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Related Experiment Video

Updated: Jan 28, 2026

Use of the Operant Orofacial Pain Assessment Device OPAD to Measure Changes in Nociceptive Behavior
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Psychological Interventions for Persistent Orofacial Pain.

Sarah Barker, Monika Urbanek, Chris Penlington

    Primary Dental Journal
    |March 6, 2019
    PubMed
    Summary

    Psychological interventions offer consistent improvements for persistent pain, enhancing quality of life. This review covers treatments for persistent orofacial pain (POFP) and outlines a stepped care approach for patient management.

    Area of Science:

    • Pain management
    • Psychology
    • Dentistry

    Background:

    • Persistent pain exceeds normal healing time (up to six months), often without clear tissue pathology.
    • Dental settings commonly encounter conditions like temporomandibular disorders, burning mouth syndrome, and persistent dentoalveolar pain.
    • Psychological interventions are crucial for managing persistent pain, acknowledging its complex biopsychosocial nature.

    Purpose of the Study:

    • To review psychological interventions for persistent pain, including those applied to persistent orofacial pain (POFP).
    • To describe current psychological treatments, their rationale, and supporting research.
    • To outline a stepped care model for psychological pain management services.

    Main Methods:

    • Literature review of psychological interventions for persistent pain.

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  • Focus on interventions researched in various persistent pain settings, including persistent orofacial pain (POFP).
  • Description of established psychological treatments and relevant research findings.

    • Main Results:

    • Psychological treatments demonstrate small but consistent improvements in pain, disability, and quality of life compared to standard care.
    • Biopsychosocial understanding underpins current psychological interventions for persistent pain.
    • A stepped care approach can stratify patients for appropriate psychological support.

    Conclusions:

    • Psychological interventions are effective adjuncts for managing persistent pain, improving patient outcomes.
    • A stepped care model facilitates efficient and targeted delivery of psychological pain management.
    • Further research supports the integration of psychological approaches in persistent pain care pathways.