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Post-Traumatic Trigeminal Neuropathic Pain after Dental Implant Surgery and the Injustice Experience Questionnaire

Painful post-traumatic trigeminal neuropathy (PTTN) is a known complication of dental implant therapy. Patients with PTTN develop sensory abnormalities in the orofacial region, which may be a psychosocial aspect, and dentists should assess somatosensory testing and psychosocial factors. The patients...

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Autores principales: Tadokoro, Souichirou, Takizawa, Keita, Ozasa, Kana, Okada-ogawa, Akiko, Kaneko, Yasuhide, Nakata, Jumi, Noma, Noboru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9844319/
https://www.ncbi.nlm.nih.gov/pubmed/36648971
http://dx.doi.org/10.3390/neurolint15010007
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author Tadokoro, Souichirou
Takizawa, Keita
Ozasa, Kana
Okada-ogawa, Akiko
Kaneko, Yasuhide
Nakata, Jumi
Noma, Noboru
author_facet Tadokoro, Souichirou
Takizawa, Keita
Ozasa, Kana
Okada-ogawa, Akiko
Kaneko, Yasuhide
Nakata, Jumi
Noma, Noboru
author_sort Tadokoro, Souichirou
collection PubMed
description Painful post-traumatic trigeminal neuropathy (PTTN) is a known complication of dental implant therapy. Patients with PTTN develop sensory abnormalities in the orofacial region, which may be a psychosocial aspect, and dentists should assess somatosensory testing and psychosocial factors. The patients were assessed using quantitative sensory testing (QST). A 64-year-old female presented with allodynia of the left lower lip that occurred after a surgical implant procedure. Persistent pain started 4 months after the placement of two dental implants in the mandible. Sensory testing of these areas revealed warm hyposensitivity and mechanical hypersensitivity of the mandibular region. We also assessed PTTN-related perceived injustice using the Injustice Experience Questionnaire. The patient refused medication therapy such as pregabalin; therefore, autogenic training was adopted as an alternative management strategy. We conclude that for expensive dental procedures, such as implant placement, sufficient consensus should be obtained preoperatively before proceeding with surgery.
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spelling pubmed-98443192023-01-18 Post-Traumatic Trigeminal Neuropathic Pain after Dental Implant Surgery and the Injustice Experience Questionnaire Tadokoro, Souichirou Takizawa, Keita Ozasa, Kana Okada-ogawa, Akiko Kaneko, Yasuhide Nakata, Jumi Noma, Noboru Neurol Int Case Report Painful post-traumatic trigeminal neuropathy (PTTN) is a known complication of dental implant therapy. Patients with PTTN develop sensory abnormalities in the orofacial region, which may be a psychosocial aspect, and dentists should assess somatosensory testing and psychosocial factors. The patients were assessed using quantitative sensory testing (QST). A 64-year-old female presented with allodynia of the left lower lip that occurred after a surgical implant procedure. Persistent pain started 4 months after the placement of two dental implants in the mandible. Sensory testing of these areas revealed warm hyposensitivity and mechanical hypersensitivity of the mandibular region. We also assessed PTTN-related perceived injustice using the Injustice Experience Questionnaire. The patient refused medication therapy such as pregabalin; therefore, autogenic training was adopted as an alternative management strategy. We conclude that for expensive dental procedures, such as implant placement, sufficient consensus should be obtained preoperatively before proceeding with surgery. MDPI 2023-01-10 /pmc/articles/PMC9844319/ /pubmed/36648971 http://dx.doi.org/10.3390/neurolint15010007 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Tadokoro, Souichirou
Takizawa, Keita
Ozasa, Kana
Okada-ogawa, Akiko
Kaneko, Yasuhide
Nakata, Jumi
Noma, Noboru
Post-Traumatic Trigeminal Neuropathic Pain after Dental Implant Surgery and the Injustice Experience Questionnaire
title Post-Traumatic Trigeminal Neuropathic Pain after Dental Implant Surgery and the Injustice Experience Questionnaire
title_full Post-Traumatic Trigeminal Neuropathic Pain after Dental Implant Surgery and the Injustice Experience Questionnaire
title_fullStr Post-Traumatic Trigeminal Neuropathic Pain after Dental Implant Surgery and the Injustice Experience Questionnaire
title_full_unstemmed Post-Traumatic Trigeminal Neuropathic Pain after Dental Implant Surgery and the Injustice Experience Questionnaire
title_short Post-Traumatic Trigeminal Neuropathic Pain after Dental Implant Surgery and the Injustice Experience Questionnaire
title_sort post-traumatic trigeminal neuropathic pain after dental implant surgery and the injustice experience questionnaire
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9844319/
https://www.ncbi.nlm.nih.gov/pubmed/36648971
http://dx.doi.org/10.3390/neurolint15010007
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