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face pain

2 yrs ago I had anchors place to intrude my upper jaw (right) so I could have implants placed lower right after 9 months the procedure was unsuccessful and they were removed. I've since then lost 3 teeth in that area and am now left with chronic right sided face pain literally the whole right side of my head. I had a MRI last month that was negative but the pain is progressing. It now includes my right ear as well. I've be treated with neurontin and tegretol with no relief. I can't even find a surgeon to do an exploratory surgery. WHAT CAN I DO I AM REALLY IN PAIN?
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I have had ms for 23 years I have pain around my left ear and pain in my right gum/teeth I have tmj what do you think?
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1093617 tn?1279302002
MEDICAL PROFESSIONAL
Hi, Thank you for your question. This may be Trigeminal neuralgia as you have typical one sided facial pain extending to temple and eye( ophthalmic branch of trigeminal nerve may be involved) and sore gums of the teeth of same side (maxillary branch of 5th nerve). Trigeminal neuralgia may have a triggering factor like recent history of tooth extraction, touch, cold breeze or hot sensation etc. which you need to evaluate and avoid. Drug of choice for trigeminal neuralgia is carbamazepine but as the dose may vary according to severity therefore I would advice an oral medicine specialist consultation or at least a physician to confirm this diagnosis and get you treated accordingly. Take care.
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