Journal of Endodontics
Volume 12, Issue 2 , Pages 73-75, 1986

The induction of trigeminal neuralgia-like symptoms by pulp-periapical pathosis

  • Prapas Pinsawasdi, DDS

      Affiliations

    • Dr. Pinsawasdi is a former postgraduate student, Department of Endodontology, School of Dentistry, Temple University, Philadelphia, PA. He is a member of the Department of Endodontology, Kon Kaen University, Kon Kaen, Thailand Dr. Seltzer is the director of the Maxillofacial Pain Control Center, School of Dentistry, Temple University, Philadelphia, PA
    • ,
  • Samuel Seltzer, DDS

      Affiliations

    • Corresponding Author InformationAddress requests for reprints to Dr. Samuel Seltzer, Maxillofacial Pain Control Center, School of Dentistry, Temple University, 3223 N. Broad Street, Philadelphia, PA 19140.
    • Dr. Pinsawasdi is a former postgraduate student, Department of Endodontology, School of Dentistry, Temple University, Philadelphia, PA. He is a member of the Department of Endodontology, Kon Kaen University, Kon Kaen, Thailand Dr. Seltzer is the director of the Maxillofacial Pain Control Center, School of Dentistry, Temple University, Philadelphia, PA

The etiology of trigeminal neuralgia is poorly understood. Many patients develop neuralgiform types of pain from oral and dental pathoses. This is a report of a case of a 30-yr-old patient with a diagnosis of trigeminal neuralgia, who was treated with carbamazepine by a neurologist without alleviation of symptoms.

The patient was then seen in the Maxillofacial Pain Control Center. After a complete oral and dental examination, a diagnosis of necrosis of the dental pulp of a lower molar was made. Endodontic treatment was instituted and the symptoms gradually disappeared. After two months, the pain was completely eliminated.

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PII: S0099-2399(86)80132-7

doi:10.1016/S0099-2399(86)80132-7

Journal of Endodontics
Volume 12, Issue 2 , Pages 73-75, 1986