Post-Traumatic Trigeminal Neuropathic Pain after Dental Implant Surgery and the Injustice Experience Questionnaire

被引:0
|
作者
Tadokoro, Souichirou [1 ]
Takizawa, Keita [1 ]
Ozasa, Kana [1 ]
Okada-ogawa, Akiko [1 ]
Kaneko, Yasuhide [2 ]
Nakata, Jumi [3 ]
Noma, Noboru [1 ]
机构
[1] Nihon Univ, Dept Oral Med, Sch Dent, Tokyo 1018310, Japan
[2] Kaneko Dent Off, Omiya 3210963, Japan
[3] Towa Hosp, Div Internal Med, Tokyo 1200003, Japan
来源
NEUROLOGY INTERNATIONAL | 2023年 / 15卷 / 01期
关键词
PTTN; dental implant surgery; QST; IEQ; AT; PERCEIVED INJUSTICE;
D O I
10.3390/neurolint15010007
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
引用
收藏
页码:78 / 82
页数:5
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