Law A S, Lilly J P
Department of Endodontics, University of Iowa College of Dentistry, Iowa City, USA.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995 Jul;80(1):96-100. doi: 10.1016/s1079-2104(95)80024-7.
Trigeminal neuralgia or tic douloureux is characterized by paroxysmal episodes of facial pain in the distribution of the trigeminal nerve, although patients may have a variety of symptoms that mimic odontogenic pain. This article presents two cases of trigeminal neuralgia that were misdiagnosed and initially treated endodontically as pain of odontogenic origin. A therapeutic regimen of carbamazepine alleviated the pain in both patients. These two cases demonstrate the importance of having a thorough knowledge of both odontogenic and nonodontogenic causes of orofacial pain, as well as the need for careful diagnosis before undertaking any treatment.
三叉神经痛或痛性抽搐的特点是三叉神经分布区域出现阵发性面部疼痛，尽管患者可能有多种类似牙源性疼痛的症状。本文介绍了两例三叉神经痛病例，最初被误诊并按牙源性疼痛进行了牙髓治疗。卡马西平治疗方案缓解了两位患者的疼痛。这两个病例表明，全面了解牙源性和非牙源性口面部疼痛原因以及在进行任何治疗前仔细诊断的重要性。
