Diagnosis and treatment of orofacial pain

Eleni Sarlani

Resumo


Orofacial pain is a complex health care problem that may compromise the quality of life of the patient and frustrate the clinician. A variety of disorders may account for the development of pain in the orofacial structures. Temporomandibular disorders are among the most common causes of orofacial pain. Frequently orofacial pain is due to neuropathic, vascular or neurovascular mechanisms. In addition, numerous local pathologies or systemic diseases can result in the development of orofacial pain, while pain in the face may also be referred from a distant structure. Idiopathic and psychogenic types of orofacial pain are also recognized. Establishing a proper diagnosis is the most challenging part of managing orofacial pain and is an essential prerequisite to an effective treatment. A detailed medical history, a thorough evaluation of the patient’s complaint and an extensive clinical examination will provide valuable diagnostic information contributing to an accurate diagnosis. This review presents the main diagnostic characteristics and the therapeutic approaches of the most common types of orofacial pain.

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Referências


Dworkin RH. An overview of neuropathic pain: syndromes, symptoms, signs, and several mechanisms. Clin J Pain. 2002; 18: 343-9.

Greenberg MS. Atypical odontalgia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998; 85: 628-9.

Graff-Radford SB. Facial pain. Curr Opin Neurol. 2000; 13: 291-6.

Headache Classification Committee of the International Headache Society. Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia. 1988; 8: 1-96.

Levine SM, Hellmann DB. Giant cell arteritis. Curr Opin Rheumatol. 2002; 14: 3-10.

Mokri B. Headaches in cervical artery dissections. Curr Pain Headache Rep. 2002; 6: 209-16.

Okeson JP. Bell’s Orofacial Pains. 5th ed. Chicago: Quintessence Publishing; 1995.

Okeson JP. American Academy of Orofacial Pain. Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management. 3rd ed. Chicago: Quintessence Publishing; 1996.

Okeson PJ. Management of temporomandibular disorders and occlusion. 4th ed. Saint Louis: Mosby; 1998.

Olesen J., Tfelt-Hansen P., Welch K.M.A. The Headaches. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2000.

Sarlani E, Greenspan JD, Grace EG, Schwartz AH. Facial pain as first manifestation of lung cancer: A case of lung cancerrelated cluster headache and a review of the literature. J Orofac Pain. 2003; 17: 262-7.

Sarlani E, Schwartz AH, Greenspan JD, Grace EG. Chronic paroxysmal hemicrania: a case report and review of the literature. J Orofac Pain. 2003; 17: 74-8. Scala A, Checchi L, Montevecchi M, Marini I, Giamberardino MA. Update on burning mouth syndrome: overview and patient management. Crit Rev Oral Biol Med. 2003; 14: 275-91.

Zakrzewska JM. Diagnosis and differential diagnosis of trigeminal neuralgia. Clin J Pain. 2002; 18: 14-21.




DOI: http://dx.doi.org/10.20396/bjos.v2i6.8641710

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Direitos autorais 2015 Brazilian Journal of Oral Sciences

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Esta obra está licenciada sob uma licença Creative Commons Atribuição - NãoComercial 4.0 Internacional.

(c) Braz. J. Oral Sci., Piracicaba, SP - ISSN 1677-3225.