Facial pain commonly is caused by a condition called trigeminal neuralgia. This is a condition where one of the nerves in the face, that supplies sensation, becomes irritated. Patient commonly feel intermittent sharp, lancinating pain. At times, brushing ones teeth or touching the face can set the pain off. More often than not, older patients typically present to the office. However, I have seen this condition in younger patients as well typically after some dental work. The cause of the nerve impairment is variable but may be caused by contact of a blood vessel with the nerve, possible tumor, multiple sclerosis, and dental work. Treatment can be done successfully with medication most of the time. Accupuncture can also provide some relief. Surgical decompression is the last resort.