Trigeminal neuralgia often misdiagnosed as dental problem

INTRODUCTION: Trigeminal neuralgia (TN) is a condition characterized by sudden recurrent episodes of intense, sharp facial pain, often described as electric shock-like sensations. It primarily affects the distribution of the trigeminal nerve (cranial nerve V) and causes debilitating discomfort that can mimic dental problems. The pain typically affects one side of the face and can be triggered by various stimuli, such as chewing, speaking, brushing teeth, or even a light touch. Consequently, patients often approach dental surgeons for treatment. AIMS AND OBJECTIVES: Due to the location and nature of the pain, trigeminal neuralgia is often misdiagnosed as a dental issue, leading to unnecessary dental procedures and treatments. Proper identification is essential to avoid misdiagnosis and unnecessary dental interventions, as trigeminal neuralgia can frequently be confused with dental issues. Although trigeminal neuralgia (TN) is relatively uncommon, it can significantly impact affected individuals. MATERIAL AND METHOD: This study is a retrospective observational analysis conducted in the outpatient departments (OPD) of Dental, Medicine, and Neurosurgery, covering the period from January 1, 2022, to December 31, 2024, encompassing a three-year retrospective study. RESULTS: RESULTS: A total of 250 patients presenting with facial pain were included in the study. The demographic distribution was as follows: Patients' ages ranged from 30 to 70 years, with gender distribution comprising 96 males (38.4%) and 154 females (61.6%). The majority of patients (90%) first attended the dental department. CONCLUSION: Increased awareness of TN among healthcare professionals, particularly dental practitioners, is essential for accurate diagnosis and effective management. Proper identification could significantly enhance patient outcomes.