Neuralgia del Trigémino como factor determinante en la administración de tratamientos endodónticos innecesarios

Abstract

Background: Trigeminal neuralgia (TN) is severe unilateral paroxysmal facial pain, often described by patients as "the worst pain in the world". TN manifests itself mainly in the areas of the teeth or nearby tissues innervated by the trigeminal branches, which is why patients choose to go to general dentists or specialists. Objective: To determine how ignorance of the pathophysiology of trigeminal neuralgia leads dentists and endodontists to prescribe unnecessary root canal treatments. Search methods: The following databases were used, PubMed, Scopus, Cochrane, Web of Science and Embase. Selection criteria: Articles published from 2015 to 2021, articles in all languages, articles indexed in the aforementioned databases, articles related to trigeminal neuralgia and failure to diagnose it, ignorance of pathophysiology and unnecessary treatments, analytical, descriptive, systematic quantitative and qualitative studies. Data collection and analysis: Different statements were used to critically read and evaluate the methodological quality of the articles, such as the CONSORT guide, the STROBE guide, and the CARE guide. Results: Of the 21 potentially eligible articles, 12 were excluded, finally obtaining 9 investigations. Of the publications, three were case reports and six descriptive studies, all of which evaluated how ignorance of the pathophysiology of trigeminal neuralgia leads dentists and endodontists to prescribe treatment of trigeminal neuralgia. unnecessary pipes. Conclusions: Ignorance of the pathophysiology of trigeminal neuralgia leads dentists and endodontists to prescribe unnecessary endodontic treatments. Dentists request support and continuing education on NT.