MEDIUMResearchTier 1

Delayed apical pathology during trigeminal postherpetic neuralgia managed with

SourceJournal of EndodonticsTier 1Peer-Reviewed Research

Originally at sciencedirect.com

Summary & scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol (Drill-Down Score) — not the original publisher.

Why it matters for dental

Endodontists and restorative dentists should note a reported case of delayed periapical pathology emerging during trigeminal postherpetic neuralgia, indicating that antiviral-antibiotic therapy may be required in addition to routine endodontic management.

Key points

  • Published in Journal of Endodontics, Volume 52, Issue 10, October 2026, as a single case report by William W. Ja.
  • Case documents apical pathology developing after onset of trigeminal postherpetic neuralgia, managed with combined antiviral and antibiotic therapy.
  • Highlights the need for endodontic clinicians to monitor pulpal and periapical status in patients with recent herpes zoster reactivation in trigeminal distribution.
  • Suggests that standard root-canal protocols alone may be insufficient when viral reactivation contributes to delayed bone or pulpal pathology.

Who should care

SpecialistAcademia

Read the original on Journal of Endodontics

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