Signs and Symptoms of Neuropathic Pain - General and Cosmetic Dentist (2024)

Signs and Symptoms of Neuropathic Pain - General and Cosmetic Dentist (1)The set of orofacial neuropathies includes a spectrum of symptoms, although they are broadly characterized by:

  • Sensations of pain, aching, burning, numbness or tingling.
  • Pain that occurs in specific or generalized areas of the face, head, mouth or neck.

Some neuropathic pain conditions manifest as constant dull pain while incidences of episodic pain have been described as a shock-like burning sensation. Closer examination of several major orofacial neuropathic pain conditions reveals signs and symptoms in greater detail.

Trigeminal neuralgia is experienced as attacks of sudden, severe stabbing pain usually lasting several seconds. Episodes may repeat in succession and occur throughout the day. Attacks are triggered by contact with the affected area, such as the cheek, teeth or scalp. A patient may suffer from trigeminal neuralgia episodes for a period of days, weeks, or months, and then experience a pain-free period lasting months or years. As the condition progresses, it often worsens, and an individual has fewer and shorter periods of relief. A pre-trigeminal neuralgia condition may precede the onset of classic trigeminal neuralgia symptoms. Pre-trigeminal neuralgia, or Type 2 trigeminal neuralgia is felt as a constant aching in an affected region.

Atypical odontalgia is also known as phantom pain syndrome because the defining symptom is a toothache-like feeling. An atypical odontalgia sufferer feels aching pain in a tooth without the presence of an identifiable problem.

Oral nerve injury caused by trauma during medical or dental procedures is marked by constant pain, aching, burning, numbness or tingling in the mouth, tongue or lip. Nerve damage may also result in loss of sensation in these areas.

Complex regional pain syndrome usually affects a patient's limbs, such as the arm, leg, hand or foot, although it may be experienced in the head and neck area. The condition is marked by continuous throbbing, aching or burning pain; a sensitivity to the touch, cold or heat; a change in skin color, texture or temperature; swelling; muscle spasm or weakness; and decreased mobility of the affected region. There are three stages recognized in CRPS. In the first stage, from the first to the third month, the onset of the above symptoms occurs. During the second stage, from the third to the sixth month, pain and swelling intensifies, hair growth decreases, nails and skin may become dry and brittle, and joints and muscles become stiff and weak. In the final stage, the changes to the skin and bone are irreversible. Muscle loss, limited mobility and involuntary contractions of muscles and tendons may occur.

Signs and Symptoms of Neuropathic Pain - General and Cosmetic Dentist (2024)

FAQs

Signs and Symptoms of Neuropathic Pain - General and Cosmetic Dentist? ›

Signs and Symptoms of Neuropathic Pain - General and Cosmetic Dentist. The set of orofacial neuropathies includes a spectrum of symptoms, although they are broadly characterized by: Sensations of pain, aching, burning, numbness or tingling.

What are the symptoms of dental neuropathy? ›

With atypical odontalgia, the pain is described as a constant throbbing or aching in a tooth, teeth, or extraction site that is persistent and unremitting, and which is not significantly affected by exposure to hot or cold food or drink, or by chewing or biting.

What are the symptoms of nerve damage after dental work? ›

Some of the signs and symptoms of tooth nerve damage after receiving dental treatment include:
  • Numbness or lack of feeling in the tongue, gums, cheeks, jaw or face.
  • A tingling or pulling sensation in these areas.
  • Pain or a burning feeling in these areas.
  • Loss of ability to taste.

What are signs and symptoms of neuropathic pain? ›

Nerve pain often feels like a shooting, stabbing or burning sensation. Sometimes it can feel as sharp and sudden as an electric shock. You may be very sensitive to touch or cold. You may also experience pain as a result of touch that would not normally be painful, such as something lightly brushing your skin.

What are the first signs of nerve damage? ›

The most common symptoms of a nerve condition include: A feeling of numbness, pain, tingling, or burning in your limbs or extremities. Unexplained weakness, loss of muscle strength, or paralysis. A headache that is persistent, comes on suddenly, or is "different"

How can you tell the difference between neuralgic pain and dental pain? ›

Pain or attacks of trigeminal neuralgia can be triggered by certain actions or movements. Dental Pain: It is a very monotonous pain. It is not like a sharp shooting pain (electric shock) of Trigeminal Neuralgia.

