Title Dental pain beyond trigeminal neuralgia. a literature review /
Translation of Title Dental Pain Beyond Trigeminal Neuralgia. A Literature Review.
Authors Rafieipour, Shabnam
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Pages 36
Keywords [eng] trigeminal neuralgia, dental pain, endodontic treatment, sinusitis, myofascial pain, misdiagnosis.
Abstract [eng] The correct diagnosis of trigeminal neuralgia is still a clinical challenge for dentists. Therefore, the patients are still witnessing unnecessary dental treatment and procedures like teeth extraction and endodontic treatment before getting the correct diagnosis and a relative treatment. This diagnosis remains clinical, so the description and diagnostic criteria of trigeminal neuralgia and dental pain are presented in the thesis. The clinical case reports when the patients have experienced dental treatment for their misdiagnosed trigeminal neuralgia are correspondingly overviewed. This literature review emphasizes the misdiagnosis of trigeminal neuralgia and presents the clinical characteristics and management options of this condition versus some common dental pathologies such as pulpitis, odontogenic sinusitis and myofacial pain. The clinical cases present the misdiagnosis of trigeminal neuralgia with dental pains and show that trigeminal neuralgia is a more common complaint than it's reported. It explains that there is a general lack of recognizing the symptoms of trigeminal pain that constantly causes the mischaracterization of the source of the complaint. Dentists are in a great position to detect trigeminal neuralgia and help reach a definite diagnosis. The high occurrence of orofacial pain with dental origin and the clinical symptom parallels between odontogenic pain, neuropathic orofacial pain, and other pathologic pains in the facial region constantly causes incorrect diagnoses. More critically, improper treatment procedures are frequently irreversible and veritably invasive. In connection with etiology, the records show that utmost onsets were connected with special dental treatment or odontogenic symptoms that ended in dental treatment.
Dissertation Institution Vilniaus universitetas.
Type Master thesis
Language English
Publication date 2023