Neuropathic pain after a third molar extraction. A case report

Bartosz Dalewski, Agata Kamińska, Grzegorz Trybek, Bogumiła Frączak



Introduction: Among adult patients attending a general practitioner, up to 20% suffer from chronic pain. In this group there are patients with symptoms of neuropathic pain. It is caused by damage to the sensory components of the nervous system.

Case report: This is the case of a 23-year-old female patient who was referred to the Clinic of Prosthodontics at the University Dental Clinic of the Pomeranian Medical University in Szczecin (Poland) for the treatment of neuropathic pain triggered by an incorrect surgical procedure during the extraction of tooth 48. Pharmacological treatment was implemented using drugs from the group of analgesics, antidepressants and antiepileptics, as well as several courses of dry needling and behavioural therapy. In addition, the patient uses a stabilization appliance due to secondary bruxism, which probably occurred throughout the entire pain management. Pain in the Visual Analogue Scale (VAS) plunged during therapy from VAS = 7 to VAS = 0. The patient attends regular control appointments.


chronic pain; neuropathic pain; occlusal appliance; extraction; dry needling

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Copyright (c) 2018 Bartosz Dalewski, Agata Kamińska, Grzegorz Trybek, Bogumiła Frączak

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