I’m confused–is this the topic moved from the other heading? I’m not sure how to categorize myself. I was on tricyclics for 35 years, and withdrew completely from them just before this all started. I’m pretty sure my trigeminal neuropathy is related to that. The timing is too coincidental.
I slowly developed bruxism, and a “funky” feeling in two teeth, but not really any pain at that point. After I went to the dentist, he diagnosed an obvious abscess and I eventually had that tooth extracted as it was cracked at the root. After extraction is when things really kicked into high gear with constant pain, burning mouth symptoms, etc…Basically it felt like the extraction area, and especially the next tooth, never really healed.
That started a summer of dental work–a root canal (warranted), bite adjustment, 3 courses of antibiotics, root planing, a new bridge, endodontist and periodontist, tons of x-rays. And of course nothing really helped and eventually I told my dentist this has to be neurogenic and he agreed. An oral medicine doctor gave me the diagnosis of trigeminal neuropathic pain and had me do an MRI (which was completely normal of course).
So in my case I would say that my nerve was already compromised, and dental work was the capper. I still think my dentist and endodontist are very competent, and would go back to them, especially as the option is someone new (though very afraid of dental work at this point!). My only complaint is that no one ever brought up the possibility of neurogenic pain, I had to do the research myself and be a strong advocate to get more help despite my obvious discomfort.
I’m still looking for options that don’t involve drugs with horrid side effects or surgery. There has to be a way to promote healing without creating more problems! This is of course extremely frustrating and discouraging at times, but I’m trying to remain hopeful.