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This question is more than six months old, so the information in the answer may no longer be accurate.
Visitor asks:
Dear Sir/Madam!
On 5 November 2009 I presented my problem to you, but I have not yet seen an answer. I would again like to ask whether the procedure itself (replacement of a filling on the lower first molar) can trigger neuralgic pain. Can repeated administration of a "mandibular block" (Sandonest 2%) also cause such problems? All this has been happening to me after a visit to the dentist. The attacks are unbearably painful. The dental X-ray is normal, although two teeth (lower right first molar and upper right second molar) are very sensitive to cold food, air and similar stimuli. The attacks are triggered by chewing, brushing my teeth and warm food. My neurologist prescribed Lyrica, which somewhat calms these attacks. Please give me your opinion and advice on what I should do.
Dentist Tomaž Rotar answers:
Dear Sir/Madam!
I apologise for having missed your question. You have almost answered it yourself. The procedures and actions listed can certainly trigger attacks of neuralgic pain. Neuralgia is treated with administration of vitamin B and the medicines you already have. Locally (at the exit points of the trigeminal branches), anaesthetic blocks can be administered. Removing the triggering factor (hypersensitivity of the tooth necks) could likewise help in resolving your problems. For additional information, please make an appointment for an examination.
Have a nice day!
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