Facial pain is often the most common presenting symptom that brings a patient to the dental office. The causes of facial pain are multifactorial, ranging from a simple toothache to more complicated causes of neuralgia. Additionally, there is a category that presents a diagnostic challenge to the clinician and causes great anxiety to the patient, especially when it is not relieved. We present a case where a male patient suffered from severe pain in the orofacial and neck region, which remained undiagnosed for a period of ten years.