Abstract
The author reports a patient with intraoral neuropathic pain after zygomatic bone fracture. A 24-year-old woman had broken the left zygoma due to traffic accident. The fracture had been surgically repaired with a metal plate 4 months before she was referred to the author. She did not have any intraoral pain shortly after the surgery. However, intraoral pain developed 2 months after the surgery and she was referred to the author. An intraoral neurosensory stent was made to cover the painful area. The inner surface of the stent was covered with a gel mixed with topical anesthetics and denture stabilizer. The gel was applied 4-5 times daily to relieve pain. The pain gradually decreased ≤6 weeks after application of the stent. The patient was referred to a psychosomatic physician; thereafter, she received an antidepressant, which dentists are not allowed to prescribe in Japan. The pain was relieved ≤6 months after the medication. Cooperation of physicians and dentists is beneficial to relieve intraoral neuropathic pain.
