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Orofacial pain: a guide for the headache physician
Martina K Shephard1, E Anne Macgregor, Joanna M Zakrzewska
1Oral Medicine Unit, Eastman Dental Hospital, UCLH NHS Foundation Trust, London, UK.
Headache
|November 23, 2013
Summary
Orofacial pain, including common issues like toothaches, presents diagnostic challenges. A biopsychosocial approach considering patient context is crucial for effective orofacial pain management.
Area of Science:
- Dentistry
- Neurology
- Pain Medicine
Background:
- Orofacial pain causes significant morbidity and healthcare use.
- Common conditions include toothache and temporomandibular disorders.
- Diagnostic uncertainty is common due to overlapping symptoms.
Purpose of the Study:
- To provide a clinical overview of orofacial pain presentations and diagnoses.
- To highlight conditions potentially unfamiliar to headache physicians.
- To emphasize a holistic, biopsychosocial approach to management.
Main Methods:
- Literature review focusing on clinical presentations and diagnoses.
- Emphasis on conditions relevant to headache physicians.
- Integration of the biopsychosocial model in pain management.
Main Results:
- Orofacial pain encompasses a spectrum from common to rare syndromes.
- Overlapping symptoms frequently lead to diagnostic challenges.
- Psychological comorbidities significantly impact diagnosis and management.
Conclusions:
- A holistic, biopsychosocial approach is essential for orofacial pain management.
- Considering the patient's social, cultural, and psychological context aids diagnosis.
- Recognizing psychological comorbidities improves diagnostic accuracy and treatment planning.
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