Alliance Oral Surgery
Barnegat
609-978-6400
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      • Fractures of the Facial and Jaw Bones
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      • Injury to the Teeth
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      • Orthognathic Surgery (Jaw Surgery)
      • Distraction Osteogenesis
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      • Oral Pathology-Growth and Lesions
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      • Autoimmune Diseases
      • Precancerous and Cancerous Growths
    • Temporomandibular Joint Disease
      • Myofascial Pain Dysfunction
      • Craniofacial Pain
      • Migraine’s and Headaches
      • Neuralgia’s and Neurological Origin Pain
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    • Meet Dr. John Frattellone
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Procedures & Services

  • Congenital and Developmental Disorders
    • Special Needs Patients
  • Anesthesia and Sedation
    • Anesthesia for Pediatric and Dental Procedures
    • Anesthesia for Cosmetic and Surgical Procedures
  • Cosmetic Skin and Facial Procedures
    • Perlane
    • Botox
    • Ultherapy
    • Juvederm
    • Restylane
    • Latisse
    • Radiesse
    • Esthetician and Skin Care Treatment
    • Dermabrasion
    • Chemical Peels
    • Facial Resurfacing
  • Dental Implants
    • Teeth-in-an-Hour
    • Diem
    • Immdediate Placment of Implants
    • Single Tooth Implants
    • Implant Supported Bridges
    • Locator Attachment and Dentures
    • Orthodontic Implants-Skeletal Anchors
  • Bone Grafting
    • Jaw Bone Health
    • Jawbone Loss and Deterioration
    • About Bone Grafting
    • Ridge Augmentation
    • Sinus Lift
    • Nerve Repositioning
    • Platelet Rich Plasma
    • Socket Preservation
  • Teeth and Dentoalveolar Surgery
    • Wisdom Teeth
    • Pre-Prosthetic Surgery
    • Impacted Canines
    • Primary or Baby Teeth
    • Infected or Fractured Teeth
    • Teeth with Periodontal Disease
    • Teeth with Associated Pathology
  • Trauma and Fractures
    • Fractures of the Facial and Jaw Bones
    • Lacerations and Soft Tissue Injuries
    • Injury to the Teeth
  • Orthognathics and Reconstructive Surgery
    • Orthognathic Surgery (Jaw Surgery)
    • Distraction Osteogenesis
  • Oral Pathology
    • Oral Pathology-Growth and Lesions
    • Dermatopathology and Skin Diseases
    • Autoimmune Diseases
    • Precancerous and Cancerous Growths
  • Temporomandibular Joint Disease
    • Myofascial Pain Dysfunction
    • Craniofacial Pain
    • Migraine’s and Headaches
    • Neuralgia’s and Neurological Origin Pain

Neuralgia’s and Neurological Origin Pain

The possible role of dental and oral disease in the etiology of idiopathic trigeminal and atypical facial neuralgias has been caused by the existence of cavities in alveolar bone and jawbone of the patients. The cavities were at the sites of previous tooth extractions, were  usually not detectable by x-rays. Treatment consisted of vigorous curettage of the bone cavities, repeated if necessary, plus administration of antibiotics to induce healing and filling-in of the cavities be new bone, Complete healing leads to persistent pain remissions. It was concluded that in both idiopathic trigeminal and atypical facial neuralgias, dental and oral pathoses may be major etiologic factors.

What is trigeminal neuralgia?

The trigeminal nerve is one of 12 pairs of nerves that are attached to the brain. The nerve has three branches that conduct sensations from the upper, middle, and lower portions of the face, as well as the oral cavity, to the brain. The ophthalmic, or upper, branch supplies sensation to most of the scalp, forehead, and front of the head. The maxillary, or middle, branch stimulates the cheek, upper jaw, top lip, teeth and gums, and to the side of the nose. The mandibular, or lower, branch supplies nerves to the lower jaw, teeth and gums, and bottom lip. More than one nerve branch can be affected by the disorder. Rarely, both sides of the face may be affected at different times in an individual, or even more rarely at the same time (called bilateral TN).

What causes trigeminal neuralgia?

TN is associated with a variety of conditions. TN can be caused by a blood vessel pressing on the trigeminal nerve as it exits the brain stem. This compression causes the wearing away or damage to the protective coating around the nerve (the myelin sheath). TN symptoms can also occur in people with multiple sclerosis, a disease that causes deterioration of the trigeminal nerve’s myelin sheath. Rarely, symptoms of TN may be caused by nerve compression from a tumor, or a tangle of arteries and veins called an arteriovenous malformation. Injury to the trigeminal nerve (perhaps the result of sinus surgery, oral surgery, stroke, or facial trauma) may also produce neuropathic facial pain.

What are the symptoms of trigeminal neuralgia?

Pain varies, depending on the type of TN, and may range from sudden, severe, and stabbing to a more constant, aching, burning sensation. The intense flashes of pain can be triggered by vibration or contact with the cheek (such as when shaving, washing the face, or applying makeup), brushing teeth, eating, drinking, talking, or being exposed to the wind. The pain may affect a small area of the face or may spread. Bouts of pain rarely occur at night, when the affected individual is sleeping.

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Barnegat Office • Address: 329 South Main Street Barnegat NJ 08005 • Phone: Barnegat Office Phone Number 609-978-6400 • Fax: 866-290-6363
Middletown Office • Address: 79 Oak Hill Road Middletown NJ 07701 • Phone: Middletown Office Phone Number 732-842-3100 • Fax: 866-290-6363

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