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Abstract
Any division or branch of the trigeminal nerve can exhibit signs and symptoms of neuralgia. Those who treat patients suffering with craniofacial pain are frequently charged with determining the cause of illusive pain complaints and if objective signs are not discovered, the patient may not be treated and may be forced to seek help elsewhere. Trigeminal neuralgia-like pain is often seen in the mental nerve region of the mandible, but frequently, there is no radiographic evidence for the source of such pain. In the current case report, it was discovered that the patient’s mental nerve pain was cause by an irregular surface of the anterior portion of the mental foramen. Successful treatment was provided by surgically recontouring the edge or lip of the mental foramen without injury to the mental nerve.
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Wesley E. Shankland II
Dr. Wesley E. Shankland, II attended Ohio State University and received his B.S. degree in biochemistry and zoology in 1975 and his D.D.S. degree in 1978. He has maintained a practice limited to the diagnosis and treatment of craniofacial pain and temporomandibular disorders since 1983 in Columbus, Ohio. Dr. Shankland returned to graduate school at Ohio State University and earned a masters degree in human anatomy in 1993. He is a past president of the American Academy of Craniofacial Pain.