• Teeth nerve pain and facial pain


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    Trigeminal Neuralgia




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    Possible side effects include dizzinessdouble visiondrowsiness and nausea. Baclofen is a muscle relaxant. Its effectiveness may increase when it is used with either carbamazepine or phenytoin. Possible side effects include confusiondepression and drowsiness. Phenytoinan anticonvulsant medication, was the first medication used to treat trigeminal neuralgia. Possible side effects include gum overgrowth, balance disturbances and drowsiness. Oxcarbazepinea newer medication, has been used more recently as the first line of treatment. It is structurally related to carbamazepine and may be preferred because it generally has fewer side effects.

    Possible side effects include dizziness and double vision. Other medications include gabapentinclonazepamsodium valporatelamotrigine and topiramate. There are drawbacks to these medications other than side effects. Some patients may need relatively high doses to alleviate the pain, and the side effects can become more pronounced at higher doses. Anticonvulsant drugs may lose their effectiveness over time. Some patients may need a higher dose to reduce the pain or a second anticonvulsant, which can lead to adverse drug reactions. Many of these drugs can have a toxic effect on some patients, particularly people with a history of bone marrow suppression and kidney and liver toxicity.

    These patients must have their blood monitored to ensure their safety. The maxillary, or middle, branch stimulates the cheek, upper jaw, top lip, teeth and gums, and to the side of the nose. The mandibular, or lower, branch supplies nerves to the lower jaw, teeth and gums, and bottom lip.

    Pain Teeth and pain nerve facial

    More than one nerve branch can be affected by the disorder. Rarely, both sides of the face may be affected at different times in an individual, or even more rarely at the same time called bilateral TN. TN is associated with a variety of conditions. TN can be caused by a blood vessel pressing on the trigeminal nerve as it exits the brain stem. This compression causes the wearing away or damage to the protective coating around the nerve the myelin sheath.

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    Rarely, symptoms of TN may be caused by nerve compression from a tumor, or a tangle of arteries and veins called an arteriovenous malformation. Injury to the trigeminal nerve perhaps the result of sinus surgery, oral surgery, stroke, or facial trauma may also produce neuropathic facial pain. Pain varies, depending on the type of TN, and may range from sudden, severe, and stabbing to a more constant, aching, burning sensation. The intense flashes of pain can be triggered by vibration or contact with the cheek such as when shaving, washing the face, or applying makeupbrushing teeth, eating, drinking, talking, or being exposed to the wind. The pain may affect a small area of the face or may spread.

    Bouts of pain rarely occur at night, ad the affected individual is sleeping. TN is typified by attacks that stop for a period of time and then pian, but the anf can be progressive. The attacks often worsen over time, with fewer and shorter pain-free periods before they recur. Eventually, the pain-free intervals disappear Teeth nerve pain and facial pain medication to control the pain becomes less effective. The facail is not fatal, but facoal be debilitating. Due to the intensity of the pain, some individuals nervr avoid daily activities or social contacts anv they fear an impending attack.

    Trigeminal neuralgia occurs most often in people over age 50, although it can occur at any age, including infancy. The possibility of TN being caused by multiple sclerosis increases when it occurs herve young adults. The incidence of new cases is approximately 12 perpeople per year; the disorder ;ain more common in women than in men. Other disorders that cause facial pain should be ruled out before TN is diagnosed. Some disorders that cause facial neve include post-herpetic neuralgia nerve pain following an outbreak of shinglescluster headaches, and temporomandibular joint disorder TMJ, which causes pain jerve dysfunction in the jaw joint and muscles that control jaw abd.

    Teeth nerve pain and facial pain of overlapping symptoms and the large number of conditions that can cause facial pain, obtaining a correct diagnosis is difficult, but faciql the cause of the pain is important as the treatments for different types of Tdeth may pqin. Most people with TN eventually will undergo a magnetic resonance imaging MRI scan to rule out a tumor or multiple sclerosis as the cause of their pain. What are the causes? Many believe that the protective sheath of the trigeminal nerve deteriorates, sending abnormal messages along the nerve. Like static in a telephone line, these abnormalities disrupt the normal signal of the nerve and cause pain.

