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Special considerations in orofacial pain.

D G Austin1, L Cubillos

  • 1Center for TMJ Disorders and Orofacial Pain Management, University of Medicine and Dentistry of New Jersey, New Jersey Dental School, Newark.

Dental Clinics of North America
|January 1, 1991
PubMed
Summary
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Many orofacial pain cases stem from dental issues, but some mimic dental problems without a dental origin. This review highlights conditions like neuropathic pain and trigeminal neuralgia, crucial for accurate diagnosis and treatment by dentists.

Area of Science:

  • Dentistry
  • Neurology
  • Pain Management

Background:

  • Orofacial pain is frequently caused by dental pathology.
  • Some patients present with symptoms mimicking dental conditions, but have non-dental origins.
  • These cases present a diagnostic challenge for dental practitioners.

Purpose of the Study:

  • To review orofacial pain disorders that mimic dental conditions.
  • To emphasize the importance of recognizing non-dental causes of orofacial pain.
  • To provide guidance for dental practitioners on diagnosing and managing these complex cases.

Main Methods:

  • Review of literature on deafferentiation pain, neuropathic pain, trigeminal neuralgia, and temporal arteritis.
  • Analysis of diagnostic challenges in differentiating dental from non-dental orofacial pain.

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  • Discussion of clinical signs and symptoms associated with these disorders.

    • Main Results:

    • Misdiagnosis and mismanagement are common in patients with deafferentiation pain, neuropathic pain, trigeminal neuralgia, and temporal arteritis.
    • These conditions require specific diagnostic considerations beyond typical dental pathology.
    • Accurate identification is key to appropriate patient care.

    Conclusions:

    • Orofacial pain disorders with non-dental origins necessitate special attention from dental practitioners.
    • Awareness of neuropathic pain, trigeminal neuralgia, and other mimics is critical.
    • Improved diagnostic strategies can prevent misdiagnosis and improve patient outcomes.