I have trigeminal neuralgia and need my wisdom tooth removed should the dentist handle my extraction differently?

Preemptive analgesia. Although dental surgery is not likely to precipitate TN pain in patients who are in remission, there is always a chance that the TN may return. Therefore, preemptive analgesia with AEDs is always recommended.
Trigeminal Neuralgia. Trigeminal neuralgia can be exacerbated by dental work. Unfortunately no preventive measures are available except to make sure medication is taken as scheduled to prevent a decrease in serum levels and subsequent pain fluctuations.