Neuropathic pain after dental treatment

Baş ve boyun bölgesi vücudun kronik ağrılardan en çok etkilenen bölgesidir. Nöropatik ağrılar, periferal ya da santral sinir siste- mindeki primer bir lezyon, disfonksiyon ya da geçici bir bozukluk sonucu başlayan kronik ağrılardan birisidir. Trigeminal nöralji, atipik odontalji (fantom diş ağrısı), yanan ağız sendromu, travmatik nöropatiler, postherpetik nöralji ve kompleks bölgesel ağrı sendromu diş ve ağrı kliniklerinde karşılaşılabilecek nöpatik orofasial ağrılardandır. Ağız içersinde şikayete neden olan ağrıların bir kısmının nöropatik ağrılar olabileceği hatırlanmadığında yanlış tanı konulmakta ve etkilenen bölgedeki dişlere gereksiz tedaviler yapılmaktadır. Bu yazıda, dental işlemler sonrası ortaya çıkabilen posttravmatik periferal ağrılı nöropatiler tartışıldı.

Dental tedaviler sonrası oluşan nöropatik ağrılar

The head and neck regions are the most common sites of the human body to be involved in chronic pain conditions. Neuro- pathic pain is a chronic pain condition, and refers to all pain initiated or caused by a primary lesion or dysfunction or transi- tory perturbation in the peripheral or central nervous system (CNS). Trigeminal neuralgia, atypical odontalgia (phantom tooth pain), burning mouth syndrome, traumatic neuropathies, postherpetic neuralgias and complex regional pain syndrome are neuropathic pain conditions in the orofacial region that can be encountered in pain and dental clinics. The majority of the time this problem is misdiagnosed by the dentist, which can lead to unnecessary treatments. These treatments may include endodontic treatment and extraction of the tooth or teeth in the region. In this review, only post-traumatic peripheral pain neuropathies seen after dental treatments will be discussed.

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