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Management of traumatic neuralgia in a patient with the extracted teeth and alveoloplasty: a case report

Journal of Dental Anesthesia and Pain Medicine 2015³â 15±Ç 4È£ p.241 ~ 245
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À¯ÀçÇÏ ( Yoo Jae-Ha ) - Yonsei University Wonju College of Medicine Department of Dentistry
¿ÀÁöÇö ( Oh Ji-Hyeon ) - Yonsei University Wonju College of Medicine Department of Dentistry
°­¼¼ÇÏ ( Kang Se-Ha ) - Yonsei University Wonju College of Medicine Department of Dentistry
±èÁ¾¹è ( Kim Jong-Bae ) - Keimyung University School of Medicine Dongsan Medical Center Department of Dentistry

Abstract


A majority of patients who sustain injuries to the peripheral sensory nerves of the face and jaws experience a slow but gradual return of sensation that is functional and tolerable, if not the same as before the injuries. However, long-term effects of such injuries are aggravating for many patients, and a few patients experience significant suffering. In some of these patients, posttraumatic symptoms become pathological and are painful. The predominant painful components are (1) numbing anesthesia dolorosa pain, (2) triggered neuralgiaform pain, (3) burning and aching causalgiaform pain, and (4) phantom pain. This is a case report of conservative management of traumatic neuralgia and neuritis as part of posttraumatic pain syndromes in geriatric patients who have undergone the teeth extraction and alveoloplasty.

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Alveoloplasty; Neuritis; Posttraumatic pain syndrome; Tooth extraction; Traumatic neuralgia

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