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  1. #1
    Rebreather numpty stillbubbling's Avatar
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    Question Barodontalgia-or "OWOWOWOWOWOW! My teeth hurt on descent!"

    Has anyone suffered from this?

    I had it for the first time yesterday - couldn't descend past 7m. And be assured it bloody hurts! It felt like one of my left back upper molars was having a needle rammed through it. Afterwards it turned into a throbbing in/around my cheekbone, behind the left eye, and into the teeth (alternatively that might now be the result of self prescribing several large single malts last night to take my mind off it....)

    I've done some reading around it, and it looks like it is one of two things-either a damaged tooth, or the maxillary sinus playing up. It certainly felt tooth related at the time, but the pain in the cheekbone is pointing to sinuses, and in fairness it was the first dive after a cold.

    So I was wondering if there is anyone out there with any experience of this? How do you tell? Do I see the dentist or doc first? Or just try again in a few weeks having popped a Sudafed and see what happens?

    TIA

  2. #2
    TDF Member SouthCoastDiver's Avatar
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    G'day

    I spent a few hundred dollars at the dentist a year ago convinced that the tooth pain I experienced when diving was a problem that could be fixed with a filling / extraction etc.

    After a couple of visits where I was prodded, poked, had teeth cleaned and x-rayed, the official diagnosis was it was "probably" a sinus problem.

    Since then I take antihistamines a couple of days before I'm due to dive and have slowed my descent rate a little and it seems to have fixed the problem.

    It may be worth trying this low-cost, low-risk "cure" to see how it goes?

    SCD

  3. #3
    Charlie SoggyBottoms's Avatar
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    Barodontalgia-or "OWOWOWOWOWOW! My teeth hurt on descent!"

    chap I know had two teeth literally explode on ascents
    some kind of air gap under filling
    he asked dentist to pack harder and was good to go afterwards
    regards, Charlie

    charliesez http://tinyurl.com/bjjus8g

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    Prior Member Tim Digger's Avatar
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    Difficult to tell upper molar pain from sinus. If you have no filings/previous dental probs in that area, then strongly suspect maxillary sinus. Any cold /con? Wait it out. Hay fever allergy type congestion possible. If no better next time and no previous dental probs then medical/ent consult.
    Tim Digger

  5. #5
    Rebreather numpty stillbubbling's Avatar
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    Thanks

    Thanks for the thoughts, guys.

    I have had a cold recently, and it was the first dive since it cleared up. Plus I'm up to date on dentist checkups, and there are no issues in that area-only an old filling (which I suppose might have cracked since the last checkup).

    I shall take the 'wait a bit, pop a Sudafed and try again' approach and see if it recurs.

  6. #6
    Established TDF Member ChristianG's Avatar
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    Quote Originally Posted by stillbubbling View Post
    Thanks for the thoughts, guys.

    I have had a cold recently, and it was the first dive since it cleared up. Plus I'm up to date on dentist checkups, and there are no issues in that area-only an old filling (which I suppose might have cracked since the last checkup).

    I shall take the 'wait a bit, pop a Sudafed and try again' approach and see if it recurs.
    I'd go very easy on that Sudafed bit. Given that you might already have a problem a reverse squeeze would certainly not endear me if I were you. As for an old filling that "might have cracked" that would allow any pain to be alleviated rather than occur. It's commonly when you have a new filling, with a cavity in it which is sealed over by amalgam that pain of that type occurs. For that very reason (other than, but of course, that he's a much better diver than I'll ever be leave alone photographer than I'll also ever be) my dentist is a SCUBA diver. This is he (and Becca his long-time partner). I commend to you, in particular, the AE2 section of that website.

  7. #7
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    Quote Originally Posted by SoggyBottoms View Post
    chap I know had two teeth literally explode on ascents
    some kind of air gap under filling
    he asked dentist to pack harder and was good to go afterwards
    how is this possible? my understanding is that if there is an air gap which is reacting to the ambient pressure then there must be a connection to the mouth, therefore while pain on decent is perfectly likely the "exploding tooth" on ascent seems most likely to be an urban myth, much ore likely there was a fracture present before the dive and the increased pressure caused it to propagate, this is unliekly to have been prevented by packing afilling harder.

  8. #8
    Closed Account: User Requested nickb's Avatar
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    I suffer a bit of tooth pain on a quick descent with more than about 45% helium in my dil

  9. #9
    Rebreather numpty stillbubbling's Avatar
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    Quote Originally Posted by dixi View Post
    how is this possible? my understanding is that if there is an air gap which is reacting to the ambient pressure then there must be a connection to the mouth, therefore while pain on decent is perfectly likely the "exploding tooth" on ascent seems most likely to be an urban myth, much ore likely there was a fracture present before the dive and the increased pressure caused it to propagate, this is unliekly to have been prevented by packing afilling harder.
    Entirely possible. It's dependent on how fast the compromised tooth can get rid of expanding gas. In the same way as 'normal' decompression, if there is a slow bleed of pressurised gas into the tooth through (say) cracked enamel, it will evenually equalise. Now, taking the pressure off on ascent it has to either escape (not necessarily fast enough if the crack is tiny/hairline), or expand (putting pressure onto the sensitive dentine) or something's gonna go bang....

    Or that's the way it was explained to me by a diving dentist years ago. Mostly these incidents blow away a chunk of tooth enamel, apparently (which still bloody hurts!)

  10. #10
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    Barodontalgia-or "OWOWOWOWOWOW! My teeth hurt on descent!"

    I have had this on a number of occasions and have put it down to dodgy sinuses...

    Worst case of all was on the 2nd dive of a 12 day trip to truk lagoon !

    Luckily it cleared up by the 2nd day...

    The strange part about the pain in truk which I hadn't experienced before was the fact that the initial decent was fine it was after I had yo-yoed in and out of various holds and hatches that I was unable to re descend to a greater depth than what I currently was at...

    I have quite a few fillings in various areas of my teeth but 99% of the time I'm fine, I get caught out once maybe twice a year with the feeling of great pain on descent, I can only describe it as someone having hold of my nerve in a pair of pliers and sqeezing on descent.

    Usually once I've had this then I give it a rest for a day and try again the next and its usually fine



    Sent from my BlackBerry 9900 using Tapatalk


 
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