Unresolved dental pain

Joined
Aug 23, 2018
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For the last 8 years I periodically get extreme teeth pain starting in my front upper or lower teeth. At first, the pain occurred infrequently and went away after taking Ibuprofen. The last few years the pain is more frequent and severe. Typically, this only occurs after I ride my mountain bike, and thus breath through my mouth, when the weather is cool. Oddly, the pain doesn't start until about a half hour after I'm out of the cool and have been in a warmer environment. The pain never occurs when I exercise in the warm summer.

Many times I've been to my dentist about this issue and she says my teeth are in great shape and has no idea as to the cause. For this same problem, I've been to a periodontist, endodontist, neurologist and ear nose and throat doctor. They all say nothing is wrong.

Desperate to try anything, I paid my dentist to make a couple mouthpieces, one for sleeping and the other for when I exercise. I've worn these for about a year without any difference in outcomes. Also, without any noticeable difference, I regularly use sensitive toothpaste and fluoride mouthwash.

Recently, in researching my situation, I ran across an article on the movement of fluid within the dentinal tubules. The described symptoms are similar to what I'm experiencing. The problem is that this articles solution is different types of sensitive toothpaste which I've already tried without success.

At this point I don't know what else to try. I do have and appointment with a TMJ dentist in about a month but I don't seem to have many of the same symptoms of jaw issues.

Any help/suggestions would be greatly appreciated!
 

honestdoc

Verified Dentist
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Hopefully the ear nose & throat specialist eliminated the sinuses as a source for pain. Do you have pain bending forward and walking up & downstairs?

Have you worn your mouthpiece when you mountain bike? Do you notice similar pain?

Do you whiten your teeth? Many times after whitening, it makes the teeth more sensitive. I'm sorry but based on the information given, I'm only able to guess.
 

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Joined
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honestdoc, Yes, ENT said sinuses in good shape and not cause of problem. No pain when I bend over.

I do wear mouthpiece when ride but hasn't seemed to make a difference.

Never have whitened my teeth.
 

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honestdoc

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There is an Orofacial Pain Center at the University of Kentucky Lexington that specializes in unknown dental pain. The director is Dr. Jeffrey Okeson. I have his textbooks and attended his numerous lectures. I'm not sure if it is worth your visit.
 

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Thanks for the suggestion. I've already spend a lot of money and would definitely consider going to him. I've got an appointment scheduled with a new dentist and an appointment with a TMJ dentist. If neither of these seem to have a solution then I will look into the Kentucky dentist clinic.
 

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Dec 6, 2017
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At this point I don't know what else to try. I do have and appointment with a TMJ dentist in about a month but I don't seem to have many of the same symptoms of jaw issues.

Any help/suggestions would be greatly appreciated!

If you are really open to any suggestion, then check out Sarno's works. This sounds 100% TMS

This is what dentists call "atypical odontalgia", if the pain is conditioned, then it's caused by the brain. If it wasn't you would be in pain ALL the time, believe me

Rule out anything physical causes first, but it seems like you've already done this.
 
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