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Experiences from a facial pain unit.

G Hampf1, V Aalberg, B Sundén

  • 1Institutes of Dentistry, University of Helsinki, Finland.

Journal of Craniomandibular Disorders : Facial & Oral Pain
|January 1, 1990
PubMed
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Chronic orofacial pain, particularly orofacial dysesthesia, often involves significant mental disturbance. Treatment varied, with medications like amitriptyline for dysesthesia and splints for masticatory dysfunction.

Area of Science:

  • Dentistry
  • Neurology
  • Psychiatry

Background:

  • Chronic orofacial pain is a complex condition affecting a significant patient population.
  • Two primary subtypes identified were orofacial dysesthesia and masticatory dysfunction.
  • Understanding the underlying factors, including psychological components, is crucial for effective management.

Purpose of the Study:

  • To analyze the characteristics and treatment approaches for patients with chronic orofacial pain.
  • To investigate the prevalence of psychiatric comorbidities in orofacial dysesthesia.
  • To compare treatment strategies for orofacial dysesthesia versus masticatory dysfunction.

Main Methods:

  • Retrospective analysis of 282 patients referred to a facial pain unit.
  • Categorization of patients into orofacial dysesthesia (143) and masticatory dysfunction (139) groups.

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  • Review of psychiatric consultations and treatment modalities employed.

    • Main Results:

    • A substantial proportion of orofacial dysesthesia patients (36) received psychiatric consultations.
    • Significant mental disturbance was identified as a key component in orofacial dysesthesia.
    • Pharmacological treatments (amitriptyline, clonazepam, distigmine) were common for dysesthesia; splints/occlusal rehabilitation for masticatory dysfunction.

    Conclusions:

    • Orofacial dysesthesia is strongly associated with mental disturbances, necessitating integrated treatment approaches.
    • Masticatory dysfunction management primarily involves dental interventions like splints and occlusal rehabilitation.
    • This study highlights the need for multidisciplinary care in managing diverse chronic orofacial pain conditions.