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Abstract
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.
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References
- Pain and the Neurosurgeon: A Forty Year Experience.Charles C Thomas Publisher, Springfield, Ill1969 (chaps. V, VI, and VIII)
- Trigeminal Neuralgia: Its History and Treatment.Charles C Thomas Publisher, Springfield, Ill1959
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- Neurology.in: Williams & Wilkins Company, Baltimore1955: 405
- Epidemiology of Trigeminal Neuralgia.J. Chron. Dis. 1973; 26: 3-12
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© 1979 Published by Elsevier Inc.