TRIGEMINAL NEURALGIA OF DENTAL ORIGIN

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https://revistas.ustabuca.edu.co/index.php/USTASALUD_ODONTOLOGIA/article/view/1885
10.15332/us.v3i2.1885
10.15332/us.v3i2.1885
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Universidad Santo Tomás Seccional Bucaramanga
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Aún no se conoce con exactitud la etiología de la neuralgia del trigémino. Muchos pacientes desarrollan tipos de dolor neurálgico que van desde dolor bucal hasta patología dental. Se presenta el caso de un hombre de 83 años con un diagnóstico de neuralgia del trigémino que fue tratado, inicialmente con Ibuprofeno, Rofecoxib y Tramadol sin alivio de sus síntomas. Se realizó un examen bucal completo y se ordenaron radiografías periapicales y panorámica. Se diagnosticó necrosis pulpar y lesión periapical en el primer molar inferior derecho. Los síntomas desaparecieron completamente después de dos meses de haber realizado el tratamiento endodóntico en ese molar.[Ardila E. Neuralgia del trigémino de origen dental. Ustasalud Odontología 2004; 3: 122 - 124]
The etiology of trigeminal neuralgia is poorly understood. Many patients develop neuralgiform types of pain from buccal and dental pathologies. This is a case of a man, 83 years old, with diagnosis of trigeminal neuralgia. He was treated with Ibuprofen, Rofecoxib and Tramadol by general physicians and internist, without alleviation of symptoms. After a complete buccal and dental examination, were ordered panoramic and periapical X-rays. A diagnosis of necrosis and periapical lesion of the first lower right molar was made. Endodontic treatment was instituted and the symptoms gradually disappeared. After two months, the pain was completely eliminated.
The etiology of trigeminal neuralgia is poorly understood. Many patients develop neuralgiform types of pain from buccal and dental pathologies. This is a case of a man, 83 years old, with diagnosis of trigeminal neuralgia. He was treated with Ibuprofen, Rofecoxib and Tramadol by general physicians and internist, without alleviation of symptoms. After a complete buccal and dental examination, were ordered panoramic and periapical X-rays. A diagnosis of necrosis and periapical lesion of the first lower right molar was made. Endodontic treatment was instituted and the symptoms gradually disappeared. After two months, the pain was completely eliminated.
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Neuralgia, Trigémino, Neuralgia, Trigemine
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