Periodontitis trigeminal neuralgia may require treatment of periodontal disease, treatment with medication, radiofrequency therapy, acupuncture therapy, physical therapy or surgery, etc. It is recommended to go to the hospital for specific examination and treatment. Trigeminal neuralgia is generally not related to periodontal disease, and pain caused by periodontitis requires active treatment of periodontitis. Trigeminal neuralgia requires active treatment of trigeminal nerve related diseases. Spontaneous pain or irritation in periodontitis may be a complication of later stages of the disease, such as a periodontal abscess or a combined pulp-periodontal lesion. Periodontal abscesses require prompt medical attention for incision and drainage and oral antibiotics as prescribed. Combined endodontic and periodontal lesions can cause pain from endodontic disease, such as spontaneous, nocturnal or radiating pain. This pain is easily confused with trigeminal neuralgia. Combined endodontic and periodontal lesions require radiographs to determine the treatment plan, such as the order of treatment for endodontic and periodontal disease. Severe pain may be treated by a doctor who will consider opening the pulp and draining it first for pain relief. Periodontitis if only bite discomfort or loose teeth and other symptoms of pain is not strong. Then it is the conventional treatment of periodontal disease, i.e. periodontal systemic treatment, such as scaling, scraping and so on. Remove calculus and promote the healing of periodontal tissues. Trigeminal neuralgia treatment, you can follow the doctor’s advice with medication, commonly used carbamazepine, scopolamine, etc.; you can use radiofrequency temperature-controlled thermocoagulation to destroy the fibers that conduct pain sensation; you can use traditional Chinese medicine acupuncture therapy; you can use ionic implantation method to do physical therapy treatment and so on. Periodontitis trigeminal neuralgia needs symptomatic treatment, it is recommended to go to the hospital for examination before determining the treatment plan.