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S. R., Priyanka
- A Retrospective Study on Side of Nerve Involvement and Distribution of Pain in Patients with Trigeminal Neuralgia
Authors
1 Post Graduate Student, Department of Oral Medicine and Radiology, Saveetha Dental College and Hospital, Chennai, IN
2 Professor & Head, Department of Oral Medicine and Radiology, Saveetha Dental College and Hospital, Chennai, IN
Source
Indian Journal of Public Health Research & Development, Vol 11, No 1 (2020), Pagination: 410-414Abstract
Background: Trigeminal neuralgia is chronic, debilitating and painful condition involving the trigeminal nerve and has a major impact on patients’ quality of life. It is characterized by brief attacks of excruciating pain in the area of distribution of one or more branches of the trigeminal nerve. It has an annual incidence of about 4.5 to 12.6 per 100,000 population and has a female predilection. According to studies, it commonly occurs in the older age group and a hallmark of idiopathic trigeminal neuralgia is that it occurs twice as often on the right side of the face. There are various hypotheses proposed to explain this side predilection.
Aim: To evaluate and analyze the side of occurrence, distribution of pain in patients diagnosed with trigeminal neuralgia among patients visiting Saveetha Dental College.
Materials and Method: The retrospective clinical data of 42 patients who reported with a complaint of orofacial pain and diagnosed with trigeminal neuralgia in the department of Oral Medicine and Radiology, Saveetha Dental College from Jan 2016 to Dec 2017 were obtained. The data regarding age of onset, gender, side of nerve involvement, and distribution of pain as retrieved and analyzed.
Results: Trigeminal neuralgia was mostly diagnosed in the 5th and 6th decades of life with a mean age of 55.3 years. Male patients were affected more than female patients but the difference was not comparable. It affected the right side more frequently and the maxillary branch was the most commonly involved.
Conclusion: This study investigated the clinical characteristics of 42 patients diagnosed with trigeminal neuralgia. Further multicentre studies need to be done to investigate the clinical characteristics and imaging studies need to be done along with anatomical studies to investigate causes for nerve entrapment as an etiological agent for trigeminal neuralgia.
Keywords
Trigeminal Neuralgia, Site Predilection, Trigeminal Nerve, Orofacial Pain, Neuropathic Pain.
- A Survey of Oral Medicine Curriculum and Practice in India
Authors
1 Post Graduate Student, Department of Oral Medicine and Radiology, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, IN
2 Professor & Head, Department of Oral Medicine and Radiology, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, IN
Source
Indian Journal of Public Health Research & Development, Vol 11, No 1 (2020), Pagination: 405-409Abstract
Background: Oral Medicine specialists provide clinical care to patients with a wide variety of chronic diseases affecting the oral and maxillofacial region, oral manifestations of systemic diseases and behavioral disorders and provide general dental care to patients with medically compromised states. It is important to conduct studies that address the strengths and shortcomings of our specialty and the current system of its education and practice in order to yield highly skilled professionals and truly serve the oral health care needs of the public.
Aim & Method: This study aims to describe the current status of Oral Medicine curriculum and practice in India. A survey was designed to assess the current status of oral medicine education and clinical practice. The survey was sent to Oral Medicine Specialists across India to assess their opinion and analyze the benefits and shortcomings of the present system.
Results: 52 respondents completed the survey from various states across India. More than 87% of respondents considered management of oral mucosal diseases, salivary dysfunction, oral manifestations of dermatological diseases, HIV, oral manifestations of systemic disease and facial pain as part of Oral Medicine. Only 27% of respondents reported participating in multidisciplinary clinics for treatment of patients, and 85% of respondents agreed to the need for presence of multidisciplinary clinics. 85% of respondents agreed to the suggestion of developing a curriculum for training in Special Care Dentistry for Oral Medicine postgraduates in India.
Conclusion: Limitations to this survey study include a small sample size. Future efforts at defining the scope of oral medicine practice in India and improvements in training and education can help model future graduates and inspire undergraduates to choose Oral Medicine as a career.