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Patient Centeredness in Orthognathic Surgery.

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  • 1412 Salk Pavilion, Department of Oral Biology & Craniofacial Sciences, School of Dental Medicine, University of Pittsburgh, 335 Sutherland Drive, Pittsburgh, PA 15261, USA.

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Summary

This case study highlights a patient who developed chronic orofacial pain after surgery. Effective treatment involved neuropathic medication and low-level laser therapy, not opioids.

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informed consentorofacial painorthognathic surgerypatient centerednesstemporomandibular joint dysfunction

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Area of Science:

  • Dentistry
  • Pain Management
  • Regenerative Medicine

Background:

  • Patient-centered care is crucial in treatment planning and research.
  • Orthognathic surgery aims to correct jaw alignment and improve occlusion.
  • Chronic orofacial pain presents a significant management challenge.

Observation:

  • A female patient developed severe chronic orofacial pain post-orthognathic surgery.
  • The pain was refractory to opioid treatment.
  • The patient's occlusion worsened after the surgical procedure.

Findings:

  • Neuropathic medication provided initial pain relief.
  • Low-level laser therapy (LLLT) ultimately resolved the chronic orofacial pain.
  • Opioids were ineffective for this type of neuropathic pain.

Implications:

  • Alternative, non-pharmacological pain management strategies are essential.
  • Incorporating patient goals into treatment planning is vital, especially for elective procedures.
  • Further research into LLLT for chronic orofacial pain is warranted.