AI Article Synopsis
- A 54-year-old woman experienced dysesthesia in her left palate and referred pain after dental extractions, lasting for 8 months.
- Examinations indicated a bone defect suggestive of a healed oral-antral communication (OAC), with pain provoked by stimulating the affected area.
- A sinus lift procedure was performed to prepare for an implant, which successfully resolved her dysesthesia, highlighting how modifying a pain trigger can alleviate neuropathic pain.
Article Abstract
A 54-year-old woman presented with an 8-month history of dysesthesia to the left palate with referred pain to the left infraorbital distribution after extraction of the left maxillary first and second premolars. The clinical and radiologic examination revealed an alveolar crestal bone dehiscence suggestive of an occult oral antral communication (OAC) that had spontaneously healed. Stimulation of the mucosa at this bony dehiscence consistently reproduced the dysesthesia. A sinus lift procedure was performed in this region for implant site development and also resulted in resolution of the dysesthesia. This case represents an instance in which surgical alteration of a trigger zone of neuropathic pain can result in its resolution.
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| http://dx.doi.org/10.1016/j.joms.2014.08.016 | DOI Listing |
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