Research Article| Volume 48, ISSUE 4, P298-308, October 1979

Etiology and treatment of idiopathic trigeminal and atypical facial neuralgias

      This paper is only available as a PDF. To read, Please Download here.


      In a series of sixteen patients with idiopathic trigeminal neuralgia and twenty-one patients with atypical facial neuralgia, it was found that the painful phenomena associated with both disorders were, in nearly all instances, closely related to the presence of maxillary or mandibular bone cavities at previous tooth extraction sites. Standard oral surgical procedures for curettage of the cavities, together with administration of antibiotics, were employed in the successful treatment of both the trigeminal and atypical facial neuralgias, with complete pain remissions for periods varying from 2 months (for most recently treated cases) up to 9 years. The observations and results of this study suggest that dental and oral disorders may play a role in the genesis of trigeminal and atypical facial neuralgias.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


        • White J.C.
        • Sweet W.S.
        Pain and the Neurosurgeon: A Forty Year Experience.
        Charles C Thomas Publisher, Springfield, Ill1969 (chaps. V, VI, and VIII)
        • Stookey B.
        • Ransohoff J.
        Trigeminal Neuralgia: Its History and Treatment.
        Charles C Thomas Publisher, Springfield, Ill1959
        • Ratner E.J.
        • Person P.
        • Kleinman D.J.
        Oral Pathology and Trigeminal Neuralgia, I. Clinical Experiences.
        J. Dent. Res. 1976; 55B: 299
        • Shklar G.
        • Person P.
        • Ratner E.J.
        Oral Pathology and Trigeminal Neuralgia, II. Histopathologic Observations.
        J. Dent. Res. 1976; 55B: 299
        • Socransky S.S.
        • Stone C.
        • Ratner E.
        • et al.
        Oral Pathology and Trigeminal Neuralgia, III. Microbiologic Examination.
        J. Dent. Res. 1976; 55B: 300
        • Ratner E.J.
        • Person P.
        • Kleinman D.J.
        Jaw Bone Cavities and Trigeminal and Atypical Facial Neuralgias.
        Oral Surg. 1979; 48: 3-20
        • Harris W.
        Neuritis and Neuralgia.
        in: Oxford University Press, London1926: 163-165
        • Kinnier Wilson S.A.
        • Bruce A.N.
        in: Williams & Wilkins Company, Baltimore1955: 405
        • Rothman K.J.
        • Monson R.R.
        Epidemiology of Trigeminal Neuralgia.
        J. Chron. Dis. 1973; 26: 3-12