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Trigeminal neuralgia is a disease of fifth cranial nerve recognize as trigeminal boldness whereas as algia imply pain . It is also sometimes referred to asFothergill ’s diseaseorTic Douloureux . It is mostly classified as trigeminal neuralgia 1 and 2 on basis of its presentation[1 ] . Trigeminal neuralgia 1 consists of the typical introduction of the disease with clinical characteristic of fool andstabbing painepisodes lasting few seconds to few minutes . Trigeminal neuralgia 2 is atypical intro with a continuous dull pain occurring in the background with the short episodes of wicked pain occur as supradded symptom .
Trigeminal boldness has got two branch , namely , receptive subdivision which provide the skin over the cheek and aim all the whizz of the skin like pain , touch , temperature etc . to the brain and a motor branch which supplies eight musculus , namely , four mastication muscles ( worldly is , masseter , median and sidelong pterygoids ) and four other brawniness ( tensor tympani , tensor veli palatini , mylohyoid and prior belly of digastric[1 ] .
Can Trigeminal Neuralgia Affect Just One Tooth?
The commoner branches to be involved in trigeminal neuralgy are the inframaxillary and the maxillary limb of sensory descent . The pain of trigeminal neuralgia is along the upper or low jaw and sometimes seldom can shine to a tooth . Isolated tooth participation is also see and most of the time it is presented to a dentist with toothache .
Dentist often treat it with the confusion of dental abscess or other dental hurting causes and even execute a dental operating theatre or a root epithelial duct blockade procedure . However , the annoyance does not get relieved and persists even after the dental procedure , which after a serial of tests lead to the catching of it as a case of other diseases like trigeminal neuralgia or temporal tendinitis etc.[2 ]
The pain of trigeminal neuralgy is also triggered by eating red-hot and cold food items which is unremarkably the cause of confusion . Other factors which can trigger its pain are movement of jaw include talk , masticate , smile and also sometimes by shaving , brush teeth , touching , bollix up of oral fissure , nose etc.[3 ]
Does It Cause Swelling?
Trigeminal neuralgia is primarily a neuropathy consort with lessening in impulses through the fifth cranial boldness . Due to the absence of caprice there can be reduction in neural trophic cistron cater to the musculus via nerves . These trophic broker are responsible for the sustenance and developing of the muscles . In the absence of these trophic factors the muscles can initially be swollen due to breakdown of muscle tissue paper in it which is seen as swell on the face and later when these muscles are broken down to an extent where these can not get bushel , then these are shrink like in starving and the swelling disappear . It can be associated with signs of inflammation like redness of cheeks , infliction while feeding , chewing , local rise of temperature around the affected orbit etc .
Swelling of face can also be run across due to repeat trauma in the affected orbit of the nerve because of lose sensations of that sphere . One rarefied case of the protrusion can be due to overutilisation of the muscle in facial tics or movements . Swelling can also result in pillow slip of facial muscle spasm which is the most common of them all .
Conclusion
keep apart dental pain or tooth ache is not very uncommon and is a uncouth spate to be seen in the clinic of a tooth doctor . It is ordinarily misjudged as dental abscess and gets care for for it . But the unrelieving nature of the nuisance even after treatment creates the suspicion of atypical presentation of trigeminal neuralgy . excrescence can also be pick up in early case of severe trigeminal neuralgia and can present with common signs of redness . Various other atypical presentations of trigeminal neuralgia are go out . It has clinical diagnosing with local testing and history take as the most important part of it and usually no further investigations are required for its diagnosing .
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