• Davis C Thomas, Saranya Devatha Mallareddy, Jeffrey P Okeson, Josna Thankachan, Priyanka Kodaganallur Pitchumani, and Reshmy Chellam Pichammal.
• Center for TMD and Orofacial Pain, Rutgers School of Dental Medicine, Newark, NJ, USA. davisct1@gmail.com.
• Curr Pain Headache Rep. 2022 Mar 1; 26 (3): 219-233.

Purpose Of ReviewTraumatic neuromas in general, and trigeminal traumatic neuromas in particular, are relatively rare entities originating from a damage to a corresponding nerve or its branches. This manuscript is a comprehensive review of the literature on trigeminal traumatic neuromas based on an interesting and challenging case of bilateral intraoral lesions.Recent FindingsThe diagnosis for this patient was bilateral trigeminal traumatic neuromas. It is possible that these patients have a genetic predisposition to the development of these lesions. It is a neuropathic pain condition and may mimic dental and other trigeminal pain entities. Topical treatment with lidocaine gel, utilizing a custom-made neurosensory stent, rendered the patient significant and sustained pain relief. Trigeminal traumatic neuromas present a diagnostic challenge even to a seasoned clinician, due to the complex clinical features that may mimic other entities. Topical medications such as local anesthetics may be a good viable alternative to systemic medications to manage the pain associated with the condition. Early identification of the lesion and the associated pain helps in the succinct management of symptomatic trigeminal traumatic neuromas.© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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