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Chronic facial pain: a multidisciplinary problem.

G Madland1, C Feinmann

  • 1Behavioural Sciences and Dentistry, Eastman Dental Institute and Hospital, 256 Gray's Inn Road, London WC1X 8LD, UK. gmadland@eastman.ucl.ac.uk

Journal of Neurology, Neurosurgery, and Psychiatry
|November 28, 2001
PubMed
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Chronic idiopathic orofacial pain: I: What is the evidence base?

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Atypical facial pain is an unhelpful diagnosis for chronic facial pain. A new category, "chronic facial pain," is proposed, requiring a multidisciplinary approach for diagnosis and management.

Area of Science:

  • Neurology
  • Pain Medicine
  • Dentistry

Background:

  • Atypical facial pain is a poorly defined diagnosis for chronic facial pain.
  • Patients often seek dental treatment, but it is frequently ineffective.
  • The condition shares characteristics with unexplained symptoms in other body areas.

Purpose of the Study:

  • To review the concept of atypical facial pain.
  • To propose a new diagnostic category: "chronic facial pain."
  • To advocate for a multidisciplinary approach to diagnosis and management.

Main Methods:

  • Literature review of atypical facial pain.
  • Analysis of diagnostic challenges.
  • Synthesis of evidence for a new classification.

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Main Results:

  • Atypical facial pain lacks clear diagnostic criteria.
  • Current treatments are often ineffective.
  • A distinct category for chronic facial pain is needed.

Conclusions:

  • "Atypical facial pain" should be replaced with "chronic facial pain."
  • A multidisciplinary approach is essential for effective diagnosis and management.
  • This new category will improve patient care for chronic facial pain.