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Orofacial pain with vascular-type features

R Benoliel1, H Elishoov, Y Sharav

  • 1Department of Oral Diagnosis, Oral Medicine, and Oral Radiology, Hebrew University, Hadassah School of Dental Medicine, Jerusalem, Israel.

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
|December 12, 1997
PubMed
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A distinct subgroup of patients with primary craniofacial pain affecting intraoral structures was identified. Further research is needed to confirm this vascular orofacial pain as a distinct diagnostic category.

Area of Science:

  • Neurology
  • Pain Medicine
  • Dentistry

Background:

  • Vascular-type craniofacial pain is a recognized condition.
  • A specific subgroup predominantly affecting intraoral structures has not been clearly defined.
  • Understanding such subgroups is crucial for accurate diagnosis and treatment.

Purpose of the Study:

  • To investigate the existence of a classifiable primary vascular-type craniofacial pain subgroup.
  • To determine if this subgroup predominantly affects intraoral structures.

Main Methods:

  • Prospective study of 55 patients with periodic, unilateral, severe craniofacial pain.
  • Inclusion criteria included pain that could awaken the patient, with potential autonomic or systemic signs.
  • Patients were assessed for classification into vascular craniofacial pain categories.

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Main Results:

  • Twenty-nine patients with predominantly intraoral pain were not readily classifiable into existing vascular craniofacial pain categories.
  • In this subgroup, 70% were women, with an average onset age of 42.6 years.
  • Common symptoms included severe, episodic, unilateral pain (minutes to hours), autonomic/systemic signs, pulsatile pain, and nocturnal awakening.

Conclusions:

  • Clinical similarities suggest a potential distinct subgroup within vascular orofacial pain.
  • Further research is required to establish vascular orofacial pain as a definitive diagnostic category.
  • This study highlights the need for specialized diagnostic criteria for intraoral craniofacial pain.