Most Common Etiology of Trigeminal Neuralgia in Patients Treated at EsSalud Cusco from January 2019 to August 2022. Retrospective Study
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Background: Trigeminal neuralgia (TN) is a painful disease of the trigeminal nerve, triggered by chewing or manipulating the gums. It is urgent for the dentist to be aware of this pathology of non-odontogenic pain, avoiding root canals and extractions for proper interconsultation with neurology and neurosurgery. Purpose: To identify the most common etiology of TN in patients treated at EsSalud Cusco from January 2019 to August 2022. Method: Observational type, descriptive and retrospective design; the calculated sample of 127 medical records was obtained according to inclusive criteria; the instrument validated by specialists, computerized data from medical records; the variables, measured in data collection sheets by a single evaluator in an Excel sheet. For the most common etiology variable, the scores were according to predisposing factors and etiological factors; while for the NT variable, according to the types of NT and pain scales, both measured by international standards. Finally, the type of analysis was descriptive statistics, the score relationship thanks to Pearson's partial correlation coefficient, and interpreted according to Cohen's Kappa values. Results: Most common etiology variable: Predisposing factor, sex at 79.5 % and as an etiological factor, unknown etiology at 55.1 %. Variable NT: idiopathic type at 34.6 %; according to the EVA scale, of intense pain at 59.1 %. Conclusion: According to chi-square 879, the average relationship of the most common etiology of NT has sex as a predisposing factor, being female the most affected at 79.5 %; and unknown etiology as an etiological factor in 55.1 %.
dolor, endodoncia, exodoncia, nervio trigémino, neuralgia del trigémino, neurocirugía, neurología, educación en odontología, sexodentistry, endodontics, extraction, neurology, neurosurgery, pain, root canal, sex, trigeminal nerve, trigeminal neuralgiador, endodontia, extração, nervo trigêmeo, neuralgia trigeminal, neurocirurgia, neurologia, odontologia, sexo
2. Tragodara-Moreno KM. Neuralgia del trigémino: enfoque fisioterapéutico. Lima, Perú: Universidad Inca Garcilaso de la Vega; 2020.
3. von Eckardstein KL, Keil M, Rohde V. Unnecessary dental procedures as a consequence of trigeminal neuralgia. Neurosurg Rev. 2015 Apr; 38(2): 355-360; discussion 360. https://doi.org/10.1007/s10143-014-0591-1
4. Jaramillo DE, Mendoza FA. Prevalencia de neuralgia del trigémino en pacientes atendidos en el área de estomatología del hospital Teodoro Maldonado Carbo. Bachelor Thesis; 2020
5. Boto GR. Neuralgia del trigémino [Trigeminal neuralgia]. Neurocirugia (Astur). 2010 Oct; 21(5): 361-372
6. Mortazavi H, Baharvand M, Far KR, Eznaveh ZS. Dental extraction and full mouth root canal therapy in a patient with atypical odontalgia: Report of invasive malpractice. BDS. 2021 Jan- Mar; 24(1): 1-4. https://doi.org/10.14295/bds.2021.v24i1.2315
7. Duran JC, Duran JP. Post COVID-19 neurological syndrome: A prospective study at 3600m above sea level in La Paz Bolivia. J Neurol Sci. 2021 Oct; 429:119820. https://doi.org/10.1016/j.jns.2021.119820
8. Molina-Gil J, González-Fernández L, García-Cabo C. Trigeminal neuralgia as the sole neurological manifestation of COVID-19: A case report. Headache. 2021 Mar; 61(3): 560-562. https://doi.org/10.1111/head.14075
9. Smith CA, Paskhover B, Mammis A. Molecular mechanisms of trigeminal neuralgia: A systematic review. Clin Neurol Neurosurg. 2021 Jan; 200: 106397. https://doi.org/10.1016/j.clineuro.2020.106397
10. Lara Diaz C. Actualización en el manejo de la neuralgia del Trigémino.idus. Universidad de Sevilla. 2021
11. Girija R. Handbook of trigeminal neuralgia. Singapore: Springer; 2019.
12. Grin EJ, Grin P, Rocha ML. Neuralgia del trigémino: un caso clínico. Revista ADM. 2018; 75(3): 164-167.
13. Inoyatova SO, Madjidova YN, Mukhammadsolikh. Clinical and Neurological Peculiarities of Trigeminal Neuralgia. IJMSCRS. 2021 sept; 01(07): 215-220. https://doi.org/10.47191/ijmscrs/v1-i7-11
14. Gossweiler, AG. Management of a patient with Trigeminal Neuralgia associated with failed endodontic therapy using Ozone Therapy: A Case Report. Revista Española de Ozonoterapia. 2018 May; 8(1): 129-143.
