{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:40:10Z","timestamp":1777880410759,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prim Dent J"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p>Trigeminal neuralgia (TN) is a debilitating facial pain condition that can significantly impact a patient\u2019s quality of life. Typically, pain episodes are unpredictable lasting seconds to minutes, usually presenting in a unilateral distribution of the trigeminal nerve.<\/jats:p>\n                  <jats:p>Patients will often seek help from primary care dental practitioners during an acute attack, in need of pain relief and support in managing the pain.<\/jats:p>\n                  <jats:p>This narrative article aims to highlight the key features of TN and how the primary dental care team can actively support management of patients presenting with an acute episode of pain and avoid unnecessary, irreversible dental treatments. An overview of the key immediate and long-term management strategies that can help support these patients, and the implications of these therapies on the provision of dental care is provided.<\/jats:p>\n                  <jats:p>Additionally, two of the trigeminal autonomic cephalalgias (TACs), which have similar features to TN are discussed, to enable the primary care dental team to identify this subset of primary headache conditions and support them in making onward secondary care referrals.<\/jats:p>","DOI":"10.1177\/20501684251351379","type":"journal-article","created":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T07:00:36Z","timestamp":1756105236000},"page":"80-86","source":"Crossref","is-referenced-by-count":0,"title":["Oral Facial Pain: A spotlight on Trigeminal Neuralgia and its variants for the primary care dental team"],"prefix":"10.1177","volume":"14","author":[{"given":"Priya","family":"Thakrar","sequence":"first","affiliation":[{"name":"Priya Thakrar BDS (Hons), FDS (OM) RCS Eng, PGCAPHE (KCL), FHEAConsultant in Oral Medicine, Royal National ENT and Eastman Dental Hospitals, London, UK"},{"name":"Krupali Patel BDS (Hons), MFDS (RCS Edin), FDS (OM) RCS Eng, PG Cert Clin Ed (KCL), FHEAConsultant in Oral Medicine, Royal National ENT and Eastman Dental Hospitals, London, UK"},{"name":"Joanna M. Zakrzewska MD, FDSRCS, FFDRCSI, FFPMRCAProfessor, Consultant in Oral Medicine, Royal National ENT and Eastman Dental Hospitals and Pain Management Centre, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krupali","family":"Patel","sequence":"additional","affiliation":[{"name":"Priya Thakrar BDS (Hons), FDS (OM) RCS Eng, PGCAPHE (KCL), FHEAConsultant in Oral Medicine, Royal National ENT and Eastman Dental Hospitals, London, UK"},{"name":"Krupali Patel BDS (Hons), MFDS (RCS Edin), FDS (OM) RCS Eng, PG Cert Clin Ed (KCL), FHEAConsultant in Oral Medicine, Royal National ENT and Eastman Dental Hospitals, London, UK"},{"name":"Joanna M. Zakrzewska MD, FDSRCS, FFDRCSI, FFPMRCAProfessor, Consultant in Oral Medicine, Royal National ENT and Eastman Dental Hospitals and Pain Management Centre, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna M.","family":"Zakrzewska","sequence":"additional","affiliation":[{"name":"Priya Thakrar BDS (Hons), FDS (OM) RCS Eng, PGCAPHE (KCL), FHEAConsultant in Oral Medicine, Royal National ENT and Eastman Dental Hospitals, London, UK"},{"name":"Krupali Patel BDS (Hons), MFDS (RCS Edin), FDS (OM) RCS Eng, PG Cert Clin Ed (KCL), FHEAConsultant in Oral Medicine, Royal National ENT and Eastman Dental Hospitals, London, UK"},{"name":"Joanna M. Zakrzewska MD, FDSRCS, FFDRCSI, FFPMRCAProfessor, Consultant in Oral Medicine, Royal National ENT and Eastman Dental Hospitals and Pain Management Centre, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,25]]},"reference":[{"key":"e_1_3_1_2_2","unstructured":"International Headache Society (IHS). International Classification of Headache Disorders 3rd ed (ICHD-3). 13.1.1.1 Classical trigeminal neuralgia [Internet]. London: IHS; 2021. Available at ichd-3.org\/13-painful-cranial-neuropathies-and-other-facial-pains\/13-1-trigeminal-neuralgia\/13-1-1-classical-trigeminal-neuralgia [Accessed May 2025]."},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000000853"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1533-2500.2006.00079.x"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s10194-015-0548-y"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0333102416687280"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroscience.2009.08.037"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g474"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000002840"},{"key":"e_1_3_1_10_2","unstructured":"National Institute for Health and Care Excellence (NICE). Clinical Knowledge Summary: Trigeminal neuralgia. [Internet]. London: NICE; 2024. Available at cks.nice.org.uk\/topics\/trigeminal-neuralgia\/ [Accessed May 2025]."},{"key":"e_1_3_1_11_2","unstructured":"Royal College of Surgeons of England (RCSEng). Guidelines for the management of trigeminal neuralgia [Internet]. London: RCSEng; 2021. Available at rcseng.ac.uk\/-\/media\/files\/rcs\/fds\/guidelines\/trigemina-neuralgia-guidelines_2021_v4.pdf [Accessed May 2025]."},{"key":"e_1_3_1_12_2","unstructured":"National Institute for Health and Care Excellence (NICE); British National Formulary (BNF). Drugs A to Z. [Internet]. London: NICE\/BNF; 2025. Available at bnf.nice.org.uk\/drugs [Accessed May 2025]."},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(20)30233-7"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2006.01566.x"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2020-323999"},{"key":"e_1_3_1_16_2","unstructured":"Brain & Spine Foundation. Face pain: A guide for patients and carers. [Internet]. London: Brain & Spine Foundation; 2017. Available at brainandspine.org.uk\/health-information\/booklets\/face-pain [Accessed May 2025]."}],"container-title":["Primary Dental Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20501684251351379","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20501684251351379","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20501684251351379","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:10:40Z","timestamp":1777594240000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20501684251351379"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1177\/20501684251351379"],"URL":"https:\/\/doi.org\/10.1177\/20501684251351379","relation":{},"ISSN":["2050-1684","2050-1692"],"issn-type":[{"value":"2050-1684","type":"print"},{"value":"2050-1692","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6]]}}}