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INTERNATIONAL JOURNAL OF PHARMACEUTICAL RESEARCH

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Published by : Advanced Scientific Research
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0975-2366
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IJPR 9[3] July - September 2017 Special Issue

July - September 9[3] 2017

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Prevalence of Trigeminal Neuralgia in Patients Reported to Private Dental Institution.

Author: MUKUNDH CHAITHANYA.V, UMA MAHESWARI.T. N, MANJARI CHAUDHARY
Abstract: Trigeminal neuralgia is considered as one of the most common neuralgia and common neuropathic causes for orofacial pain. Diagnosis of the underlying cause for Trigeminal neuralgia is the key of success of the management of orofacial pain although other odontogenic factors such as caries, gingival inflammation , and extraction of third molars play an important role in aggravating the neuralgia. Right side maxillary branch of trigeminal nerve is most commonly affected and various neurological conditions such as multiple sclerosis, temporal arteritis and headaches have been experienced by patients with trigeminal neuralgia and systemic diseases such as diabetes and hypertension , along with nerve compression over the arteries have been hypothesised to contribute to the aggravation of pain symptoms in trigeminal neuralgia. The aim of this study was to analyse the prevalence of trigeminal neuralgia and its association with age, gender, duration of pain , and medication taken. frequency distribution was done on age, gender, branch of trigeminal nerve, medication taken and duration of pain pre treatment. Association analysis was done using Pearson chi-square analysis and comparison analysis of VAS score before and after treatment using paired t test revealed no statistical significance (t value : 18.392 and p value : 0.246 >0.05) . Frequency analysis results revealed that patients between 30-60 years (64%) are commonly affected, Gender predilection was more towards females (52%) , branch most commonly affected was mandibular left side (40%), Most commonly used medication was Carbamazepine(40%), most prevalent duration of trigeminal neuralgia was 4 and 9 months, Chi square association with highest pain reduction was seen in Carbamazepine, mecobalamin combination (Visual analogue pain scale rating- 3).
Keyword: trigeminal; neuralgia; multiple sclerosis; orofacial pain; tic douloureux; trigger zone
DOI: https://doi.org/10.31838/ijpr/2021.13.01.219
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