Tooth pain comes and goes on an hour by hour basis

jra505

Hello

I've got pain (mild but annoying) pain in my front teeth, both top and bottom and it comes and goes all day long. When I have the pain, if I run my tongue along the inner side of my teeth they feel rough, when I don't have the pain they feel smooth.

Roughness can be caused by enamel decay, and presumably that would cause pain, but how on earth could it come and go?

Could there be something in my diet which is causing it? Could it be caused by sinus problems (I had to have a sinuplasty and septoplasty last year)? But, if so, what could be the explanation for the apparent rough feeling?

I've seen a dentist and a Maxillofacial specialist and they've both indicated that there is nothing physically wrong with my teeth. I've been prescribed nortryptiline in order to determine if it is a nerve related problem, but it does not seem to be helping.

Any one else ever had anything similar?

Thanks,

jra505

Toothsmith

The people who have seen you will be much better placed to make a diagnosis than random people on the internet who can't.

Obscure pains can be very hard to diagnose an exact 'cause' and sometimes you have to just try things to eliminate the more likely reasons. Nortryptiline can take a few weeks to work sometimes, and is a reasonable thing to try in the abcence of anything obvious.

McKneff

Think outside the box.
It may be your tongue that is changing ??

jra505

I had already wondered about it being my tongue changing, but it is my teeth that hurt

jra505

Toothsmith wrote: »

The people who have seen you will be much better placed to make a diagnosis than random people on the internet who can't.

Obscure pains can be very hard to diagnose an exact 'cause' and sometimes you have to just try things to eliminate the more likely reasons. Nortryptiline can take a few weeks to work sometimes, and is a reasonable thing to try in the abcence of anything obvious.

I've been on nortriptyline for 3 months now - started on one a day and now I'm on 3 a day - I used to think it was having an effect but now I am not so sure

Toothsmith

I take it your dosage is being monitored and adjusted fairly regularly? It is a drug you need to be quite cautious with.