Is trigeminal neuralgia a contraindication to dental implants?

You may want to read the previous post.;)

What branch of C IV and which side? If not in same anatomical branch no problem> If in area of trigger point I would think more then twice and get a neuro consult before doing anything.

I just would be very careful in the consent and be clear that the implant placement could exacerbate the TN. I personally don't have the treatment skills in managing this condition. Remember that dental implants are elective and are to enhance the quality of life. I'd let the physician guide me as to the control of the TN. I think avoiding the trigger point side would be wise.

Hello Doctor I do not see any answers to Your Question. Therefore I must assume Answers to the Worst pain known to man must come form the multitude of We ho suffer while the medical profession look on and say DO WHAT YOU MUST. Suicide is all too often the result of No medically approved treatment for the Pain. In 1968 I, in a Serious Motorcycle incident Severed the TG nerve root at the mandibular joint . Paralyzing the flesh to the lower Jaw, also on the lower Root on the Gum exterior. 4 surgeries and It was trimmed to the point it enters the GUM to the teeth. And back half way to the Mandibular joint. The opposite Joint was Fractured and is Out of alignment . That's my JAW . Pain level is When treated for pain and is Dormant 3 of 10 treatment 8 Emtec 30 and 3600 MG of gabapentin Per Day. Do not mix Morphine and Gabapentin This is when you get side effects from the gabapentin. Yes I have suffered Hell since 1968, 55 years. When this decides to erupt it Must exceed a 10 of 10. I have 8 broken vertebra from C1 to T1. 7 Broken from T12 to S2 1 Fused c6/7 2 ADI implants at C3/4 C5/6. 2 Discectomies at L4/5 , 5/S1. These are the Major pains that Along with the TGN inspired Headache an 11 of 10 I can be found curled in a ball Pillow over my face , screaming so loud I, woke an entire Apartment building up. Once out of control the Pain from this is UNIMAGINABLE and comes form every pain source you have . That is the Problem You encounter when Screwing a tooth into a jaw Close to the TGNRoot . You can understand the pain a root Canal poses So I am told but Ive had every tooth First a root Canal then extraction. now I have a 3 tooth Vacancy. 2 extractions Were so sever they broke muck of the backside of my Jaw bone. I had a lot surgically removed . With TGN I dare you to risk your life trying to put a needle into my Mouth, to apply analgesic. Even if I Overdose on Opiates to begin. I have Had All this work done without any Analgesic. without feeling any Pain form the Action Sure I felt Pressure, and the spike but to say it registered above a 1 of 10 Would be over whippy. Shock ensued in the Dentists face When they remove molars with Bent roots . to see me simply grow a bigger smile as the tooth eft my mouth . The last one on the left side of the root entrance Was ultra Scary for him as The Swollen Nerve root tried to force its way into my mouth. But it was sudden bliss and remained so for almost a year . Then the nerve is silenced with a injection of depo Medrol RIRECT into the distal end of the nerve root as it goes to the GUM interior . TGN weather from a Irritated nerve root or one Severed totally as My OWN that also underwent A total excise to the mandibular joint in both the lower jaw and outside of my Gum. NEVER Recommend that procedure. That increased my Permanent pain to a 7 and out of control out of the Universe of pain . Like me or just a one area issue this is the worst pain A person Can endure. What causes it to go wild is Grinding of the teeth. not simple but clamping down hard enough to almost fracture the more pointed tooth. To me Filling the tooth that is on the right hand side of the root must be at least 1/8 of an inch or 2-3 mm But the nerve would w=swell with enough force to raise the tooth and socket back up another 0.2 cm within a few days. Then the torture begins all over. My |Root surged out like a snake bending its body to slide out of a small hole . as the pressure reduced so My pain reduced. I my 55 years of fighting this pain, An MRI With CONTRAST Must be employed, while doing this Implant. Or perform the surgery with the same process as used to be done to see where a nerve root was being compressed by bone or Disk. PRE MRI. I've had one done in 1982. They are very traumatic but it may allow you to A/ develop an Implant short enough but as long as Needed to be secure. 2 if it needs to be a split hollow core pushed in and A Fusion cement used to promote bone growth around the implant in the same Manner As a ProDisk Spinal implant. I myself is considering. An Implant , I tried a Set of Partial Upper and Lower teeth but I crushed then within 3 days Eating a Peanut butter Sandwich. Whatever you do Please be again reminded That the most insignificant contact of flesh and the Tri germinal Nerve Fibers or Root Will trigger the most Mentally destructive pain a PAIN that has NO Fast knock down only an Agonizing trust in Emtec and Gabapentin. BTW Gabapentin is not a Pain remedy It is the Emtec the Gabapentin improves the Emtec ability to reduce Swelling and pain. It takes up to 5 days to beat an Attack down. Be Patient. Titrate to the minimum amount of Gabapentin as you need to continue to add more as time goes by. Put up with as Much pain as you can. I now must find a new drug to replace The Gaba. Peter This is as true and Factual account of perhaps the most sever Trigeminal Neuropathy /Neuralgia any person can Withstand. I have so much other Neurologic pain from spinal damage, yet this pales in the presence of an onset of irritated TGN. The Pain regime I mention is used to control ALL of my Issues. I must not MISS one Dose, this will cause the cascade to run wild . Peter McCorduck Agassiz BC Canada.