Three different names for the same condition?

neither. i always had teeth related-periodontal issues. Scar tissue and mouth dryness just worsens it.The other is a red question. I nave regular neuropathy and i honestly dont know which of the other 3 is more appropriate. they are different.

hi elaine 48 - I started taking pilocarpine for dry mouth and since then i don't have to use my viscous lidocaine on my tooth and gums to treat pain and i have not had anymore teeth chunking off. U may want to ask ur doctor about it (or dentist) the trade name is salagen

elaine48 said:

neither. i always had teeth related-periodontal issues. Scar tissue and mouth dryness just worsens it.The other is a red question. I nave regular neuropathy and i honestly dont know which of the other 3 is more appropriate. they are different.


forgive me for butting in, Red is on vacationfor 10 days and asked we inform members who ask for him , sorry


elaine48 said:

neither. i always had teeth related-periodontal issues. Scar tissue and mouth dryness just worsens it.The other is a red question. I nave regular neuropathy and i honestly dont know which of the other 3 is more appropriate. they are different.

Hello Red and Everybody,

Red, you mentioned sinus surgery near the top of this thread as being a possible cause for Trigeminal nerve damage/pain. I have Type I TN and had deviated septum surgery in late 2004. My surgeon also reconstructed 2 (of our 6) sinus cavities at the same time.

I've never considered that there might be a connection there, but I'll do a little research and get "up to speed" about this. Thanks for the insight. Rick

mine is neuropathic. but with trauma from a face lift. damaged nerve roots, adhesions, and scar tissue on muscle.iy is on both sides, incomsistant.

mine is not contant. but always returns.

elstep said:

After reading i think Trigeminal Neuropathy is due to trauma and atypical is when there is no known cause, is this correct?

If your not sure if it is trauma related or not, is there a difference in the symptoms of Trig Neuropathy and ATN? For example is it possible that Neuropathy can be felt on both sides of face like ATN can? Is ATN always 24/7?

Well, I started out with Type II,or ATN and had that from January of 2005 and then on December 25 of 2007 I had a classic Type I attack which prompted me to have the GKRS surgery in February of 08' because my ATN became even worse and was not responding to the neurontin. Now they say I do have bilateral ATN!! Because it is now on my left side as of January 4 after a dentist visit and a shot to numb in my nerve to have a crown put on my back left tooth! My pain up to this point has always been on my right side. Not anymore. This really bites... Lucky me....

I have enjoyed reading all of the above discussions as so many of you are very knowlegeable regarding the different types of TN. I have no idea what type I have. In fact, it took 3 neuro's to even give me a diagnosis of TN. This is probably because all I have had is electric type tingling, some stabbing and some teeth discomfort...nothing like most of you describe. Since being on Tegretol I now only feel an occ. tingling, but all your info makes me believe I am suffering from many side effects of Tegretol. I am waiting to see my Neuro to discuss trying another drug or not take anything. I have had this for nearly 6 yrs...does anyone think it will progress to another stage after this long if I stop the drug? Thanks for all the great information.

MTgirl, If you are still having some pain symptoms while under medication, then the odds are that the symptoms will tend to worsen if you come off meds. There are a good many alternatives to Tegretol, some of which (Neurontin) aren't as hard on the liver. Another option would be Oxcarbamazepine. Talk with your Neuro, of course.

Thank you, Red. I plan to discuss all my new knowledge with my Neuro.