But do they know why MVD's fail? Some fail right after the surgery is done and there was nothing to "trigger" it. It seems (although by no means a correct ) a mvd will fail when it wants to. Whether or not you have work done doesn't matter. Anybody here actually have TN come back after a MVD then dental work? But isn't it possible that you could come out of remission JUST with the root canals? Aren't you dealing with the risk either way?
If you go with root canals:
Will the root canals be in the area where your TN pain is prevalent?
Can you handle the drilling and fitting of crowns?
Your age may also be a factor. Crowns last about 30 years and will have to replaced. How many crowns are going to need to be replaced (those that were done years ago)?
Are you pretty sure you'll have to get dentures in the future and the root canals will only be a long but temporary thing?
What about the future cavities, root canals, pulled teeth you'll have to deal with in the next decades? It's pretty unlikely that you won't have any sort of problems with your teeth in the future. So it's not really about the problem you have now but also all the problems in the future. Will dentures reduce the number of problems in the future?
What about going on a TN drug prior to either procedure as a precaution. Can't hurt and may or may not help. What does your neuro think?
DENTURES
You'll have to deal with the dental pain from removal. Swelling, temp teeth then permanent teeth, fittings and possible irritation and and trigger spots. How about where there are already crowns and the surgeon will have to dig down to get the root out?
You are risking coming out of remission now or MAY risk having to have teeth pulled much later when and if you come out of remission later and then having your teeth pulled while the TN is active.
You're trading one set of problems for another and either way it sucks.
I am very concerned with this issue as I still have most of my teeth but the future.... Anyway, I had a root canal in the area where my TN shows up and it did wake it up but I have NOT had a MVD and was NOT in remission while having this done. My neurologist always tells her patients who are getting root canals to take an extra pill of whatever they are on whenever going to the dentist because with her experience it can have an effect. Now about three weeks ago I had an abscess in an area that I don't have TN pain and went to the dentist and told them that I wanted it pulled. It was a back tooth, and the thought of all the drilling, the temp crown, the drilling for a new crown. I was soooooo tired of it and all that movement in my mouth. The (irritating dental assistant had to tell me that , "oh you won't be able to eat right etc." After telling her I had TN.) She went on. I asked her "Do you even know what TN is?" She left to tell the dentist what I had decided. Now, HE has other TN patients and didn't blink an eye and sent a referral to different oral surgeons. After getting me all prepped. It took the surgeon about 15 seconds to remove the tooth. I ended up getting a dry socket and everyone is telling my that it is extremely painful. It was painful and I took the pain pills, but compared to TN pain, it was more "extremely annoying with some pain." I will NEVER get a bridge or an implant. I'm 45 and can wait but the thought of having a foreign object in my mouth for the next 35 years - uh, not going to happen. And someday I may need dentures and it's an issue.
I think that even thought it's not dental pain, the work triggers dental pain which in turn can trigger the TN pain and it did for me, but only in the region where my TN pain is and only when working in that area. I had no problem when they pulled a tooth from a region where there is no TN pain and I completely understand going with dentures. The thought of all that drilling in my mouth (after 10 root canals and 3 surgeries BEFORE being diagnosed) was too much.