If there is no dental patholgy identified, based on your presentations , the differential diagnosis includes, but not limited to, trigeminal autonimic cephalgia, neurovascular orofacial pain,pretrigeminal neuralgia or trigeminal neuralgia.Seeing an orofacial pain specialist is advised.
I have a recent dx of Trigeminal Neuralgia from Primary Care and have been referred to Neurology for further evaluation. The pain distribution is unilateral and follows the sensory distribution of cranial nerve V at the maxillary area. History of previous trauma (neuroplasia) dates to 1997, though asymptomatic to current presentation. There is no prior history of TMJ, aneurysms, tumors or other common precipitants. I am 61 years old, consistent with typical onset.
Ok Listen I have TMJ, I got it after some dental work was done on my teeth last year, The nerves in my face are killing me. my mouth burns on the inside as well on the outside my lips burn and sometimes I get stabbing pain in my cheekbones, I will have burning even on my nose.This so miserable. Has anyone had this. The doctor tells me my bite if off that's causing this.
Thanks for responding Alex. I have experienced trigeminal neuralgia, but it didn't involve the tooth pain or roof of my mouth.
I will give the doc a call tomorrow if this persists.
Have a good evening.
I have been suffering for 2-1/2 years with oral facial pain. It began on the left and is now bilateral. I get severe, constant pain in the upper gums, teeth, cheeks, temples, jaws, neck. At times there are sharp twinges, but mostly it is a deep, constant ache. I have had close to pain-free moments, but just when i think I'm cured, it flares up. I have had 2 diagnosis. TMJ with osteoarthritis of the jaw joints and cervical spine. The other diagnosis is from a neurologist.
Consult a neurologist if there has been any such recent development in your husband. Dental consult is also warranted to rule out trigeminal nerve involvement or any dental cause of numbness. Take care.
I just found out that I do have Trigeminal Neuralgia. I have the same symptons you have and I have researched this many people have unneccesary procedures done on their teeth thinking its that. I would recommend before you undergo the root canal seeing a Neurologist and having them do a MRI they will be able to see if its the Trigeminal Neuralgia by this test. I hope this helps, I know how
frustrating this can be and also how painful it is. Please let me know what happens.
You should ask your PCP for a referral to a neurologist or a facial pain specialist. There is pre-Trigeminal neuralgia which manifests as a toothache. Many people have unnecessary dental work done thinking the pain is caused by their teeth, when in reality it's the nerve.
Hot or cold compresses can give temporary relief. I've also used Oragel rubbed on the teeth and gums to numb the pain temporarily.
Let us know how you're doing.
Hello.
For a few months my trigeminal nerve has been irritated. It's the first and second branch. I experience the electrical shock (more like a tickle) that I've experienced with Trigeminal Neuralgia but there's no pain. It seems to happen often when my head is tilted forward/down and that makes me wonder if it could be an issue with my cervical spine. I really don't have any unusual discomfort in my neck. I don't have headaches or sinus pressure or anything.
Symptoms of Trigeminal Neuralgia after dental visit. Sensitive to many of the treatments. Tolerate Gabapentin but makes me very drowsy. I would like to hear about natural elements I can explore. I have also developed multiple allergies to many foods and animals I did not have an issue with previously.
Symptomatic trigeminal neuralgia is usually caused by multiple sclerosis or by tumours arising near the trigeminal nerve root.
Differential diagnosis of trigeminal neuralgia:
Cluster headache - Longer-lasting pain; orbital or supraorbital; may cause patient to wake from sleep; autonomic symptoms
Dental pain (e.g.
Hi, About a year ago, I suddenly developed shooting pains in the front of my face, above my upper front teeth. I went to the dentist, who x-rayed me, and said I had an abscess, above my left upper 1 tooth. He did root canal treatment, but could not find anything, the pain did not go away, and after several root canals, he referred me to a consultant for an apicectomy. When the operation was done, as he drilled through the bone, he said there was lots of pus to drain away.
Kelly, while this could be a flare in dental problems it could also be a brief episode of trigeminal neuralgia. From what I know you would rather have a root canal than TN, which is so painful that it has been nicknamed "the suicide pain."
I'm glad you're feeling better- I hope it continues.
Hi all, small question for you, i had no symptoms for 5 months, which was wonderful, and then i got this urinary infection , and the next thing i knew i had severe face pain, particularly in my nose, where it feels lie i have been bashed in the face with a pan, i have buzzing in my ears, and just a general tightness in my neck and shoulders,
i got my eyebrows tattooed also, could this have caused trigeminal neuralgia ? or would it have been the infection, ?
Tegretol is the medication of choice for trigeminal neuralgia. Have you gone to the dentist to make sure you don't have a dental issue that should be fixed?
Dental issues can inflame the nerves under the teeth and the pain can migrate into ear and sometimes face (generally not lightning bursts like TN) so it's a good idea to make sure you don't have a tooth issue on top of the TN.
But if this aggravates by the time, this may be Trigeminal neuralgia in addition you have typical one sided facial pain extending to temple and eye( ophthalmic branch of trigeminal nerve may be involved) and sore gums of the teeth of same side (maxillary branch of 5th nerve). Trigeminal neuralgia may have a triggering factor like recent history of tooth extraction, touch, cold breeze or hot sensation etc. which you need to evaluate and avoid.
Two years ago and a few weeks subsequent to having a lower tooth removed (to give the other teeth more room) and an upper #14 prepped for a cap I began to have sharp pains up the side of my head (Head of Vanderbilt Neurosurgery and St. Thomas Neurologist ruled out Trigeminal Neuralgia. They said if we had to put a name on it, call it Trigeminal Neuropathic Pain). It was decided #14 had to be pulled but afterward it was discovered than #14 root extended into the sinus.
my son developed trigeminal neuralgia after a dental procedure. he is presently on medication for it. he is 28 years old and what is research showing for future care.
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