Toothless Attack

[MoxieGirl]

I had a tooth removed on Friday.

Just had (well, actually still experiencing) my first attack since the removal of the bad tooth. I'm coming up on 90 minutes, and still in quite intense, cluster like, pain. One side of my head like a cluster, in and around the eye, you know the drill.

The intensity isn't quite unbearable. Worse than a migraine, but not bang head on wall pain.

What makes this unusual, is that for the last 2 years or so I've rarely had a cluster last 45 minutes. Most are 5-15 minutes.

Really hoping this is a sign of the beast changing the game.

MG

[spiny]

Did they use epinephrine in the numbing agent? This will give some an attack. It shrinks the blood vessels to reduce bleeding and is commonly used with zylocaine, etc.

[MoxieGirl]

Not sure what they used to numb the area. But had the tooth removed Friday morning, this is now Tuesday evening. So doubt it is that.

[didgens]

my son getting his wisdom teeth out Friday ,, he has been telling me the side he gets CH's on the tooth swelling has been causing him pain .. im still hopeing the removal of the teeth help ??? I know its not probable.

[didgens]

I would like to know why the epi would cause an attack when it shrinks the blood vessels which is what the imitrex does ??

sumatriptan reduces the vascular inflammation associated with migraines.

The specific receptor subtype it activates is present in the cranial and basilar arteries. Activation of these receptors causes vasoconstriction of those dilated arteries. Sumatriptan is also shown to decrease the activity of the trigeminal nerve, which, it is presumed, accounts for sumatriptan's efficacy in treating cluster headaches. The injectable form of the drug has been shown to abort a cluster headache within fifteen minutes in 96% of cases.[5]

[CHfather]

Moxie (and didg), when my daughter had a tooth removed about ten years ago it triggered her first really bad cluster cycle. She had had CH attacks before, but they were tolerable; this is the one that sent her to doctors looking for answers (took five years to get a correct diagnosis, of course).  I don't know what numbing agent was used, but it probably was epi.  So at least in her case, it had enduring effects even after the epi wore off (if it was the epi; could of course be who knows what else . . . some pressure that the dentist applied while removing the tooth; the extraction itself . . .).

[weatherman]

Moxie (and all),

Seems that tooth/gum/jawbone trauma can make the Beast change tactics. 

I had two adjacent crowns done last week and for the first time EVER, had light CH symptoms on the right side.  WTF, this is new!  At least aspirin takes care of the ever-present dull ache.

Will check on numbing agents also, is there a preferred one for us CH'rs?

weatherman

[CHfather]

Will check on numbing agents also, is there a preferred one for us CH'rs?

  At a previous thread, Bob (alleyoop) wrote: >>do not let them deaden you with Xylocaine with EPI (epinepherine) . . . request prilocaine or anything without EPI.<<<

 

[ThatHurtsMyHead]

Last time I had dental work done (filling replaced 15 years ago).  I opted to not have any anesthetic.  It was uncomfortable, but nothing like a CH attack.  I'd do it again without anesthetic in a heartbeat.

J

[didgens]

there are many articles about wisdom teeth removal and nerve damage.  My sons ortho noted he has an impacted one ,, he is not going to remove the root because the risk of nerve damage is to great. so a new procedure is to cut the tooth out but leave the rest for the body to dissolve.  it just seems kinda odd that the clusters start in many when the wisdom teeth start growing .. 16 - 20ish.

[ThatHurtsMyHead]

Didgens,

All 4 of my wisdom teeth were taken out when I was 14.  Clusters started at 18.  Definitely a lot of chemical changes going on in a person at the same time CH starts for most.

J

[didgens]

interesting ... thanks