{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T18:47:46Z","timestamp":1792176466911,"version":"4.4.0"},"reference-count":29,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>The correct diagnosis of trigeminal neuralgia (TN) is still a far cry and the patients suffer from unnecessary dental procedures before getting the definite treatment. In this study, we evaluated, if the patients have undergone dental procedures for their misdiagnosed TN before receiving definite treatment for the same.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>A total of 187 patients received GKRS for their TN (excluding secondary TN) in two institutes from 2010 to 2019. We did a retrospective analysis of these patients\u2019 primary complaints on a standard questionnaire.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>One hundred and seventeen of the 187 patients responded. About 55.5% of patients had a toothache and 65.8% did visit a dentist for the pain. About 41.8% of patients underwent one dental procedure; 18.8% suffered from worsening of the pain while 8.5% received some partial improvement. About 19.6% also underwent root canal treatment while 6.8% had a nerve block. Mean of 1.6 teeth was extracted per person. About 71% of patients were satisfied with their Gamma Knife radiosurgery for TN at a median follow-up of 49 months.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>There is a need for a better understanding of the disease among the dentists and the patients for the timely and correct treatment, without losing their teeth. The onus lies on neurosurgeons\/neurologists disseminate knowledge regarding proper diagnosis and treatment modalities.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_729_2020","type":"journal-article","created":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T07:00:04Z","timestamp":1608620404000},"page":"455","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Please spare my teeth! Dental procedures and trigeminal neuralgia"],"prefix":"10.25259","volume":"11","author":[{"given":"Manjul","family":"Tripathi","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nishanth","family":"Sadashiva","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anand","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Dentistry, Government Medical College, Chandigarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parth","family":"Jani","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachin Jose","family":"Pulickal","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harsh","family":"Deora","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rupinder","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parwinder","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aman","family":"Batish","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep","family":"Mohindra","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narendra","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Radiotherapy, Postgraduate Institute of Medical Education and Reserach, Chandigarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2020,12,22]]},"reference":[{"key":"10.25259\/SNI_729_2020\/ref-1","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1007\/s00701-011-0975-8","article-title":"Harvey cushing\u2019s case series of trigeminal neuralgia at the johns hopkins hospital: A surgeon\u2019s quest to advance the treatment of the suicide disease","volume":"153","author":"Adams","year":"2011","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_729_2020\/ref-2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.1365-2842.2007.01813.x","article-title":"Atypical odontalgia-pathophysiology and clinical management","volume":"35","author":"Baad-Hansen","year":"2008","journal-title":"J Oral Rehabil"},{"key":"10.25259\/SNI_729_2020\/ref-3","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/j.tripleo.2004.05.005","article-title":"Idiopathic trigeminal neuralgia: Clinical aspects and dental procedures","volume":"98","author":"de Siqueira","year":"2004","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"key":"10.25259\/SNI_729_2020\/ref-4","first-page":"1","article-title":"Letter to the editor. 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