Intraoral Sensory Abnormalities Caused by Tooth Extraction in a Patient with Chronic Inflammatory Demyelinating Polyneuropathy
Journal Title: Journal of Pain & Relief - Year 2018, Vol 7, Issue 2
Abstract
Background: Chronic inflammatory demyelinating polyneuropathy (CIDP) is considered to be an immunemediated, acquired disease of the peripheral nerves. CIDP patients infrequently develop neuropathy with various clinical forms, such as blink reflex and trigeminal neuropathy. However, to our knowledge, there is no information about intraoral somatosensory changes associated with CIDP. Here, we report the case of a patient with CIDP who exhibited somatosensory changes investigated by quantitative sensory testing (QST). Case Report: A 77-year-old Japanese man was referred to our institution with symptoms of intraoral pain and swollen gingiva. The patient had been diagnosed with CIDP 8 years earlier. The second premolar of the right mandible was diagnosed with apical periodontitis, and tooth extraction was performed to control his pain and inflammation. Following the tooth extraction, local inflammation and pain subsided, however, the patient reported spontaneous dysesthesia on the adjacent gingiva of the extracted tooth. Intraoral qualitative sensory testing of the gingiva showed gingival mechanical allodynia and cold hypoalgesia at the extraction site. We diagnosed the patient with painful post-traumatic trigeminal neuropathy related to tooth extraction. Conclusion: Because of the lack of evidence for peripheral, organic changes in the oral mucosa, the sensory changes may be best explained by peripheral disturbance, an association may exist between these reported somatosensory changes and CIDP.
Authors and Affiliations
Takuya Naganawa, Jumpei Uchida, Toshihiro Okamoto, Tomohiro Ando, Abhishek Kumar
Keywords
Related Articles
- EP ID EP580556
- DOI 10.4172/2167-0846.1000314
- Views 22
- Downloads 0
Effectiveness and Safety of Oral Dexketoprofen for Mild to Moderate Pain among Filipino Adults: A Post-marketing Surveillance Study
Background: Studies abroad demonstrate the effectiveness and safety of dexketoprofen in various therapeutic indications. However, there has been no related study on our local population. Objectives: To evaluate the effe...
Treatment of Trigeminal Neuralgia by Relieving the Posterior Cervical Muscle Stiffness with Parietal Acupoint Therapy: Case Reports
Introduction: Trigeminal neuralgia is sudden-onset, sharp, stabbing, and recurrent pain that is provoked by trigger factors within the distributed branch area of the trigeminal nerve. Although surgical intervention, whic...
The Value of Placebos to Individualize Pain Therapy via A New Singleblind Test Paradigm Identifying Responders on Topical Analgesic Interventions
Pain management should be individualized for each patient as much as possible, and the use of a placebo in the clinical practice can help. The treatment with compounded topical analgesics holds a great promise for such i...
Acupuncture and Auriculotherapy for Severe Pain Following Total Hip Replacement
Acupuncture is a form of Chinese therapy whereby stimulation of points along different energy meridians is applied. Auriculotherapy is ear acupuncture where analgesic points corresponding to different body parts are iden...
Interventional Treatments for Bladder Pain Syndrome
Patients with BPS persistent and unacceptable symptoms despite oral and/or intravesical therapy are candidates for more aggressive modalities. Many of these are best administered within the context of a clinical trial if...