How to treat trigeminal neuralgia caused by toothache?

Today, let me talk about the treatment methods for trigeminal neuralgia caused by toothache. The main text will begin shortly. How to relieve trigeminal neuralgia caused by wisdom tooth pain The position where wisdom teeth grow is a branch of the trigeminal nerve. If not handled properly, it may affect the sensation and even vision inside the mouth, causing trigeminal neuralgia. There are many cases of trigeminal neuralgia caused by tooth decay and infection of surrounding tissues, causing localized discomfort.

It is recommended that you go to a regular dental hospital for examination and treatment. Generally, the tooth should be treated first, and then observe if the pain is caused by a diseased tooth. If so, treatment for trigeminal neuralgia should be considered. How to treat trigeminal neuralgia in teeth

If it is confirmed to be trigeminal neuralgia, it can be treated with medication, such as carbamazepine, traditional Chinese acupuncture, or Western medicine's trigeminal nerve decompression or foramen ovale injection. However, trigeminal neuralgia must have instant severe pain and obvious trigger points. Patients may experience compression symptoms by rubbing and pressing the affected area on the cheek due to regional pain.

How to deal with trigeminal neuralgia caused by swelling and pain in the posterior tooth bed? First choice is medication treatment, if ineffective or ineffective, other therapies can be used. 1. Medication treatment Carbamazepine is used for treatment, and gradual dose reduction can be considered after pain relief. Adverse reactions may include dizziness, drowsiness, dry mouth, nausea, indigestion, etc. Immediate discontinuation of the medication is required if rash, ataxia, aplastic anemia, coma, liver dysfunction, angina pectoris, or mental symptoms occur. If carbamazepine is ineffective, phenytoin sodium can be considered as an alternative. If the above two drugs are ineffective, clonazepam can be tried. Adverse reactions may include drowsiness and unsteady gait, with occasional transient mental confusion in elderly patients, which disappears after discontinuation. High-dose vitamin B12 can be concurrently used as an adjunctive treatment, administered intramuscularly, which can alleviate pain in some patients. Occasional adverse reactions may include transient dizziness, generalized itching, and diplopia.

2. Blocking therapy If medication is ineffective, ethanol or glycerol can be used to block the branches of the trigeminal nerve or the semilunar ganglion, destroying sensory nerve cells to achieve pain relief. Adverse reactions may include facial sensory loss in the injection area. 3. Percutaneous radiofrequency thermocoagulation of the semilunar ganglion

Under X-ray monitoring or CT guidance, a radiofrequency needle is percutaneously inserted into the trigeminal ganglion, and the radiofrequency generator is heated to a temperature of 65 to 75°C at the needle tip for 1 minute. Selective destruction of the semilunar ganglion eliminates myelinated Aδ and C fibers (conducting pain and temperature sensation), while preserving myelinated Aα and β fibers (conducting touch sensation), with an efficacy rate of over 90%. Suitable for elderly patients with systemic diseases who cannot tolerate surgery. Approximately 20% of patients treated with this method may experience facial sensory abnormalities, keratitis, weakness of the chewing muscles, diplopia, herpes zoster, and other complications.

4. Surgical treatment Trigeminal sensory root sectioning can be performed, which has a definite analgesic effect. Trigeminal microvascular decompression surgery provides pain relief without causing sensory or motor impairment and is currently widely used. However, complications such as hearing loss, embolism, and temporary paralysis of the facial nerve may occur.

What to do if toothache causes trigeminal neuralgia? Toothache does not cause trigeminal neuralgia. It is possible that trigeminal neuralgia is mistakenly thought to be toothache. If the patient cannot differentiate between toothache and trigeminal neuralgia, it is recommended to go for a neurology examination.

Toothache and trigeminal neuralgia are two different diseases. Toothache is caused by gum inflammation or inflammation of the tooth root, and it can be resolved by seeing a dentist. However, trigeminal neuralgia is different from toothache. It is a paroxysmal and short-lasting pain that is extremely severe. Some people mistakenly think it is a dental issue and visit a dentist, only to find out that there is nothing wrong with their teeth. This is trigeminal neuralgia, which can be treated through traditional Chinese medicine therapy.

The above is the explanation given by the author regarding the treatment methods for trigeminal neuralgia caused by toothache. If you would like to learn more about the treatment methods for trigeminal neuralgia caused by toothache, please follow and bookmark this website.