Neuropathic Tooth Pain (NTP)

Home Forums Endodontics & conservative dentistry Neuropathic Tooth Pain (NTP)

Welcome Dear Guest

To create a new topic please register on the forums. For help contact : discussdentistry@hotmail.com

Currently, there are 0 users and 1 guest visiting this topic.
Viewing 4 posts - 1 through 4 (of 4 total)
  • Author
    Posts
  • #8742
    Anonymous
    Online
    Topics: 0
    Replies: 1149
    Has thanked: 0 times
    Been thanked: 1 time

    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.

    #13606
    sushantpatel_doc
    Offline
    Registered On: 30/11/2009
    Topics: 510
    Replies: 666
    Has thanked: 0 times
    Been thanked: 0 times

    what should be the treatment for this kind of pain?

    #13607
    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

    #13608
    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.

Viewing 4 posts - 1 through 4 (of 4 total)
  • You must be logged in to reply to this topic.