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Download PTN pathway - Orofacial Pain
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Trigeminal nerve injuries (patient info TNI website & EFIC) Within 30 hours Known nerve injury Implant Endo Imaging Surgery removal of implant tooth, Micro surgery DPT or CBCT if retained roots ? future local MRI TMS related Post traumatic neuropathy Defn IHS Consultation dedicated nerve injury clinic + psychologist psychiatrist Discharge to GP 1. Pregabalin Pain +ve 2. Nortriptyline 3. Oxcarbazepine, Website 4. versatis Previous questionnaire (TNI) 5. GON Psychometrics Managing pain/ coping Medical management Poor Quality of Life GP to continue Drug Therapy Review 8 week OFP MDT Neurology Severe pain not coping Consider Referral InPUT Pain management Vit B/ NSAIDs Psychiatry/ Psychology referral completed Patient group Patient day Neurovascular orofacial pain Headaches Red Flag signs
