title: Severe psychosocial compromise in idiopathic trigeminal neuralgia: case report.
abstract: OBJECTIVE
  This article describes a 60-year-old man with 17 years of idiopathic trigeminal neuralgia (ITN) which affected tooth brushing for 6 years, causing severe dental complications and psychosocial problems.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  Following ITN diagnosis, this patient underwent neurosurgery (microcompression of the trigeminal ganglion with a balloon) with immediate relief, but after three months, pain recurred and was accompanied by dysesthesia and periodontal disease. After dental treatment, he had complete alleviation of pain and no further need of medication over the following 3 years. The intense suffering of this patient represents the importance of a multidisciplinary evaluation for pain-caused secondary complications.
  
  
  CONCLUSIONS
  ITN is a simple diagnosis but may have complex course. Appropriately trained health professionals are necessary to evaluate and treat these patients.
authors.affiliation: School of Science, Arts and Humanities and Orofacial Pain Group, Dentistry Division, Hospital das Clínicas, Medical School, University of São Paulo, São Paulo, SP, Brazil.
authors.forename: Silvia R D T
authors.initials: SR
authors.lastname: Siqueira
authors.forename: Manoel J
authors.initials: MJ
authors.lastname: Teixeira
authors.forename: José T T
authors.initials: JT
authors.lastname: de Siqueira
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures; D010292:Paresthesia / Q000209:etiology; D010348:Patient Care Team; D010510:Periodontal Diseases / Q000209:etiology; D011610:Psychosocial Deprivation; D012008:Recurrence; D014076:Tooth Diseases / Q000209:etiology; D014099:Toothbrushing; D014277:Trigeminal Neuralgia / Q000150:complications* / Q000523:psychology* / Q000601:surgery