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Diagnosis and Management of Trigeminal Neuralgia in Dentistry: A Literature Review Halim, Susanna; Sania, Nadia Putri
Journal of Science and Science Education Vol. 6 No. 2 (2025): October
Publisher : Pascasarjana, Mataram University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jossed.v6i2.12787

Abstract

Trigeminal neuralgia (TN) is a paroxysmal neuropathic pain disorder characterized by sharp, brief, and recurrent pain in the trigeminal nerve distribution. Because it occurs in the maxillofacial region, TN is frequently mistaken for odontogenic pain, leading patients to seek dental care and risk unnecessary procedures. This review aims to summarize current literature on the clinical features, diagnostic challenges and management of trigeminal neuralgia in dental practice, highlighting the important role of dentist in its detectione and care. The diagnosis of trigeminal neuralgia was based on multidisciplinary approach, including history taking according to ICHD-3 criteria, dental vitality testing, neurological examination and MRI, with specialist collaboration in complex cases. The results showed that trigeminal neuralgia is frequently misdiagnosed as odontogenic pain, requiring history, neurological exam, MRI, and dental evaluation for accurate diagnosis. Carbamazepine was the primary treatment, with surgery for refractory cases, and a multidisciplinary approach proved essential. Trigeminal neuralgia requires accurate evaluation and dentist involvement to ensure proper diagnosis and effective management.
THE IMPACT OF AGING ON SALIVARY FUNCTION AND SALIVARY GLANDS IN OLDER ADULTS: A LITERATURE REVIEW Halim, Susanna; Sania, Nadia Putri
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 2 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i2.10060

Abstract

The aging process is a progressive biological phenomenon that triggers a decline in functional capacity in various organ systems, including the salivary glands, which play a vital role in maintaining oral homeostasis through lubrication and antimicrobial protection. The primary focus of this study is to synthesize scientific evidence regarding the impact of aging on anatomical changes, secretory performance, and biochemical and microbiological shifts in saliva in the elderly. The research steps were conducted through a systematic literature review of reputable scientific sources, including observational and experimental studies, and meta-analyses involving over fifty thousand patients in selected registry data. The study findings demonstrated morphological acinar degeneration and increased connective tissue deposition. Functionally, the majority of elderly individuals experienced decreased salivary flow rates and increased inflammatory mediators such as interleukin-6, which are associated with susceptibility syndrome. The data demonstrated a discrepancy between the subjective perception of xerostomia and the objective outcome of hyposalivation, where Candida albicans colonization was found to increase with the decline in salivary protective function. The main conclusion confirms that salivary gland disorders in the elderly are clinically significant conditions requiring an integrated diagnostic and therapeutic approach, not simply a normal consequence of aging. This in-depth understanding is crucial for healthcare professionals to optimize comprehensive oral health care strategies to sustainably improve the quality of life for the elderly population for a more prosperous future.