I had to get a wisdom tooth pulled out and it was my back right side. My TN pain attacks were on the right side. I have days of when my nerve from the ear to my eye will ache. Primarily in the temple area.
Naturally, I was concerned the tooth extraction could cause my trigeminal nerve to WAKE UP but I had no choice and had to do it.
The surgery did wake up the nerve in terms of strong aches but no brutal stabbing attacks like in the beginning. I feared that could be coming though at any minute and I took extra tegretol and Ibuprofen to help with the pain and keeping the nerve from striking. The extra tegretol didn't help with pain but the ibuprofen saved the day. However, I was taking a lot because the jaw pain traveled to my temple area and cause my TN nerve to ache good. This went on for a month. I got a higher power dose (250mg) of CBD cream and that was HUGE in helping me. Also, a friend of mine in my TN support group told me take Flexeril and once I did, everything changed for the better. It was a good one month plus before I started to improve. It took about 2 months total before I felt pretty normal again and decreased the tegretol back to the usual amount of 800 mg per day and stopped the ibuprofen.
According to the Facial Pain Association, they recommend that oral surgeons to not use Epinephrine ingredients, which are vasoconstrictors. Instead try: 1) Mepivacaine 3% or Carbocaine 3% (avoid using long-acting anesthetics, eg., Articaine).
I have a brochure that our support group passes out to dentists and oral surgeons that I posted on the "resources" page of the this website. And make sure you give it to your dentist and oral surgeon. Do not do any surgery if the surgeon is not familiar with trigeminal neuralgia.