Introduction / Aim. The sudden and excruciating pain that characterizes paroxysmal trigeminal neuralgia (PTN) has a negative effect on wellbeing of the affected individuals, causing psychological distress. Salivary alpha amylase (sAA) level represents an objective assessment of physical, physiological and psychological stress. Evoked potentials (EPs) can reflect nerve function and evaluate a functional aspect of the trigeminal nerve conduction. The aim of this study was to analyze possible modifications in painful impulses conduction related to sAA level by registering tooth pulp EP in PTN patients. Methods. Ten PTN patients and twelve healthy subjects participated in the study. Activity of sAA was measured using Nipro Salivary Amylase Monitor. To record EP response, dental pulp of vital teeth was electrically stimulated through intact enamel. For stimulation and impulse registration we used Xltek Protektor 32 system, software EPWorks, version 5.0. Results. The results obtained in PTN patients showed a higher number of waves and significantly shorter latencies and lower amplitudes N2-P2 and N3-P3 at the neuralgic side compared to the healthy side of the same patient, as well as to the controls (p<0.05). Also, latencies were significantly shorter in patients with higher sAA levels than in those with normal sAA levels (p<0.05). Late latencies (N2 and P2) at the healthy side in patients with higher sAA levels were significantly shorter compared to patients whose sAA levels were normal (p<0.05). Conclusion. This study showed that psychical stress associated with PTN probably further increased hyper-excitability and conduction velocity of the affected nerves. Moreover, it seems that anticipation of stressful pain even increases conduction velocity of unaffected nerves at the thalamo-cortical level in PTN patients. However, in healthy individuals, stress itself had no influence on painful impulses conduction.