Can a dentist tell if you have neuralgia? ›

Trigeminal neuralgia is often diagnosed by a dentist, but if you have seen a dentist and they could not find an obvious cause of your pain, you should visit a GP.

Is a dentist liable for nerve damage? ›

You can sue your dentist for damaging or destroying your nerves through dental malpractice or dental negligence. A dentist should take every step possible to avoid damaging a patient's nerves. However, dentists may fail to review oral and mandibular anatomy often enough to keep their knowledge up to speed.

Can dental work trigger neuralgia? ›

Damage to branches of the trigeminal nerve following maxillofacial surgery and dental treatment is unfortunately common, in most cases the symptoms are transient and patients fully recover sensation over time. Persistent nerve damage results in severe complications such as neuropathic pain and trigeminal neuralgias.”

How do dentist fix nerve pain? ›

Root Canal: A root canal is another common option. This treatment will be performed if the damaged tooth is severely decaying or infected. The damaged nerve and pulp will be removed from the tooth, then the area will be cleaned and sealed to provide effective tooth pain relief and restore your healthy smile.

What are the cardinal signs of neuropathic pain? ›

Clinical Presentation. History: Patients will often report spontaneous pain and sensations of 'pins and needles,' shooting, burning, stabbing, crawling, and paroxysmal pain (electric-shock like). These sensations affect not only the patient's sensory system, but also the patient's well-being, mood and focus.

What are the red flags of neuropathy? ›

In addition to (or instead of) pricking or “pins and needles” sensations, you might notice symptoms like burning sensations, sudden “electric shock” pain, itchiness, hypersensitivity to touch or temperature, or other strange sensory issues that don't seem to have an obvious external cause. Weakness or balance issues.

What is the hallmark of neuropathic pain? ›

Painful symptoms arising in an area of altered sensation (numbness or hyper-excitability) is the hallmark of neuropathic pain. Cardinal features are spontaneous pains (pain arising without stimulus) and abnormal responses to non-painful (allodynia) or painful stimuli.

What stops nerve pain immediately? ›

Painkillers. For severe nerve pain, powerful opioid painkillers can help. Studies have found that for many types of nerve pain, they are as effective as anticonvulsants or antidepressants. Unlike other treatments for nerve pain, they also work very quickly.

What can be mistaken for neuropathy? ›

Radiculopathy is often mistaken for neuropathy because both conditions cause similar symptoms, such as pain, weakness, numbness, and tingling.

What are the warning signs of neuropathy? ›

Symptoms of sensory neuropathy
  • a prickling or tingling sensation in the affected body part.
  • 'pins and needles' in the affected body part.
  • a burning or sharp pain, usually in the feet.
  • numbness in the affected body part.
  • being less able to feel pain or changes in temperature, particularly in your feet.
Apr 30, 2024

What does neuropathy of the mouth feel like? ›

Signs and Symptoms of Neuropathic Pain - General and Cosmetic Dentist. The set of orofacial neuropathies includes a spectrum of symptoms, although they are broadly characterized by: Sensations of pain, aching, burning, numbness or tingling.

How do you treat neuropathic pain in the teeth? ›

Local anesthetics and steroid injections may reduce pain symptoms if pain originates in a nerve near the teeth or gums. The application of prepared medicinal creams has also been found to provide pain relief. Drug treatment options include antiseizure medications, tricyclic antidepressants or narcotics.

What does dental paresthesia feel like? ›

Paresthesia is an altered sensation of the skin, manifesting as numbness, partial loss of local sensitivity, burning, or tingling. The inferior alveolar nerve (IAN) is the third branch of the trigeminal nerve and is very important in dental treatment.

How do you know if your tooth nerve is inflamed? ›

Toothache and sensitivity are the main symptoms of pulpitis. The pain you feel usually varies depending on the stage of the inflammation. Symptoms of reversible pulpitis include: No pain when your dentist taps the tooth.

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