Category Archives: Facial Neuropathology

EVALUATION OF OROFACIAL PAIN PATIENT Evaluation of the dental patient who presents with jaw or  face pain of nonodontogenic origin is an important skill for the dentist to master. Obtaining an accurate history is the most important component of information gathering.For chronic headache disorders and many neuropathic disorders, such as TN, pre-TN, and other cranial neural– .glas, as well as burning mouth

Indomethacin-Responsive Headaches A number of head pains respond primarily ‘or exclusively to the NSAID, indomethacin. One of these headaches, chronic paroxysmal hemicrania, is similar In presentation to cluster headache, although the attacks are short lived (lasting several minutes) and occur manytimes per day. Unlike clust-er headaches, women are more often affected than men: Again toothache may be the

Cluster Headache Cluster headache is an overwhelmingly unilateral head pain typically centered around the eye and temporal regions. The pain is’ intense, frequently described as a stabbing sensation (i.e., as if an ice pick was being driven into the eye). Some component of parasympathetic overactivity is present (commonly lacrimation, conjunctival injection, ptosis, or rhinorrhea). Headaches last 15 to 1

Tension-Type Headache The majority of patients who report to the physician with a chief complaint of headache will be diagnosed with tension-type headache, The’ name can be misleading ecause “muscle tension” or “tension from stress” is not always present, either alone or in combination. Tensiont}pe headache is common in the general population, and most people will experience at leas

Neuropathic Facial Pains Presenting as Toothache Glossary of Pain Terms Allodynia Pain caused by a stimulus that does not normally’ provoke pain Absence of pain in response to stimulation that would normally be painful Absence of all sensation , ‘Pain caused by loss of sensory input into the central nervous system (eNS) Unpleasant abnormal sensation, whether spontaneous or evoked (Note: Dysesthesia incl

NEUROPATHIC FACIAL PAINS Neuropathic pains arise from an injured pain transmission or modulation system, Surgical intervention or trauma is frequently the cause, For example, trauma to the infraorbital region may lead to numbness or pain in the . distribution of the infraorbital nerve. In oral and maxillofacial surgery, extraction of mandibular third molars carries a slight but measurable risk of nerve damage

CLASSIFICATION OF OROFACIAL PAINS Numerous classification systems exist for orofacial pain conditions. At the most basic level, it is appropriate to classify orofacial pains as primarily somatic, neuropathic, or psychologic in or.igin. SOli/atic pain arises from musculoskeletal or visceral structures interpreted through an intact pain transmission and modulation system. Common orofacial exampres of musculoske

C’HAPTER OUTLINE BASICS OF PAIN NEURQPHYSIOLOGY CLASSIFICATION OF OROFACIAL PAINS NEUROPATHIC FACIAL PAINS Neuropathic Facial Pains Presenting as Toothache Trigeminal Neuralgia ‘ Pretrigeminal Neuralgia Odontalgia Secondary to Deafferentation (Atypical Odontalgia) Other Neuropathic Fadill Pains Postherpetic Neuralgia Neuroma Burning Mouth Syndrome Other Cranial Neuralgias CHRONIC HEADACHE • Migraine T