Clinical profile of patients with trigeminal neuralgia visiting a dental hospital: A prospective study

Rai, Arpita; Kumar, Ansul; Chandra, Akhilesh; Naikmasur, Venkatesh G; Abraham, Lejoy

doi:10.4103/ijpn.ijpn_44_17

Cited by 4 publications

(7 citation statements)

References 2 publications

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“…Of the 52 patients in this study, 27 were male (51.9%) and 25 were female (48.1%). Only one recent study concurs with our finding of male predominance (55% male and 45% female) [ 11 ].…”

Section: Discussionsupporting

confidence: 85%

Evaluation of transcutaneous electrical nerve stimulation as an adjunct therapy in trigeminal neuralgia - a randomized double-blind placebo-controlled clinical study

Bisla¹,

Gupta²,

Agarwal

et al. 2021

J Dent Anesth Pain Med

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Background Trigeminal neuralgia (TN) is a severe form of pain that affects the daily activities of a patient. Transcutaneous electrical nerve stimulation (TENS) therapy is an emerging option for the treatment of acute and chronic pain. The aim of this study was to evaluate the effect of TENS therapy as an adjunct to drug therapy for the treatment of TN. Methods A total of 52 patients diagnosed with TN according to the International Classification of Headache Disorders (version 3) were included. Each patient was randomized to either the TENS or placebo TENS groups. Intervention was given in continuous mode and 100-Hz frequency for 20 mins biweekly for 6 weeks. Parameters were measured at baseline, TENS completion and 3 months, 6 months, and 1 year of follow up. The parameters observed were mean carbamazepine dose, mean visual analog scale (VAS) score, mean present pain intensity (PPI) score, and functional outcome. Non-parametric analyses, one-way ANOVA and the Kruskal-Wallis test were applied for intragroup comparisons, while the Mann-Whitney U test and independent t-test were used for intergroup comparisons of variables. The chi-square test was applied to analyze categorical data. Results Compared to the placebo TENS group, the mean dose of carbamazepine in the TENS group was significantly reduced at TENS completion, as well as at 6 months and 1 year follow up. Changes in mean VAS score, mean PPI score, and functional outcome did not show significant differences between the groups (P>0.05). Conclusion TENS therapy does not lead to any changes in pain levels but it may reduce the mean dose of carbamazepine when used as an adjunct treatment in patients with TN.

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“…Of the 52 patients in this study, 27 were male (51.9%) and 25 were female (48.1%). Only one recent study concurs with our finding of male predominance (55% male and 45% female) [ 11 ].…”

Section: Discussionsupporting

confidence: 85%

Evaluation of transcutaneous electrical nerve stimulation as an adjunct therapy in trigeminal neuralgia - a randomized double-blind placebo-controlled clinical study

Bisla¹,

Gupta²,

Agarwal

et al. 2021

J Dent Anesth Pain Med

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show abstract

“…Our study results are similar to those of several other studies (Loh et al, 1998;Katheriya et al, 2019;Siqueira et al, 2009). A study demonstrated that trigeminal neuralgia affected equally on both sides of the face (Rai et al, 2017).…”

Section: Figure 8: Bar Graph Showing Association Between Gender and Qsupporting

confidence: 93%

“…In a study, males and females were equally affected by trigeminal neuralgia. (Green and Selman, 1991) Our study results were in accordance to the study by Arpita rai et al, which had a male predilection (Rai et al, 2017). Our study results were contradicted by several studies which had a female predilection.…”

Section: Figure 8: Bar Graph Showing Association Between Gender and Qsupporting

confidence: 88%

“…Many studies agreed with our study results that the most affected age group with trigeminal neuralgia was 55-64 years. (Loh et al, 1998;Rai et al, 2017;Katheriya et al, 2019) In our study, the most commonly affected quadrant was quadrant I and combination of quadrant II and III. Our study results were in accordance with many studies that showed maxilla and mandible were affected with maxilla being most commonly affected by trigeminal neuralgia.…”

Section: Figure 8: Bar Graph Showing Association Between Gender and Qsupporting

confidence: 53%

“…Some studies suggested that the mandibular arch was more affected, which is contradictory to the results of our study. (Bagheri et al, 2004;Rai et al, 2017;Katheriya et al, 2019) The limitations of the present study would be the sample size which was not generalized with the entire population. Thus, multicentric study with large sample size with assessment of branch of the nerve affected and the treatment modality can be implemented in the future.…”

Section: Figure 8: Bar Graph Showing Association Between Gender and Qmentioning

confidence: 84%

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Prevalence of trigeminal neuralgia among dental patients - An institutional study

Prashaanthi

Kumar

2020

ijrps

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Trigeminal neuralgia is a chronic condition which produces severe pain involving a part of the face. The aim of this study was to evaluate the prevalence of trigeminal neuralgia among dental patients visiting a dental institution. This retrospective study included patients who were diagnosed with trigeminal neuralgia from July 2019 to March 2020 in a dental hospital. The digital case records of all patients were retrieved and details were recorded, which included the clinical, radiographic examination and treatment undergone by the patients. Variables such as age, gender, site of involvement were also retrieved from the case records. Data were tabulated and statistically analysed using IBM SPSS version 23.0 and results obtained. P value < 0.05 was considered statistically significant. In the present study, out of 28 patients, males (53.6%) were more affected by trigeminal neuralgia than females (46.4%) with a higher prevalence on the right side (57.1%). Quadrant I (25%) and combination of quadrant II and quadrant III (25%) were most commonly involved by this condition. No statistically significant association was found between age and quadrant affected; gender and quadrant affected. (p>0.05). It can be concluded from our study that males were more affected with trigeminal neuralgia, the majority involving the right side of the face and seen commonly among the elderly age group. Dentists must be aware of the clinical features of trigeminal neuralgia for accurate diagnosis and early initiation of prompt treatment to avoid untoward complications.

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Evaluation of serum vitamin B12 levels and its correlation with clinical presentation in patients with trigeminal neuralgia

Dhole¹,

Lohe²,

Bhowate³

et al. 2022

Journal of Oral Biology and Craniofacial Research

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Clinical profile of patients with trigeminal neuralgia visiting a dental hospital: A prospective study

Cited by 4 publications

References 2 publications

Evaluation of transcutaneous electrical nerve stimulation as an adjunct therapy in trigeminal neuralgia - a randomized double-blind placebo-controlled clinical study

Evaluation of transcutaneous electrical nerve stimulation as an adjunct therapy in trigeminal neuralgia - a randomized double-blind placebo-controlled clinical study

Prevalence of trigeminal neuralgia among dental patients - An institutional study

Evaluation of serum vitamin B12 levels and its correlation with clinical presentation in patients with trigeminal neuralgia

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