Trigeminal Neuralgia dental implants

Posted by dandl48 Dave @dandl48, Mar 5, 2021

My wife suffers from Trigeminal Neuralgia and she is concerned about getting a "Deep Cleaning" and 2 implants put in the side of her mouth thinking that the cleaning + drilling into her jaw will set the TN off. Has anyone with TN get a Deep Cleaning or had implants put in and what was the outcome of it?

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Hi @dandl48. I found this information that might be of help.

-How to Manage Trigeminal Nerve Injuries in Dentistry:
https://dentistrytoday.com/news/todays-dental-news/item/5604-how-to-manage-trigeminal-nerve-injuries-in-dentistry
-Facial Nerve Pain can be Reduced with the Right Treatment Approach:
https://www.berksdentalarts.com/blog/post/facial-nerve-pain-can-be-reduced-with-the-right-treatment-approach.html
Has your wife had any dental work since her TN or is this her first?

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@amandajro

Hi @dandl48. I found this information that might be of help.

-How to Manage Trigeminal Nerve Injuries in Dentistry:
https://dentistrytoday.com/news/todays-dental-news/item/5604-how-to-manage-trigeminal-nerve-injuries-in-dentistry
-Facial Nerve Pain can be Reduced with the Right Treatment Approach:
https://www.berksdentalarts.com/blog/post/facial-nerve-pain-can-be-reduced-with-the-right-treatment-approach.html
Has your wife had any dental work since her TN or is this her first?

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@amandajro Thanks for the links you supplied! Sorry it took so long to answer you. I do however have to stay at a Holiday Inn Express in order to understand all the medical terms used. Only kidding slightly.

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Had three dental surgery several years ago due to a failed implant and resulting loss of additional teeth and part of jaw due to osteomyelitis. Since that time have extensive nerve pain involving inferior alveolar nerve, more commonly called trigeminal neuropathy. Several doctors say neurosurgical procedures would NOT be of benefit, so I live with Gabapentin, Advil, Tylenol, etc. What complicates the situation is I need surgery sooner vs. later to have some implants placed so a partial denture can be built and clipped in / out (I lost a total of seven teeth due to the infection). Wondering if any experts out there have suggestions? Frustrating how such a simple procedure changed my life forever…

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@lindapl

Had three dental surgery several years ago due to a failed implant and resulting loss of additional teeth and part of jaw due to osteomyelitis. Since that time have extensive nerve pain involving inferior alveolar nerve, more commonly called trigeminal neuropathy. Several doctors say neurosurgical procedures would NOT be of benefit, so I live with Gabapentin, Advil, Tylenol, etc. What complicates the situation is I need surgery sooner vs. later to have some implants placed so a partial denture can be built and clipped in / out (I lost a total of seven teeth due to the infection). Wondering if any experts out there have suggestions? Frustrating how such a simple procedure changed my life forever…

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Welcome @lindapl. I moved your message to this exisitng discussion:
– Trigeminal Neuralgia dental implants: https://connect.mayoclinic.org/discussion/trigeminal-neuralgia-dental-implants/

I did this so you can connect with @dandl48 whose wife has had a similar experience. You may also be interested in this related discussion:
– Trigeminal neuralgia: What helps stop the pain? https://connect.mayoclinic.org/discussion/trigeminal-neuralgia-5/

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@lindapl

Had three dental surgery several years ago due to a failed implant and resulting loss of additional teeth and part of jaw due to osteomyelitis. Since that time have extensive nerve pain involving inferior alveolar nerve, more commonly called trigeminal neuropathy. Several doctors say neurosurgical procedures would NOT be of benefit, so I live with Gabapentin, Advil, Tylenol, etc. What complicates the situation is I need surgery sooner vs. later to have some implants placed so a partial denture can be built and clipped in / out (I lost a total of seven teeth due to the infection). Wondering if any experts out there have suggestions? Frustrating how such a simple procedure changed my life forever…

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You might want to google Cleveland Clinic, Gamma Knife & Trigeminal Neuralgia. They seem to have good success with TN. Also Mayo Clinic, https://www.mayoclinic.org/diseases-conditions/trigeminal-neuralgia/diagnosis-treatment/drc-20353347 covers treatments including Gamma Knife treatment.

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I have been told by several doctors the trigeminal nerve will not heal. Yet I do not have an explanation why. I understand the trigeminal nerve controls both sensory and motor functions so not sure how that plays out into equation. All I know is a failed dental implant has caused me years of pain. My situation is rare which does not help in terms of research. Again, I am missing other teeth due to infection from implant and would like to replace them at some point however, as long as I have nerve damage / pain I am scared to proceed.

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