Many people in the course of life will have had a toothache experience, looking for a dentist to repair or extraction of bad teeth, but there is a disease of early often manifested as toothache, you can be careful, because even if you remove all the “bad teeth” is meaningless, this disease is trigeminal neuralgia. Trigeminal neuralgia is the most common clinical pain is located in the lower part of the face, so many patients mistaken for dental disease and tooth extraction treatment, light stimulation of some specific parts of the face, chewing, talking loudly, even cold air stimulation can trigger pain. According to the general rule, once the patient is very difficult to cure, patients describe the pain as electric shock, such as knife cuts, do not dare to wash your face, eat, because of the pain is intense, ordinary people can not stand, there is “the world’s first pain,” the name. The incidence of trigeminal neuralgia in the population is about 4 out of 100,000, mostly seen with the elderly, the usual age of the disease is 50-60 years old, but can also occur in young people. Trigeminal nerve trunk and its three major branches in the head and face distribution of the region is very wide, orbital, zygomatic, jaw, etc. belong to its “sphere of influence”, in the main trunk of the trigeminal nerve by the vascular compression and in the infection, trauma, stenosis and other factors, the trigeminal nerve and its branches will be a sudden “lightning strike “The pain is more unbearable. What is more intolerable is that its attacks are not regular, often appear suddenly and disappear inexplicably, patients suffer double physical and psychological torture. Some people do not dare to wash their face, eat, and even dare not swallow saliva, for fear that an accident will trigger the pain. Conventional medication and physical therapy cannot cure the disease. What are the treatment methods for trigeminal neuralgia? The simplest and most effective treatment for trigeminal neuralgia is medication. In the early stage of the disease, most patients can take a certain amount of carbamazepine to control the symptoms, but unfortunately long-term use of carbamazepine will produce drug resistance, and many patients can not tolerate the side effects of dizziness, drowsiness, inability to concentrate, unsteady hands and feet, etc. At the same time, we have to remind the patients who are taking carbamazepine to take regular blood tests and liver and renal function, because long-term use of the drug can cause hematopoietic mechanism disorder and liver and kidney function damage. Therefore, in fact, the vast majority of patients need to seek a radical treatment in their lifetime. ②Traditional treatmentsTraditional treatments for trigeminal neuralgia mainly include acupuncture, traditional Chinese medicine, closure and nerve avulsion, etc., but all of them are palliative treatments rather than curative treatments. ③Modern treatment methods for the present, the internationally recognized effective treatment methods are: microvascular decompression methods. Only neurosurgery minimally invasive microvascular decompression surgery can target common causes of disease, reduce the compression of peripheral tissues on the nerves, improve local blood circulation, so as to eliminate the root cause of the disease attack, and kill the “world’s first pain” in the cradle.