Trigeminal Neuralgia

INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com

www.indiand...
Trigeminal Neuralgia

Definition: Acute paroxysmal facial pain
experienced in the areas supplied by one
or more branches o...
Trigeminal Neuralgia
Etiology
Exact etiology unknown
Pathologic change in the nerve
Angiospasm of gasserian ganglion
Aller...
Trigeminal Neuralgia
Clinical features
More in females
Over the age of 45
Unilateral, rarely bilateral
More on right side
...
Trigeminal Neuralgia
Clinical features
Pain characteristics
Intensity – severe, lancinating

Duration – few seconds only
A...
Trigeminal Neuralgia
Management
Pharmacotherapy
Chemical neurectomy
Peripheral neurectomies
Intracranial surgery
Radiofreq...
Trigeminal Neuralgia
Pharmacotherapy
Phenytoin – 300 to 400 mg daily

Carbamazepine – 200 to 1200 mg
Baclofen – 8mg daily
...
Trigeminal Neuralgia
Chemical neurectomy
Hot Water

Phenol
Alcohol

Glycerol

www.indiandentalacademy.com
Trigeminal Neuralgia
Peripheral neurectomy

Mental nerve
Inferior dental nerve

Infra orbital nerve

www.indiandentalacade...
Trigeminal Neuralgia
Intra cranial surgery
Retrogasserian neurectomy
Trigeminal tractotomy
Microvascular decompression

ww...
Thank you
For more details please visit
www.indiandentalacademy.com

www.indiandentalacademy.com
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Trigeminal neurlgia (nx power lite) /certified fixed orthodontic courses by Indian dental academy

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The Indian Dental Academy is the Leader in

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in all aspects of dentistry and offering a wide

range of dental certified courses in different

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Indian dental academy provides dental crown &

Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit

www.indiandentalacademy.com ,or call
0091-9248678078

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Trigeminal neurlgia (nx power lite) /certified fixed orthodontic courses by Indian dental academy

  1. 1. Trigeminal Neuralgia INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  2. 2. Trigeminal Neuralgia Definition: Acute paroxysmal facial pain experienced in the areas supplied by one or more branches of trigeminal nerve. www.indiandentalacademy.com
  3. 3. Trigeminal Neuralgia Etiology Exact etiology unknown Pathologic change in the nerve Angiospasm of gasserian ganglion Allergic concept Loss of myelin sheath Vascular compression www.indiandentalacademy.com
  4. 4. Trigeminal Neuralgia Clinical features More in females Over the age of 45 Unilateral, rarely bilateral More on right side Second & third division involved more www.indiandentalacademy.com
  5. 5. Trigeminal Neuralgia Clinical features Pain characteristics Intensity – severe, lancinating Duration – few seconds only Area- trigeminal distribution Initiated by – touching trigger zones Between attacks – free from pain Does not cross midline www.indiandentalacademy.com
  6. 6. Trigeminal Neuralgia Management Pharmacotherapy Chemical neurectomy Peripheral neurectomies Intracranial surgery Radiofrequency lesion www.indiandentalacademy.com
  7. 7. Trigeminal Neuralgia Pharmacotherapy Phenytoin – 300 to 400 mg daily Carbamazepine – 200 to 1200 mg Baclofen – 8mg daily www.indiandentalacademy.com
  8. 8. Trigeminal Neuralgia Chemical neurectomy Hot Water Phenol Alcohol Glycerol www.indiandentalacademy.com
  9. 9. Trigeminal Neuralgia Peripheral neurectomy Mental nerve Inferior dental nerve Infra orbital nerve www.indiandentalacademy.com
  10. 10. Trigeminal Neuralgia Intra cranial surgery Retrogasserian neurectomy Trigeminal tractotomy Microvascular decompression www.indiandentalacademy.com
  11. 11. Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com

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