    Several factors can cause the deterioration of this protective sheath: Some types of facial pain can result from an infected tooth, sinus infections, shingles or postherpetic neuralgia, or previous nerve injury. Trigeminal neuralgia affects 5 in everypeople and occurs slightly more in women than men. Patients are usually middle age and older. Some people with multiple sclerosis also develop trigeminal neuralgia. How is a diagnosis made? When a person first experiences facial pain, a primary care doctor or dentist is often consulted. If the pain requires further evaluation, a consultation with a neurologist or a neurosurgeon may be recommended.

    The doctor examines and touches areas of your face to determine exactly where the pain is occurring and which branches of the trigeminal nerve may be affected. The underlying causes of trigeminal neuralgia are rarely serious. However, the possibility of a tumor or multiple sclerosis must be ruled out. Therefore, a magnetic resonance imaging MRI scan is usually performed. The diagnosis of trigeminal neuralgia is made after carefully assessing the patient's symptoms. What treatments are available? A variety of treatments are available, including medication, surgery, needle procedures, and radiation. First line treatment is medication. When medications fail to control pain or cause intolerable side effects, a neurosurgeon may be consulted to discuss other procedures.

    Medication Over-the-counter drugs such as aspirin and ibuprofen are not effective against trigeminal neuralgia. Anticonvulsants and muscle relaxants are prescribed to block the pain signals from the nerve. These medications are the initial treatment for trigeminal neuralgia and are used as long as the pain is controlled and the side effects do not interfere with a patient's activities. For effective pain control, medications must be taken on a regular schedule to maintain a constant level in the blood. If the medication begins to lose effectiveness, the doctor may increase the dose or switch to a different drug.

    Side effects may include drowsiness, unsteadiness, nausea, skin rash, and blood disorders. Therefore, patients are monitored routinely and undergo blood tests to ensure that the drug levels remain safe and that blood disorders do not develop. Muscle relaxants, such as baclofen Lioresalare sometimes effective in treating trigeminal neuralgia. Side effects may include confusion, nausea, and drowsiness. Surgery The goal of surgery is to stop the blood vessel from compressing the trigeminal nerve, or to cut the nerve to keep it from sending pain signals to the brain. Surgical procedures are performed under general anesthesia, involve opening a hole in the skull called a craniotomyand require a 1 to 2 day hospital stay.

    Microvascular decompression MVD is a surgery to gently reroute the blood vessel from compressing the trigeminal Terth by padding nervs vessel with a sponge. A 1-inch opening is made in the skull behind the ear, called pwin craniotomy. This opening exposes the trigeminal nerve at its connection with the brainstem. A blood vessel is often found compressing the paim. After the nerve is freed from compression, it is protected with a small Teflon sponge Fzcial. The sponge remains in the brain permanently. Herpes Zoster After a childhood bout with chicken pox, the varicella-zoster virus lies dormant along certain nerves of your body, making you susceptible to herpes zoster shingles later in life.

    When reactivated, the virus causes intense pain and tingling on one side of your body, along with a blistering rash, headache, joint pain, fever and chills. Shingles can affect nerves in your face, producing droopy eyelids, stiff facial muscles, hearing loss, and vision or taste dysfunction. Call your doctor at the first sign of shingles — he may prescribe antiviral and strong anti-inflammatory medications to relieve your symptoms. Because facial pain causes are so varied in nature, your best pathway to relief is to have your doctor or dentist diagnosis your problem. With an appropriate diagnosis, effective treatment for your facial pain is just around the corner. This article is intended to promote understanding of and knowledge about general oral health topics.

    It is not intended to be a substitute for professional advice, diagnosis or treatment. Always seek the advice of your dentist or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment.


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