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Pharmacologic management of trigeminal nerve injury pain after dental implant surgery.
Int J Prosthodont. 2010 Jul-Aug; 23(4):342-6.IJ

Abstract

PURPOSE

Injuries to the trigeminal nerve are a common postoperative complication of dental implant surgery. Usually, the altered sensation and neuropathic pain caused by the nerve injury is temporary, but a permanent neurosensory disorder can sometimes occur. Surgery is commonly used to treat this condition, but the treatment is associated with some complications and a relatively low success rate. This study analyzed the characteristics of pharmacologic management of trigeminal nerve injury pain after dental implant surgery.

MATERIALS AND METHODS

Eighty-five patients who visited a temporomandibular joint and orofacial pain clinic with a history of trigeminal nerve injury pain after dental implant surgery were enrolled in this study. The pharmacologic management for trigeminal nerve injury pain was evaluated by prescribing a variety of medications for 12 weeks according to the prescription protocol of the study. The patients' pain characteristics, average percentage of pain reduction, and pain relieving factors were investigated prospectively.

RESULTS

Patients who took anticonvulsants and antidepressants for at least 12 weeks reported a mean reduction in pain of 24.8%. Interestingly, patients who experienced an altered sensation and neuropathic pain for more than 1 year also reported a reduction in pain and discomfort, with an average decrease of 17.1%. In addition, it was found that early treatment using medications had a significant effect on reducing the level of pain and discomfort.

CONCLUSION

These results suggest that pharmacologic management can be used for treating trigeminal nerve injury pain after dental implant surgery.

Authors+Show Affiliations

TMJ & Orofacial Pain Clinic, Department of Oral Medicine, School of Dentistry, Yonsei University, Seodaemun-gu, Seoul, Korea.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20617223

Citation

Park, Ju Hyun, et al. "Pharmacologic Management of Trigeminal Nerve Injury Pain After Dental Implant Surgery." The International Journal of Prosthodontics, vol. 23, no. 4, 2010, pp. 342-6.
Park JH, Lee SH, Kim ST. Pharmacologic management of trigeminal nerve injury pain after dental implant surgery. Int J Prosthodont. 2010;23(4):342-6.
Park, J. H., Lee, S. H., & Kim, S. T. (2010). Pharmacologic management of trigeminal nerve injury pain after dental implant surgery. The International Journal of Prosthodontics, 23(4), 342-6.
Park JH, Lee SH, Kim ST. Pharmacologic Management of Trigeminal Nerve Injury Pain After Dental Implant Surgery. Int J Prosthodont. 2010;23(4):342-6. PubMed PMID: 20617223.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pharmacologic management of trigeminal nerve injury pain after dental implant surgery. AU - Park,Ju Hyun, AU - Lee,Seok Hyoung, AU - Kim,Seong Taek, PY - 2010/7/10/entrez PY - 2010/7/10/pubmed PY - 2010/9/30/medline SP - 342 EP - 6 JF - The International journal of prosthodontics JO - Int J Prosthodont VL - 23 IS - 4 N2 - PURPOSE: Injuries to the trigeminal nerve are a common postoperative complication of dental implant surgery. Usually, the altered sensation and neuropathic pain caused by the nerve injury is temporary, but a permanent neurosensory disorder can sometimes occur. Surgery is commonly used to treat this condition, but the treatment is associated with some complications and a relatively low success rate. This study analyzed the characteristics of pharmacologic management of trigeminal nerve injury pain after dental implant surgery. MATERIALS AND METHODS: Eighty-five patients who visited a temporomandibular joint and orofacial pain clinic with a history of trigeminal nerve injury pain after dental implant surgery were enrolled in this study. The pharmacologic management for trigeminal nerve injury pain was evaluated by prescribing a variety of medications for 12 weeks according to the prescription protocol of the study. The patients' pain characteristics, average percentage of pain reduction, and pain relieving factors were investigated prospectively. RESULTS: Patients who took anticonvulsants and antidepressants for at least 12 weeks reported a mean reduction in pain of 24.8%. Interestingly, patients who experienced an altered sensation and neuropathic pain for more than 1 year also reported a reduction in pain and discomfort, with an average decrease of 17.1%. In addition, it was found that early treatment using medications had a significant effect on reducing the level of pain and discomfort. CONCLUSION: These results suggest that pharmacologic management can be used for treating trigeminal nerve injury pain after dental implant surgery. SN - 0893-2174 UR - https://www.unboundmedicine.com/medline/citation/20617223/Pharmacologic_management_of_trigeminal_nerve_injury_pain_after_dental_implant_surgery_ L2 - https://medlineplus.gov/trigeminalneuralgia.html DB - PRIME DP - Unbound Medicine ER -