You know what they say about assume. "It makes an XXXX of u and me" We learned a lesson two weeks ago that hopefully no one else will ever have to repeat.
My Granddaughter (like me) has TN pain as the result of secondary Sjogrens and psoriatic arthritis. her pain flares as her disease changes. Several weeks ago, She woke up with severe pain. We started the regime we follow when stuff flares. Heat /ice steroids increased NSAIDs etc. By mid day NOTHING was working so we went to step 2 - analgesia still no change I called the doc who saw her the next afternoon. She was miserable beyond anything she had ever experienced.
To make a long story short, her TN pain had NOTHING to do with TN. It turns out she had 4 impacted and infected wisdom teeth. The oral surgeon (also an ENT) admitted her and did the extractions in the OR under General anesthetic to make sure he didn't impact anything to make things worse. (He understands the effect of dental work on TN patients)
So here is my message. When things are different DON'T cowboy up. We are as susceptible (if not more so) to things other than TN causing problems. Call and get it checked out. Beats 3 days in the hospital on IV antibiotics and Morphine drip.