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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:
I have a problem that has been recurring for about two years. I had an apicoectomy on an upper second premolar.
After the apicoectomy there was the "normal" postoperative pain, which lasted for about a few days.
After 10 days, when the sutures had already fallen out, I began to have unbearable pain. The pain was so severe that no tablets helped; I could not sleep at night and could not eat during the day, and I was completely beside myself.
I first went to the dentist, who told me it could be an infection or something like that and prescribed antibiotics, but the condition did not improve at all.
I went to an oral surgeon, explained the situation, and he performed another apicoectomy because, as he said, there was nothing else he could do.
After the second apicoectomy it was the same again. After 10 days the pain returned, perhaps a little less severe.
I tried cooling with ice, applying hot compresses and using gum gel; nothing helped at all. The pain was still there, sometimes less and then very severe again.
It lasted about 7 days, then the pain disappeared completely. I was extremely happy and thought it was finally over, whatever it was.
Then one month ago the pain appeared again, unbearable and lasting 1–2 days. I went back to the dentist, who again said there was nothing wrong.
At present, even as I write to you, the pain is present again. It is not as severe but is still there and has lasted about 3 days.
I feel the pain across almost the entire upper left jaw and it also spreads above the jaw. I am not sure whether the exact tooth on which the apicoectomy was performed is hurting, because when the pain occurs, almost all my upper left teeth hurt.
Dentist Tomaž Rotar answers:
Dear Sir/Madam!
Based on what you have written, I would say that the source of the pain is not only the tooth in question. First, problems with other teeth in this region should be excluded (panoramic X-ray). If they do not show a likelihood of pathological changes, then in the differential diagnosis we could consider neuralgic pain in the distribution of the second branch of the trigeminal nerve, at least based on the history you have provided. For a more precise answer, please call me by telephone.
Have a nice day!
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