Pre-Trigeminal Neuralgia Similar to Atypical Odontalgia: A Case Report

Trigeminal Neuralgia: Etiology, Diagnosis, and Treatment

“…Classical TN results from a neurovascular conflict that causes compression on the trigeminal nerve 12 . This classification can be further subdivided into classical TN that is purely paroxysmal where the patient has no pain between attacks or classical TN with concomitant continuous pain in which that patient experiences persistent background facial pain between the attacks 2,15 .…”

“…In comparable studies, oxcarbazepine was proven to be equally as effective in the reduction of pain attacks and intensity as carbamazepine. The EAN suggests that although there is only low-quality evidence in the literature, oxcarbazepine remains strongly recommended due to high confidence from clinical experience [1,12].…”

“…Thus, it is important for dentists as well as physicians, which often represent the first point of consultation for the patient, to reflect on these potential causes because the treatments are drastically different. Previous cases have been reported where patients have undergone unnecessary procedures including root canals and even extractions until a proper diagnosis of TN was made [8,11,12]. Moreover, there are many studies that suggest that diagnostic errors are more common in the early phases of the disease and this often leads to incorrect primary care treatment [8].…”

“…In 2008, the American Academy of Neurology (AAN) and the European Federation of Neurological Societies (EFNS) released a study according to current evidence-based guidelines on the management of TN [12]. Since then, a more recent publication by the European Academy of Neurology was released due to new emerging knowledge that provide a new reference as the standard for information regarding the diagnosis and treatment of TN [1].…”