Neuropathic Tooth Pain (NTP)

[Anonymous]

The study aimed to determine the characteristics of patients with neuropathic tooth pain (NTP) who were selected from a group of patients who developed persistent pain after undergoing endodontic procedures.

Methods: Of 271 patients who had chronic persistent pain that did not respond to previous
endodontic procedures and were referred to the Endodontic Team of the Nippon Dental University Hospital, 16 patients (5.9%; mean age, 46.8 years; 13 women) who fulfilled the diagnostic criteria for NTP were recruited. The inclusion criteria for the patients were the presence of chronic persistent pain and other pain-related symptoms, despite the absence of major pathology. Results: Pain predominantly occurred in the maxilla (14 patients). In 10 patients (62.5%), NTP developed after retreatment. Daily application of tricyclic antidepressants produced pain relief in 11 patients (68.8%).

Conclusions: These results indicated that NTP is a rare type of chronic intractable endodontic
pain and that careful diagnosis of NTP is important.

        

[sushantpatel_doc]

what should be the treatment for this kind of pain?

        

[Anonymous]

The following are the treatment options

capsaicin, oral, topical and epidural clonidine, subcutaneous ketamine, intravenous morphine, Codeine, magnesium chloride, propranolol, lorazepam, and intravenous phentolamine , topical dimethylsulfoxyde (DMSO), epidural clonidine and intravenous regional blocks (IVRBs) with bretylium and ketanserin, intranasal calcitonin and intravenous phentolamine, sympathetic ganglion blocks (SGBs) with local anesthetics, surgical sympathectomy, or physical therapy

        

[Anonymous]

proper diagnosis is a must. we need to look at other factors like overfilling, cracked tooth etc. etc,.
before a diagnosis of NTP is a made. more often than not it could be something else.

        

[Author]

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