Intraoral Pain in Patients with Primary Intraosseous Cavernous Hemangiomas (PICHs)

Trigeminal Neuralgia (TN) is a condition associated with severe facial pain that could easily be associated with common dental issues. However, severe facial pain can also be the result of Primary Intraosseous Cavernous Hemangiomas (PICHs), a rare condition in which benign tumors made up of blood vessels grow in bones that make up the skull or spine. The pain can often be confused with dental issues; therefore, the overlap between dental pain and TN-related pain poses a significant clinical challenge, emphasizing the importance of comprehensive diagnostic and examination procedures that include physical examination, imaging studies, medical history, and electrophysiological testing. This study presents the case of a 74-year-old patient who was misdiagnosed with dental problems instead of TN. The misdiagnosis puts the patient through unnecessary painful dental procedures, which stresses the importance of medical practitioners using comprehensive diagnostic procedures.