This document discusses trigeminal neuralgia, a condition characterized by severe, stabbing facial pain. It causes sudden, brief attacks of pain along the distribution of the trigeminal nerve. Common causes include compression of the trigeminal nerve root by blood vessels. Symptoms include unilateral pain in the jaw, cheek, forehead, or around the eye that is triggered by mundane activities like eating or talking. Diagnosis involves patient history and neurological exam. Treatment options include carbamazepine, phenytoin, or surgery to decompress the trigeminal nerve if medications do not provide relief from the stabbing facial pain.
Pain in facial area may be due to neurologic or vascularcauses as well as can be due to dental origin.
The main causes can be Temporomandibular joint disorders or trigeminal neuralgia.
Trigeminal neuralgia can cause abrupt,searing pain due to nerve irritation or damage.
It causes pain along the course of the nerve all over the face and will mostly be on one side of the face.It is treated with anti convulsant medicines or a series of surgeries.
TMJ pain can be due to tenderness in the temporo mandibular joint.It can be unilateral or bilateral.IT can cause difficulty in chewing and even in speaking.It can also lead to difficulty in opening of mouth due soreness of joint.It is usually surgically treated.
Dr Sachdeva's Dental clinic and Facial aesthetic centre is one of the leading clinics offering treatment for facial pain in Delhi. So hurry up and come book an appointment with us at Dr.Sachdeva’s Dental Institute, Ashok Vihar, Delhi which has state of the art clinic and all the latest and advanced equipments.
To book an appointment contact:
Dr. Rajat Sachdeva
Director & Mentor
Dr Sachdeva’s Dental Aesthetic And Implant Institute
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
Phone : +919818894041,01142464041
Our Websites:
www.sachdevadentalcare.com
www.dentalimplantindia.co.in
www.dentalclinicindelhi.com
www.dentalcoursesdelhi.com
Facebook- dentalcoursesdelhi
Youtube- drrajatsachdeva
Linkedin- drrajatsachdeva
Slideshare- Dr Rajat Sachdeva
Twitter Page- drrajatsachdeva
Instagram page- surgicalmasterrajat
Facial pain is pain felt in any part of the face, including the mouth and eyes.
It’s normally due to an injury or a headache, occasionally facial pain may also be due to neurological or vascular causes, but equally well may be dental in origin.
Pain in facial area may be due to neurologic or vascularcauses as well as can be due to dental origin.
The main causes can be Temporomandibular joint disorders or trigeminal neuralgia.
Trigeminal neuralgia can cause abrupt,searing pain due to nerve irritation or damage.
It causes pain along the course of the nerve all over the face and will mostly be on one side of the face.It is treated with anti convulsant medicines or a series of surgeries.
TMJ pain can be due to tenderness in the temporo mandibular joint.It can be unilateral or bilateral.IT can cause difficulty in chewing and even in speaking.It can also lead to difficulty in opening of mouth due soreness of joint.It is usually surgically treated.
Dr Sachdeva's Dental clinic and Facial aesthetic centre is one of the leading clinics offering treatment for facial pain in Delhi. So hurry up and come book an appointment with us at Dr.Sachdeva’s Dental Institute, Ashok Vihar, Delhi which has state of the art clinic and all the latest and advanced equipments.
To book an appointment contact:
Dr. Rajat Sachdeva
Director & Mentor
Dr Sachdeva’s Dental Aesthetic And Implant Institute
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
Phone : +919818894041,01142464041
Our Websites:
www.sachdevadentalcare.com
www.dentalimplantindia.co.in
www.dentalclinicindelhi.com
www.dentalcoursesdelhi.com
Facebook- dentalcoursesdelhi
Youtube- drrajatsachdeva
Linkedin- drrajatsachdeva
Slideshare- Dr Rajat Sachdeva
Twitter Page- drrajatsachdeva
Instagram page- surgicalmasterrajat
Facial pain is pain felt in any part of the face, including the mouth and eyes.
It’s normally due to an injury or a headache, occasionally facial pain may also be due to neurological or vascular causes, but equally well may be dental in origin.
• The Facial nerve is the 7th of twelve paired cranial nerves.
• It is a mixed nerve with motor and sensory roots.
• It also supplies pre-ganglionic parasympathetic fibres to several
head and neck ganglia
Branches
1. Greater superficial petrosal – arises from the geniculate ganglion.
2. Branches within the facial canal:
• i) nerve to stapedius
• ii) Chorda tympani
3. After exit from stylomastoid foramen:
• i) Posterior auricular
• ii) Nerve to posterior belly of digastric
• iii) Nerve to stylohyoid.
