Your Face Pain May Not Be The Source Of Teeth
There are many causes of pain in the facial area, and complaints can often be confused with toothache. Some of these pains, which can appear on the face and upset the life of the person, Your Face Pain May Not Be The Source Of Teeth may be caused by “Trigeminal Neuralgia”, a brain nerve disease.
There may be patients who want to have their intact teeth removed.
The nerve originating from the brainstem region and controlling the senses especially in the forehead, temple, and jaw are called “trigeminal”. The trigeminal nerve takes the senses of touch and transmits them to the brain as a sensory, as well as moves the jaw muscles. Pain caused by problems in this nerve is also felt on the face, chin, and temple. Trigeminal Neuralgia patients, popularly known as sudden facial pain, define the pain as short-term pain that comes in a lightning bolt style. The pain is generally thought to be caused by pain in the upper and lower jaw. Therefore, sometimes patients can even pull out their healthy teeth to end the pain, despite the objections of dentists.
The Source Of Teeth Pain can be felt even when laughing
The exact cause of trigeminal neuralgia is unknown. Tumors, gum and joint diseases, discomfort in the lower jaw on the face, and sometimes diseases in the facial vein can cause pain. Pain, which is a symptom of the disease, can occur when eating, talking, shaving, laughing, taking a big bite from fruits such as apples and pears, or touching a part of the face. The frequency of the pain has been increasing over the years. Patients take care not to eat, laugh or bite with the aching side of the face as much as possible to reduce the pain they experience. Every facial pain should not be considered as trigeminal neuralgia and the cause is unknown. If there is an underlying problem with the pain, it must be definitely investigated by a specialist.
It is more common in women
While trigeminal neuralgia is seen in 5-7 people per 100 thousand in society, its incidence is higher in women compared to men. Generally, the occurrence in the 50-60s indicates that congenital or genetic transmission is not effective based on the disease. It is important to take a comprehensive history of the disease in making the diagnosis. Also, with advances in radiological imaging, especially with the advancement of MRI techniques, a healthier diagnosis can be made.
Long-term drug use can cause side effects
The majority of patients receive medical treatment for a significant part of their lives. The drugs used can range from 200 mg to 3000 mg depending on the resistance of the disease. The drugs used in the treatment are not recommended to be used for a long time since they have some side effects such as nausea, vomiting, dizziness, concentration disorder, and blood diseases in the bone marrow.
The very high success rate in the surgical treatment
Patients in suitable conditions are directed to surgical treatments to avoid the side effects seen in drug treatment. Surgical methods such as cutting the facial nerve in the early period of the disease, alcohol injection into the place where the nerve comes from, inflation of the balloon, or cautery are applied. Although the success rate in some of these methods is quite high, the problem usually recurs. Small doses of radiation can be applied to the problem area with methods such as Gamma Knife and CyberKnife. In addition to some risks, these treatment methods also have the possibility of recurrence of the disease. In microsurgery, which is referred to as a microvascular decompression method, a small incision is made by entering from the posterior region of the patient’s ear. After the skull is opened, a soft pillow called Teflon is placed between the vein and the nerve. With the patient coming out of the anesthesia, the problem of pain disappears. In this method, which has a success rate of 90-95 percent, the risk of recurrence of the disease is also very low.