Dentistry Section, Ayub Medical College, Abbottabad, Pakistan.
Frontier Medical and Dental College, Abbottabad, Pakistan.
J Ayub Med Coll Abbottabad. 2021 Jan-Mar;33(1):116-119.
Trigeminal neuralgia is a very painful condition which is presented as severe pain corresponding to spastic shock. This is caused by trigeminal nerve's vascular compression at root entry zone. The pain is induced due to ipsilateral neurovascular conflict. In spite of the condition being known since centuries, it still continues to frustrate the clinician and its pathogenesis remains as enigma to the medical profession. It is very common for these patients to undergo unnecessary dental extraction without any relief in pain. This study was conducted to assess the association between trigeminal neuralgia and unnecessary tooth extraction.
This was a cross-sectional study conducted between January 2017 and July 2019 in the Department of Dentistry of Ayub Teaching Hospital, Abbottabad. A total of fifty-three cases with Trigeminal neuralgia were included. All the patients were evaluated by history, clinical examination and local anaesthetic injection.
Fifty-three Trigeminal neuralgia cases were enrolled in this study; out of which 22 cases (41.5%) were males and 31cases (58.5%) were females. Mean age of all the patients was 53.90 years. Twenty-nine patients (54.7%) had their right side involved, while the left side was involved in 23 patients (43.4%). In only one case (1.9%) there was bilateral involvement. Regarding tooth extraction unnecessary extraction were reported by 25 (47.1%) patients before they were diagnosed to have trigeminal neuralgia. The Maxillary first Premolar was the most common tooth extracted.
Trigeminal neuralgia is one of the most severe painful condition of the maxillofacial region which can confuse the patient and the Dentist with toothache. Patient should be evaluated in detail to rule out trigeminal Neuralgia before tooth extraction.
三叉神经痛是一种非常疼痛的疾病，表现为与痉挛性休克相对应的剧烈疼痛。这是由三叉神经根入口区的三叉神经血管压迫引起的。疼痛是由于同侧神经血管冲突引起的。尽管这种情况已经存在了几个世纪，但它仍然让临床医生感到沮丧，其发病机制仍然是医学界的一个谜。这些患者经常在没有任何缓解疼痛的情况下接受不必要的拔牙。本研究旨在评估三叉神经痛与不必要拔牙之间的关系。
这是一项横断面研究，于 2017 年 1 月至 2019 年 7 月在阿伯塔巴德的阿尤布教学医院牙科系进行。共纳入 53 例三叉神经痛患者。所有患者均通过病史、临床检查和局部麻醉注射进行评估。
本研究共纳入 53 例三叉神经痛患者；其中男性 22 例（41.5%），女性 31 例（58.5%）。所有患者的平均年龄为 53.90 岁。29 例（54.7%）患者右侧受累，23 例（43.4%）患者左侧受累。只有 1 例（1.9%）为双侧受累。在被诊断为三叉神经痛之前，25 例（47.1%）患者曾进行过不必要的拔牙。上颌第一前磨牙是最常被拔除的牙齿。
三叉神经痛是颌面区域最严重的疼痛之一，可能会使患者和牙医混淆，误认为是牙痛。在拔牙之前，应详细评估患者，以排除三叉神经痛。
