if there is no localized pathology and systemic precipitation factor identified , central and/or peripheral nervous dysfunction is probably the culprit. Topical
application of capcisin combined with systemic administration of anticonvulsant,for example,gabapentin, and tricyclic antidepressant, for example, amitryptyline may be effective. Nutritional and trace mineral supplemental may be indicated. Seeing an orofacial pain specialist is advised.