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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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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. |
format | Online Article Text |
id | pubmed-9844319 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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