Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I have an orthognathic surgery on both jaws for under-bite correction in 2006. Every now and then, I have tingling sensation in my lower chin which reduced over time. Some time I experienced pain in my right side teeth in upper and lower jaws. Recently (almost 8 years after surgery), I have consistent pain mainly in upper jaw and sometime in lower jaw. The pain is very random but sort of continuous. It seems to originate near to one of the teeth (number-2) which I noted have Titanium plate near its upper root. Initially, I though it might be root infection but dentist find all teeth healthy although he told me he have to perform 3D X-ray to check the portion of tooth root behind the Ti plate but he told me like hood of root damage is low to nil. Do you have any idea of what might be causing the pain ? I though the nerve, muscle, tissues, bones would have generated by now. I did not have any accident recently but as I mention this kind of sensation arises before (for short timings/a day or so) after I was recovering from operation. However recently, It have stayed for more than 4 days and still continue. The pain is radiating from under right side of nose with right check near molar with bit tingling feeling. Thanks for your advice.
[|AI|]  Thanks for your query, I have gone through your query. The pain what you are describing soon after the surgery can be because of the nerve injury during surgery. The reason for pain now can be because of the infection at the site of plate placement. The last cause could be any infection in the tooth near to the area where the plate is placed because of its approximation to the tooth root. So consult a good oral physician and get it evaluated. You need to get radiographs like Cone bean computed tomography and vitality test done to rule out the vitality of the teeth. Once the diagnosis is confirmed, we can treat accordingly. I hope I have answered your query, take care.