4. On the face - Five major branches:
• i) Temporal
• ii) Zygomatic
• iii) Buccal
• iv) Marginal mandibular
• v) Cervical
BELL'S PALSY IS AN IDIOPATHIC LMN TYPE FACIAL PALSY..THE SEMINAR TELLS YOU OF COURSE OF NERVE..FACIAL MUSCLES THEIR ACTION..HOW TO EXAMINE..THE SEQUELAE OF FACIAL PALSY...LOOK AT IT..
• The Facial nerve is the 7th of twelve paired cranial nerves.
• It is a mixed nerve with motor and sensory roots.
• It also supplies pre-ganglionic parasympathetic fibres to several
head and neck ganglia
Branches
1. Greater superficial petrosal – arises from the geniculate ganglion.
2. Branches within the facial canal:
• i) nerve to stapedius
• ii) Chorda tympani
3. After exit from stylomastoid foramen:
• i) Posterior auricular
• ii) Nerve to posterior belly of digastric
• iii) Nerve to stylohyoid.
4. On the face - Five major branches:
• i) Temporal
• ii) Zygomatic
• iii) Buccal
• iv) Marginal mandibular
• v) Cervical
BELL'S PALSY IS AN IDIOPATHIC LMN TYPE FACIAL PALSY..THE SEMINAR TELLS YOU OF COURSE OF NERVE..FACIAL MUSCLES THEIR ACTION..HOW TO EXAMINE..THE SEQUELAE OF FACIAL PALSY...LOOK AT IT..
Trigeminal Neuralgia is a condition that occurs on the trigeminal nerve which is the 5th cranial nerve.
The patient experiences a paroxysmal, sharp pain which may arise by certain stimuli.
These involve touching a certain area, shaving, smiling, etc.
Bell’s palsy (facial paralysis) is due to unilateral inflammation of the ( CN VII Facial nerve) seventh cranial nerve, which results in weakness or paralysis of the facial muscles on the affected side.
Internal fixation is an important step in not only treatment of trauma but also various aspects of oral and maxillofacial surgery. This ppt summarizes the principles and evolution of plating system
This seminar gives an insight on the techniques, subjective and objective symptoms of various mandibular anesthetic techniques and indications of the same
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
2. NEURALGIA
Pain of severe throbbing or stabbing
character in the course of distribution of a
nerve.
3. TRIGEMINAL NEURALGIA
• Trigeminal neuralgia (TN) is sudden,
usually unilateral, severe, brief, stabbing,
recurrent episodes of pain in the
distribution of one or more branches of
the trigeminal nerve.
7. • Neuralgias and neuritis
• Syphilis
• Tuberculosis
• Tumor of the brain
• Basilar meningitis
• Pontine diseases .
• Skull fracture
• Aneurysm of the carotid
artery or circle of willis
• Psychoneuroses,and
• Cavernous sinus
thrombosis
Other disorders that may affect the trigeminal
nerve include :
11. • Pre trigeminal neuralgia: dull aching
pain usually observed before appearance
of trigeminal neuralgia
• Idopathic neuralgia: where the etiology
remains unknown
• Symptomatic neuralgia: the type in
which the etiology is known
12. CLINICAL FEATURES
• Incidence : 4 in 1,00,000
• Age : 4th to 5th decade
• Sex : F>M
• 60% on the right side, 3%
bilateral.
• Mean age of onset-52-58yrs
14. • Manifests as sudden, unilateral,
intermittent, paroxysmal, sharp,
shooting, lancinating pain,
elicited by slight touch.
• Patient usually complains of
electric shock/lightening like
pain
• Usually confined to one part.
• Lasts for few seconds to
minutes.
• Motionless or mask like face.
15. • Rarely crosses the midline.
• Trigger points - Spontaneous attack or
triggered by trigger zone or movement of the
face as in chewing, talking, brushing or
yawning
• This leads patient frequently go unshaven or
unwashed
• Paroxysms occur in cycles.
• Depression and weight loss
16. Trigger zones are usually located on vermillion
border of lip, ala of the nose, cheek, chin, and
around the eye.
17.
18. • There is generally no evidence of sensory
or motor impairment
• Apart from pain the other features are
itching & sensitivity of the face
• Rarely trigeminal neuralgia is associated
with hemi facial spasm- a condition called
TIC CONVULSIF that involves both V &
VII cranial nerves
22. PHARMACOLOGICAL
•
•
•
FIRST LINE OF APPROACH
Carbamazepine 100, 200mg..
SECOND LINE OF APPROACH
Phenytoin 100mg
Baclofen 5-80 mg/day
Lamotrigine 25 mg/day
THIRD LINE OF APPROACH
Clonazepam 4-8 mg
Valproic acid 250-500 mg
Oxcarbazepine 1200mg/day
23. Other methods used are
• Trichloro ethylene inhalation
• Topical capsaicin cream application
• Proparacaine 0.5% anaesthetic drops in eye
• Anti inflammatory drug-Indomethacin & short
courses of steroids are found useful in some
cases
