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CASE REPORT
Year : 2021  |  Volume : 21  |  Issue : 4  |  Page : 430-433

Bilateral intraoral traumatic neuroma: Case report of a diagnostic challenge


1 Department of Diagnostic Sciences, Center for TMD and Orofacial Pain, Rutgers School of Dental Medicine, Newark, NJ, USA
2 Department of Prosthodontics, Sri Venkateswara Dental College and Hospital, Chennai, Tamil Nadu, India
3 Department of Periodontics, The Ohio State University College of Dentistry, Columbus, OH, USA

Correspondence Address:
Davis C Thomas
Center for TMD and Orofacial Pain, Rutgers School of Dental Medicine, Newark, New Jersey
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jips.jips_354_21

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Oral traumatic neuromas (TrNs) are relatively rare lesions and they originate from a damaged nerve. They present a diagnostic challenge, due to the complex clinical features that may mimic odontogenic, musculoskeletal, and other neuropathic pain conditions. We describe an interesting and challenging case of painful bilateral intraoral lesions in a 56-year-old South Indian female patient who presented with clinical features consistent with TrN lesions bilaterally, in relation to different branches of the trigeminal nerve. The patient had undergone numerous aggressive dental treatments and interventions over the past three decades, with little or no pain relief. Topical treatment with lidocaine gel utilizing a custom-made neurosensory stent rendered the patient significant and sustained pain relief.


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