Trigeminal Neuralgia (TN) is a severe debilitating neurological hyperexcitable disease affecting the branches of Trigeminal nerve. The condition causes severe shock like pain which is difficult to diagnose and thus, one of the major cause for sequential avoidable extractions due to wrong diagnosis. Usually a unilateral disease, mostly being treated by only medications in the Asian subcontinent. Hereby, authors report a rare case of Trigeminal neuralgia involving bilateral mandibular branches of Trigeminal nerve and which showed almost complete relief with alternative medications other than the Carbamazepine. Authors believe that current case report will add on to the academic literatrure and will also be helpful to clinicians in deciding the alternative medicinal treatment plan.
