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Is trigeminal neuralgia the only definitive diagnosis for pain in a tooth extraction site?

Authors
  • Taheri, Arman1, 1
  • Sepehrmand, Shahram1
  • 1 Tehran University of Medical Sciences, Tehran, Iran , Tehran (Iran)
Type
Published Article
Journal
BMC Oral Health
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Jun 07, 2021
Volume
21
Issue
1
Identifiers
DOI: 10.1186/s12903-021-01645-6
Source
Springer Nature
Keywords
License
Green

Abstract

Knowing the International Classification of Orofacial Pain helps pain specialists to differentiate types of orofacial pain. It is important to select the best treatment or intervention for the patients based on the diagnosis. As part of our study, we reviewed the article published in BMC Oral Health, titled “Clinical characteristics and associated factors of trigeminal neuralgia: Experience from Addis Ababa, Ethiopia” by Ayele et al. (Ethiopia BMC Oral Health 20(1):7, 2020). For patients suffering from Classical Trigeminal Neuralgia taking a suitable dose of Carbamazepine or Gasser Ganglion radiofrequency could be helpful. Patients complaining Trigeminal neuralgia who had a history of a dental extraction in the painful region should be categorized in other group as Complex Regional Pain Syndrome type 1, who need larger dose of carbamazepine with anticonvulsant or tricyclic agent drugs (e.g. pregabalin or doxepin) or intervention (PPG radiofrequency).

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