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[Dental trigeminal neuralgia]
1Tagesklinik für Mund-Kiefer-Gesichtschirurgie, Würzburg.
Schmerz (Berlin, Germany)
|June 12, 2003
Summary
Trigeminal neuralgia unresponsive to standard treatments may stem from dental issues. A case study shows successful treatment of trigeminalgia with antibiotics and laser therapy, suggesting gingival inflammation as a potential cause.
Area of Science:
- Neurology
- Dentistry
- Pain Management
Context:
- Recurrent trigeminal neuralgia often responds to conventional treatments.
- A subset of patients requires investigation into unusual etiologies.
- Dental prostheses can precipitate or exacerbate trigeminalgia.
Purpose:
- To report a case of trigeminalgia secondary to dental prosthesis.
- To highlight an unusual cause of trigeminal neuralgia.
- To propose dental gingival mechanisms in differential diagnosis.
Summary:
- A 74-year-old woman developed acute trigeminalgia after a dental prosthesis fitting.
- Symptoms included spontaneous and evoked pain attacks.
- Treatment with local antibiotics and laser coagulation resolved the condition without recurrence.
Impact:
- Suggests gingival inflammation and prosthesis pressure as triggers for trigeminalgia.
- Advocates for including dental gingival factors in the differential diagnosis of refractory trigeminalgia.
- Demonstrates a successful alternative treatment for drug-resistant trigeminalgia.