Trigeminal Neuralgia and Dental Malocclusions

Blair, G. A. S.; Debra, Gordon

doi:10.1136/bmj.4.5883.38

Cited by 8 publications

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“…For them, a variety of procedures to modify or interrupt afferent impulses along the trigeminal pathway have been devised. These range from adjustment of the bite (Blair and Gordon, 1973) through division of the peripheral branches of the nerve to destruction of the Gasserian ganglion or surgical tractotomy. Excellent results have been obtained from injection of the trigeminal ganglion with alcohol (Penman, 1950) which, with radio-frequency diathermy of the nerve roots intracranially, constitutes the most widely practised management today.…”

Section: Introductionmentioning

confidence: 99%

The place of peripheral neurectomy in the management of trigeminal neuralgia

Freemont

Millac

1981

Postgraduate Medical Journal

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Summary One hundred and forty-six patients with trigeminal neuralgia were studied. Of 49 patients ultimately maintained pain-free by non-medical means, 26 underwent peripheral neurectomy. Twenty of these achieved excellent pain control in the longer term and 5 of the remaining 6 became more responsive to carbamazepine after operation. Seven patients required repeat neurectomies. Peripheral neurectomy is a useful and simple method of pain control in trigeminal neuralgia.

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Section: Introductionmentioning

confidence: 99%

The place of peripheral neurectomy in the management of trigeminal neuralgia

Freemont

Millac

1981

Postgraduate Medical Journal

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The etiology of the temporomandibular joint dysfunction syndrome

Roberts

1974

American Journal of Orthodontics

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Tole of the dentist in trigeminal neuralgia

Mumford

1978

Pain

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It is well known that people with idiopathic trigeminal neuralgia sometimes have teeth unnecessarily extracted. It is less well known that pain which seems to be due to idiopathic trigeminal neuralgia is occasionally due to dental causes. For this reason it is suggested that such cases should be given very careful dental and oral examination before the commencement of drug therapy or surgery. Such an examination must be meticulous and may be tedious as well as time consuming. It should therefore be done by a dentist who is specially interested in pain and who is preferably associated with a centre for pain relief. A few cases may then have their pain relieved by such procedures as fillings, extractions or occlusal adjustment. In all cases the neurologist or neurosurgeon will face his responsibility more secure in the knowledge that all possible peripheral causes have been eliminated. Moreover, patients with idiopathic trigeminal neuralgia may have difficulty maintaining a satisfactory standard of oral hygiene, both before and after treatment. They should therefore have careful attention paid to this as soon as possible.

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Trigeminal Neuralgia and Dental Malocclusions

Cited by 8 publications

References 1 publication

The place of peripheral neurectomy in the management of trigeminal neuralgia

The place of peripheral neurectomy in the management of trigeminal neuralgia

The etiology of the temporomandibular joint dysfunction syndrome

Tole of the dentist in trigeminal neuralgia

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