Oro-Facial Pain

[Drsumitra]

Oro-Facial Pain represents an important clinical pain issue age.

Oro-Facial Pain consists of a varied group of conditions
ranging from simple tooth ache to jaw joint problems to
classical neuralgias.

Patients with these condition will often have been treated by
a spectrum of healthcare professionals, ranging from
dentists, GP’s, ENT surgeons, psychologists, neurologists
and surgeons with a different approach to history,
examination, classification and treatment.

It is not unusual to see the same patient being sent from one
specialist to another without communication between the
healthcare providers. The results can be frustrating and
disappointing for all the parties involved.

In this section of the website, the more ‘commonly
encountered’ oro-facial pains such as Atypical Facial Pain,
Atypical Odontalgia, Trigeminal Neuralgia and Burning
Mouth Syndrome are covered (these reflect the oro-facial
pains I tend to see most of on clinics in hospitals).

        

[Drsumitra]

 

 

Differential Diagnosis of Oro-Facial Pain

        

[drsnehamaheshwari]

 

pain in the trigeminal nerve distribution. Typically, brief attacks are triggered by talking,

chewing, teeth brushing, shaving, a light touch, or even a cool breeze. The pain is nearly always

unilateral, and it may occur repeatedly throughout the day. The diagnosis is typically determined

clinically, although imaging studies or referral for specialized testing may be necessary

to rule out other diseases. Accurate and prompt diagnosis is important because the pain of trigeminal

neuralgia can be severe. Carbamazepine is the drug of choice for the initial treatment

of trigeminal neuralgia; however, baclofen, gabapentin, and other drugs may provide relief

in refractory cases. Neurosurgical treatments may help patients in whom medical therapy is

 

        

[Author]

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