15. Antonaci F, Arceri S, Rakusa M, Mitsikostas DD, Milanov I, Todorov V, Ramusino MC, Costa A; Headache and Pain Scientific Panels of the European Academy of Neurology (EAN). Pitfals in recognition and management of trigeminal neuralgia. J Headache Pain. 2020 Jun 30; 21(1): 82. https://doi.org/10.1186/s10194-020-01149-8
16. Abril Nuñez M, Cardenas Mayorga, Duarte Garcia A. Neuralgia del Trigemino como fator determinante en la administracion de tratamentos endodonticos innecesarioa. Universidad Santo Tomas; 2021.
17. Maarbjerg S, Benoliel R. The changing face of trigeminal neuralgia-A narrative review. Headache. 2021 Jun; 61(6): 817-837. https://doi.org/10.1111/head.14144
18. Gallardo de Parada Y, Moreno A. Recolección de la información. 3ª ed. Bogotá, Colombia: ICFES; 1999.
19. Pérez-Van-Leenden M de J. La investigación acción en la práctica docente. Un análisis bibliométrico. 26 de marzo de 2019; 12(24): 177-192.
20. Alcántara-Montero A, Gonzáles-Curado A. Neuralgia del trigémino: Nueva clasificación y tipificación diagnostica para la práctica clínica y la investigación. Rev. Soc. Esp. Dolor. 2017 Apr; 24(2): 105-107. https://dx.doi.org/10.20986/resed.2016.3483/2016
21. Alcántara Montero A, Sánchez Carnerero CI. Actualización en el manejo de la neuralgia del trigémino [Update on the management of trigeminal neuralgia]. Semergen. 2016 May-Jun; 42(4): 244-253. https://dx.doi.org/10.1016/j.semerg.2015.09.007
22. Balleteser Ll. Bases metodológicas de la investigación educativa. Palma de Mallorca, España: Universidad de les Illes Balears; 2004.
23. Gonzáles N, Zerpa ML, Gutiérrez D, Pirela C. La investigación educativa en el hacer docente. Lauro. 2007; 13(23), 279-309. doi: https://www.redalyc.org/pdf/761/76102315.pdf
24. Kaya A, Kaya SY. A case of trigeminal neuralgia developing after a COVID-19 vaccination. J Neurovirol. 2022 Feb; 28(1): 181-182. https://dx.doi.org/10.1007/s13365-021-01030-7
25. Mo J, Zhang J, Hu W, Luo F, Zhang K. Whole-brain morphological alterations associated with trigeminal neuralgia. J Headache Pain. 2021 Aug 13; 22(1): 95. https://dx.doi.org/10.1186/s10194-021-01308-5
26. Slettebø H. Is this really trigeminal neuralgia? Diagnostic re-evaluation of patients referred for neurosurgery. Scand J Pain. 2021 Aug 2; 21(4): 788-793. https://dx.doi.org/10.1515/sjpain-2021-0045
27. De Laat A. Differential diagnosis of toothache to prevent erroneous and unnecessary dental treatment. J Oral Rehabil. 2020 Jun; 47(6): 775-781. https://dx.doi.org/10.1111/joor.12946
28. Ayele BA, Mengesha AT, Zewde YZ. Clinical characteristics and associated factors of trigeminal neuralgia: experience from Addis Ababa, Ethiopia. BMC Oral Health. 2020 Sep 3; 20(1): 244. https://dx.doi.org/10.1186/s12903-020-01227-y
29. Mannerak MA, Lashkarivand A, Eide PK. Trigeminal neuralgia and genetics: A systematic review. Mol Pain. 2021 Jan-Dec; 17: 17448069211016139. https://dx.doi.org/10.1177/17448069211016139
30. Jay GW, Barkin RL. Trigeminal neuralgia and persistent idiopathic facial pain (atypical facial pain). Dis Mon. 2022 Jun; 68(6): https://dx.doi.org/101302. 10.1016/j.disamonth.2021.101302
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