Several dramatic cases recounted in Dr. Adler's book[1] are presented in the following, together with a summary of Dr. Adler's approach regarding the cause(s) and cure of trigeminal neuralgia.

Note: Other dentists have made the same or similar discovery, linking trigeminal neuralgia to hidden lesions in the jaw bone (often referred to as "cavitations".[7]

Curing trigeminal neuralgia: case histories

Trigeminal neuralgia of the second branch healed

A 70 year old man had been suffering for many years with idiopathic (i.e. of unknown cause) trigeminal neuralgia. The neurological university clinic had been treating him with Tegretol (Carbamazepine, CBZ) which gradually worsened his condition. Since his trigger zone was the right nasolabial fold, the patient had been unable to blow his nose and over the months a crust had formed and the nostril had closed.

X-rays revealed a radiolucency[2] in the toothless area where his canine tooth und premolar used to be. Infiltration analgesia with Impletol[3] into the canine tooth area (incl. paracentesis[4] of the jaw bone) completely eliminated all pain sensation. To confirm the link between this zone and the pain attacks, the test was repeated - with the same result.

Dr Adler performed osteitis [bone inflammation] surgery[5] and sewed up the wound. Four days later, follow-up treatment was started - Impletol infiltrations around the area which were repeated every other day for a total of ten days - which completed the cure.

Trigeminal neuralgia of the second branch healed

Female patient, 70, suffering with trigeminal neuralgia, with her trigger zone lying in the nasolabial area. The patient could hardly eat and additionally suffered from pain in her right foot which hurt to the point that it was barely usable. Due to the analgetic treatment she was under she also suffered from various general complaints.

The x-ray of her jaw revealed a small radiolucency of the bone structure in the area of one of her small incisors/canine teeth. Anesthesia of this zone totally eliminated her pain, as did anesthesia of her trigger zone. Several days later, the test was repeated yielding the same results.

Dr Adler proceeded to surgically clean the pathological zone, following it up with the usual posttreatment (which turned out to be very short in this case).

This was the entire treatment required to permanently erase this patient's trigeminal neuralgia as well as her foot pain. Prior to that she had been treated for several years by both clinics and specialist doctors on a continuous basis.

Dr Adler comments that not invariably but frequently the likely cause of trigeminal neuralgia are the subliminal stimuli emanating from the jaw bone for many years on end.

Trigeminal neuralgia of the third branch healed

On x-rays, this 65 year old patient showed a retained root (radix relicta) while clinical examination had only shown perfectly healed gums. After surgical elimination of the pathological zone, the patient was completely cured and suffered no relapse in the ten years of observation.

Trigeminal neuralgia healed

A 50 year old banker with trigeminal neuralgia had twice submitted to surgery of the trigeminal ganglion (during which the nerve was severed). In spite of the radical surgery, his trigeminal neuralgia returned a few years later.

X-rays revealed root resorption with extensive diffuse osteitis and an abscess within the bone[6] in the area of the first premolar, close to where his second upper right premolar used to be (which had been extracted). After surgical debridement of the affected area (removal of dead, damaged, or infected bone), the patient's trigeminal neuralgia was gone.

Period of observation of this case: 17 years (the time at which Dr Adler published the second edition of his book upon which this page is based).

Dr Ernesto Adler on the cause(s) and cure of trigeminal neuralgia

According to Dr. Adler's experience, trigeminal neuralgia in most cases is due to residual osteitis (chronic osteomyelitis or bone infection) or the loosening (decompaction) of the cancellous (aka trabecular or spongy) bone of the jaw, with the compact bone very frequently showing porosity.

Defective / incomplete ossification due to lack of proper tissue nourishment and resultant impeded growth is particularly found in patients with prior periodontitits, whose teeth were devitalized with arsenic paste and a lifetime of chronically infected (septic-toxic) tonsils.

Dr Adler observed one case of trigeminal neuralgia of the first branch which was caused by a scar on the head.

Dr. Adler on finding the cause of trigeminal neuralgia

It is paramount to (as far as possible) exactly localise the trigger factors in the upper and lower jaw. This is only feasible via targeted anesthesia into the various suspected areas. The zones must be surgically eliminated[5] and post-treated with neural therapy to more quickly normalize the trophic [nutrition and growth-related] disorder of the area.

To eliminate the pain completely, additional injections into the bone are often required.

Addendum by Healing Teeth Naturally

Another potential cause of trigeminal neuralgia are dental amalgam (mercury) fillings (case report by Dr. W.P. Cheshire,

Also see

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See Psychosis healed instantly by removing dental interference field and Impacted wisdom teeth: potential health impacts and the additional cures of desperate illnesses listed further below.

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1 Dr. Ernesto Adler: Neural Focal Dentistry: Illness Caused by Interference Fields in the Trigeminal (Amazon affiliate link — commissions earned)

2 While the term "radiodensity" is used to denote the relative inability of X-rays to pass through a specific material (here: bone), the term "radiolucency" indicates increased transparency to X-rays. A circumscribed area of radiolucency in a bone shows that the bone is less dense in that area than its surroundings.

3 A mix of the local anesthetic procaine and coffein for injection (no longer marketed).

4 needle drainage of fluid from a body cavity

5 Details of the surgery and post-treatment are described in Dr Adler's book.

6 The latter was diagnosed postoperatively.

7 Compare e.g. Osteocavitation lesions (Ratner bone cavities): frequently misdiagnosed as trigeminal neuralgia--a case report by Wesley E. Shankland, II, D.D.S., M.S., Ph.D. Quote:

"The disorder termed osteocavitation lesion has been described in the literature since at least 1976 ...often misdiagnosed as trigeminal neuralgia or atypical facial pain... patients have either continued to suffer or inappropriate ... treatments have been prescribed in an attempt to rid the patient of this terrible pain disorder. These symptoms, which can be misinterpreted as trigeminal neuralgia, include a history of undiagnosed facial pain, ... tooth extraction, the presence of trigger areas and normal radiographic findings."

Dr. Meinig in an interview given to Laura Lee mentioned research according to which 70% of the people who had trigeminal neuralgia saw their pain problem resolved when they had their cavitations removed from their jaws.

Detailed background on dental cavitations and cavitation infections (ischemic osteonecrosis)

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