TMDT Finale

lunalovegood's version from 2016-07-27 05:25


Question Answer
Female >50trigeminal neuralgia, AO, burning mouth
Refractory periodtrigeminal neuralgia (DENTAL PAIN DOESN'T HAVE REFRACTORY PERIOD)
If bilateral, likely MStrigeminal neuralgia
Tumor of cerebellopontine anglesymptomatic V neuralgia
Demyelinating plaque of MSsymptomatic V neuralgia
Vascular malformationsymptomatic V neuralgia
Meningioma of posterior cranial fossasymptomatic V neuralgia
Superior cerebellar arteryclassic V neuralgia
RARELY triggered while sleepingtrigeminal neuralgia
AnticonvulsantsV neuralgia
Carbamazepine (tegretol)V neuralgia, IX neuralgia
Carbamazepine & Lioresal (Baclofen)V neuralgia
Pregabelin (Lyrica), Gabapentin (Neurotin), Clonazepam (Klonopin), Phenytoin (Dilantin)V neuralgia
~30% fail medical tx, must try surgeryV neuralgia
Alcohol blockV neuralgia
Alcohol gangliolysisV neuralgia
NeurectomyV neuralgia
RhizotomyV neuralgia
Microvascular decompressionV neuralgia, IX neuralgia
Anterior inferior cerebellar arteryV neuralgia
Gamma Knife surgeryV neuralgia, IX neuralgia
Continuous unilateral deep aching pain sometimes w/ burning componentATP
Pain lasting most of day, or continuousATP
Unilateral, often nasolabial fold or side of chinATP
Psychological symptoms often presentATP
Constant pain/ache in teeth/gums w/ no pathology. Maxilla more common.AO
Tricyclic antidepressants (amitriptyline)ATP/AO, burning mouth
Antiepileptics (Gabapentin)ATP/AO
Topical desensitizations (capsaicin, topical anesthetics) ATP/AO
Allergic disorder, salivary gland hypofunction, chronic low-grade trauma, psychiatric abnormalities, ACE inhibitors, women after menopausa, changes in brain activity, burning mouth
Megaloblastic anemiaburning mouth
Iron deficiencyburning mouth
Decreased B12, folateburning mouth
Diabetes/hyperglycemiaburning mouth
ACE inhibitorsburning mouth
Ill-fitting denturesburning mouth
Xerostomiaburning mouth
Candidiasisburning mouth
Mucocutaneous diseaseburning mouth
Parafunctional habitsburning mouth
Chewing gum makes betterburning mouth
Chewing gum makes worseCandida
Tongue > inside lower lip > palateburning mouth
Insomniaburning mouth
Change in tasteburning mouth
Decreased appetite, depressionburning mouth
Amitriptyline, Doxepin, Clonazepamburning mouth
Topical clonazepam via suckingburning mouth
Alpha-lipoic acidburning mouth
Systemic capsaicinburning mouth
Ice for 72 hours, moist heatTMD
Diet of soft foodsTMD
Muscle relaxersTMD
Eliminate gum chewing, clinching, stressful exerciseTMD
AFFECTS MALES & FEMALES EQUALLYglossopharyngeal neuralgia
PICAglossopharyngeal neuralgia

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