeads123 on Wednesday 20th March 15:20

Edited by PostHeads123 on Wednesday 20th March 15:29

Edited by PostHeads123 on Wednesday 20th March 15:30

[PostHeads123]

cringle said:

The implant disease here is very established and due to the modern rough surfaces of dental implants, it is all but impossible to remove the bacteria successfully. These Harley Street charlatans and their fancy gizmos ain’t gona do anything for you except drain more of your hard earned. I would want that implant removed before it destroys even more bone. The site is pretty salveageable at the moment; explant, allow healing, graft then place again if you still want a tooth there. However, if it is left, the damage to the bone in the site can be catastrophic, making future treatment extremely difficult (and even more expensive!) trust me on this, as i do have a particular interest in regenerating large defects/complex cases.

The root canal treated tooth in front is hard to call from info you’ve given. It may be failing, and there is an infection which is not detectable, or a hairline fracture somewhere which again are largely undetectable. Pain affecting sleep is usually an indicator of an infection somewhere.

Good luck my friend.

Ok .. not what I wanted to hear but kind of guessed this was the case, I did want it removed but can imagine that its going to cost plus its been in there 10 years so its well fused. If this is your area of expertise could you PM me and some details where you practice and I can get in contact. I'm happy to travel in UK ?

thanks

[PostHeads123]

One question I have for you both and I know its hard to say and this is all in an unofficial context but do you think my symptoms are from the implant bone loss or the tooth in front ? I read that typically there is no pain or discomfort with peri implantitus ? In my case the gum around the implant looks fine, on probing its not bleeding (but did bleed once a year ago when I slipped with floss), on probing they can feel the pocket at the front, there is no movement in the implant. I was at the hygienist earlier in the week and she confirmed that redness in the gum was around the tooth with the temp crown on. When I wiggle that tooth I get the weird sensation, I don't get it if I wiggle the implant. My priority at the moment is to remove the weird feeling then I can address anything after.

thanks

Edited by PostHeads123 on Friday 22 March 11:54

Edited by PostHeads123 on Friday 22 March 11:59

[PostHeads123]

Im going to have the root canal tooth extracted next Thurs and will pray it sorts the wierd feeling.

[PostHeads123]

Thanks for the recommendations, in the end I went to another implant person and was told though I have bone lose on implant but it wouldn't be the source of my discomfort and they believe I had Atypical Facial Pain / Odontalgia, I was told to 'live with it' (it wasn't a dentist recommended here but thanks for the recommendations I got)... in the end I had the root canal tooth extracted 6 days ago on my request as the pain seem to originate from there, 6 days on the discomfort I had before is still the same if not worse so it wasn't that tooth, I don't have a dry socket. I'm now believing the Atypical Odontalgia diagnoses, I think I went ahead with the tooth extraction as for myself I need to be sure it wasnt the tooth it was a risk and it didn't pay off, Ive lost a tooth I probably didn't need to gutted. I'm going back to docs tomorrow as apparently some type of anti depressants can help the discomfort. I feel bad as I felt the atypical facial diagnose was a brush off but looking into it more it seems a genuine condition where the nerves in that side of the phase get screwed up and send dodgy messages to the brain, reading cases studies and other peoples stories I have read online mirrors what I have been through last 6 months.

Edited by PostHeads123 on Monday 8th April 10:54

Edited by PostHeads123 on Monday 8th April 10:56

Edited by PostHeads123 on Monday 8th April 10:57

[PostHeads123]

Now having the implant removed booked in for 3 weeks time, has to be implant, found that will antib injections into pockets around it gave relief for a few weeks at a time. Implant being cut out not reverse torqued, they spoke about cutting flap in gum and cutting the implant into two and folding it in, needs 1.5 hr appointment to do, not looking fwd to it. Person doing it recommended from pistonheads. So annoyed the Harley street guy told me implant was fine and to live with it, I doubt I would have the the other tooth pulled out first if I had seen my current dentist first. The Harley street guy in two appointments only looked in my mouth once to check bite, he didnt even probe around the implant to check for pockets, surely he should have? He purely used the 3D xray to look said it looked fine current dentist says the 2d xray shows clear area of non intergration of implant.

Edited by PostHeads123 on Friday 24th May 11:40