牙源性三叉神经痛是近年来引人注目的一个问题,是三叉神经痛的一个主要类型。以往有关三叉神经痛的概念是指原发性三叉神经痛,也称中枢性三叉神经痛,因有数秒钟阵发性剧烈疼痛的典型症状,故也称典型性三叉神痛。牙齿或口腔疾患引起的三叉神经痛,症状不典型,疼痛持续时间长,故称非典型性或症状性三叉神经痛,也称末稍性或继发性三叉神经痛。原有教科书有关三叉神经痛的描述主要是指原发性或中枢性三叉神经痛,均未充分重视非典型性三叉神经痛的病因、症状特点和治疗方法。一、牙源性三叉神经痛的发病因素牙源性三叉神经痛是近年来苏联学者强调的一种类型,经临床分析证实,2/3属于牙源性或末稍性三叉神经痛。其中多数为拔牙损伤引起的疼痛(拔牙过多或遗留牙根等);其 Odontogenic trigeminal neuralgia is a conspicuous problem in recent years and is a major type of trigeminal neuralgia. In the past the concept of trigeminal neuralgia refers to the primary trigeminal neuralgia, also known as central trigeminal neuralgia, because of the typical symptoms of paroxysmal severe pain for a few seconds, it is also called typical trigeminal pain. Trigeminal neuralgia caused by dental or oral disorders, the symptoms are not typical, the pain lasts long, it is called atypical or symptomatic trigeminal neuralgia, also known as minimal or secondary trigeminal neuralgia. The original textbook description of trigeminal neuralgia mainly refers to the primary or central trigeminal neuralgia, have not fully paid due attention to the etiology, symptoms and treatment of atypical trigeminal neuralgia. First, the pathogenesis of odontogenic trigeminal neuralgia Trigeminal neuralgia in recent years, the Soviet Union has emphasized that a type of clinical analysis confirmed that 2/3 belongs to the tooth or terminal trigeminal neuralgia. The majority of the pain caused by tooth extraction (excessive tooth extraction or residual roots, etc.);