Hi! I have been in dentistry for over 25 years, and this is a very difficult problem to deal with. Since it involves the muscle and nerve responses, often there is extreme pain. I think that the removal of the teeth that were impacted disrupted the nerve response from the mandibular or maxillary nerve. If this nerve is inflamed as well as misfiring, there has to be a pain relief program that is out of the box. I wish I knew more to help you, but I can tell you this. Often drugs like Elavil and combined with muscle relaxants can help. It is tricky as you are using the drugs to stop pain response in a way that is typically not used. Most doctors are now becoming more aware of this with the increase of neuropathy from diabetes and alcohol abuse as well as PAD. There is also a new drug on the market that is for severe pain from neuropathy that may help her. The dilantin causes severe swelling of the gums and periodontal bleeding. But that is not the cause of her pain. It is worth seeing a neurologist to see is this new drug combined with Elavil or a similiar drug will help her. There is also a procedure that cuts the facial nerve and stops the pain, but has some side effects that could make for difficulty in swallowing or closing of the eye to blink. I do not know enough about this to even suggest it. But I have read about it, and I am not an Oral Surgeon to know enough to even advise you. You deserve to live a better life and so does your daughter. If you have any other questions, please ask. I know this is a living nightmare and I would like to help if I can.
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