J Dent Anesth Pain Med.  2015 Dec;15(4):241-245.

Management of traumatic neuralgia in a patient with the extracted teeth and alveoloplasty: a case report

Affiliations
  • 1Department of Dentistry, Wonju Severance Christian Hospital, Yonsei University, Wonju, Korea. wch-0671@yonsei.ac.kr
  • 2Department of Dentistry, Dong San Medical Center, Keimyung University, Daegu, Korea.

Abstract

A majority of patients who sustain injuries to the peripheral sensory nerves of the face and jaws experience a slow but gradual return of sensation that is functional and tolerable, if not the same as before the injuries. However, long-term effects of such injuries are aggravating for many patients, and a few patients experience significant suffering. In some of these patients, posttraumatic symptoms become pathological and are painful. The predominant painful components are (1) numbing anesthesia dolorosa pain, (2) triggered neuralgiaform pain, (3) burning and aching causalgiaform pain, and (4) phantom pain. This is a case report of conservative management of traumatic neuralgia and neuritis as part of posttraumatic pain syndromes in geriatric patients who have undergone the teeth extraction and alveoloplasty.

Keyword

Alveoloplasty; Neuritis; Posttraumatic pain syndrome; Tooth extraction; Traumatic neuralgia

MeSH Terms

Alveoloplasty*
Anesthesia
Burns
Humans
Jaw
Neuralgia*
Neuritis
Phantom Limb
Sensation
Tooth Extraction
Tooth*

Figure

  • Fig. 1 Postoperative intraoral view of multiple extraction and alveoloplasty.


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