AVAILABLE 24 HOURS A DAY!
1-866-992-4165
   
   
Dentist located in: OR
Dentistry.com dental articles & forum
Home Conditions Treatments Dental Daily Care Dental Forum Product Showcase Are You a Dentist?
Looking for a
Dentist?
Do you have dental coverage?
    
Home > Daily Dental Care > Overall Health > Oral Health & Disease > Trigeminal Neuralgia Diagnosis
Bookmark and Share

Trigeminal Neuralgia: What Your Dentist Can’t See

 
Trigeminal Neuralgia resembles dental problems.

Q: I have been experiencing shooting pain on the right side of my mouth for several months. My dentist has examined the area and taken X-rays, but can't find any problems. I got a second opinion, with the same results. Do you have any suggestions?
A: In most cases, pain in the oral cavity (mouth) is related to disease of the teeth or gums -- namely cavities or periodontal gum disease. Less frequently, strain of the TMJ (jawjoint), and infection of the maxillary sinus can cause pain that radiates to the teeth or ear.

If two dentists have ruled out these possibilities, we must look at some of the more rare disorders that can cause your symptoms. Your symptoms lead me to suspect a relatively uncommon disorder known as Trigeminal Neuralgia or Tic Doloureux. The trigeminal nerve supplies both sensory (feeling) to the forehead, eye, cheek and jaws, as well as motor (movement) to the mouth. Trigeminal Neuralgia is usually a benign but debilitating disorder where electric shock-like pain is triggered by laughing, chewing, brushing your teeth or even touching the face. Rarely, multiple sclerosis or certain brain tumors may cause it. A MRI can help rule out these more serious disorders.

The diagnosis can be elusive to dentists or physicians unfamiliar with this disorder. I consulted with a patient during my hospital residency with trigeminal neuralgia that had had every tooth on the right side of her mouth extracted due to numerous doctors' unfamiliarity with trigeminal neuralgia. I recommend you see a specialist in facial pain (preferably with a background in oral surgery) or a neurologist. Treatment usually involves taking anti-convulsant drugs such as Tegretol®, or in some cases surgery-involving decompression of the nerve may be required.

It's never too late to improve your dental health. Call us at 1-866-970-0441 to find the right dentist for you!

Bad Breath
Bruxism
Cavities
Cleft Palate
Cold Sores
Dental Anxiety
Dental Emergency
Gum Disease
Malocclusion
Mouth Problems
Oral Cancer
Sleep Apnea
Teeth Problems
TMJ & TMD
Toothache
Wisdom Teeth
See All
Cosmetic Dentistry
Dental Braces
Dental Implants
Dental Restorations
Dentures
Exams & Cleaning
Fillings & Sealants
Gum Disease Treatment
Mouthguards
Oral Surgery
Root Canal Therapy
Sedation Dentistry
Teeth Whitening
Tooth Extractions
Veneers
See All
Dental Financing
Dental Hygiene
Medications
Nutrition Information
Overall Health
Pediatric Dentistry
Senior Dental Care
Your Dentist Visit
See All