Chronic/Persistent Idiopathic Facial Pain

Zakrzewska, Joanna M

doi:10.1016/j.nec.2016.02.012

Cited by 26 publications

(9 citation statements)

References 44 publications

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“…The best method of treating such patients is a combination of biopsychosocial treatments with anti depressant medications and behavioral therapy [43]. …”

Section: Discussionmentioning

confidence: 99%

Knowledge About Chronic Orofacial Pain Among General Dentists of Kermanshah, Iran

Rezaei

Sharifi

Shahrezaee

et al. 2017

TODENTJ

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Background and Objective:Diagnosis and treatment of chronic orofacial pain are one of the most challenging issues in dentistry. The purpose of this study was to assess the knowledge of general dentists regarding orofacial pain in Kermanshah, Iran.Methods:This cross-sectional study was conducted in 2016 including general dentists of Kermanshah city. A researcher-designed questionnaire was administered to collect demographic data as well as measuring knowledge of the dentists in four sections including etiology, clinical presentations, physical examination, and treatment of chronic orofacial pain. The questionnaire had acceptable validity (content validity > 0.9) and reliability (intraclass correlation coefficient= 0.857 for test re-test; Cronbach’s alpha= 0.72 for internal consistency). The data were analyzed by the SPSS software (ver. 18.0) using Spearman’s correlation coefficient (P < 0.05).Results:There were 121 male (72.9%) and 45 female (27.1%) dentists with mean (SD) age of 40.55 (8.03) years and mean (SD) practice history of 13.28 (8.43) years. Mean (SD) knowledge score was 10.54 (2.36) (maximum possible score= 15). 48.2% of dentists had good knowledge in overall. 48.2% about etiology, 45.2% about clinical presentations, 36.1% about physical examination, and 7.8% about treatment had good knowledge. Knowledge had direct and significant relationship with age (r = 0.179; P = 0.022) and practice history (r = 0.18; P = 0.021).Conclusion:The results showed that the studied dentists did not have enough knowledge about chronic orofacial pain especially in the treatment field. Therefore, it is recommended to implement educational programs to improve their knowledge.

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“…The best method of treating such patients is a combination of biopsychosocial treatments with anti depressant medications and behavioral therapy [43]. …”

Section: Discussionmentioning

confidence: 99%

Knowledge About Chronic Orofacial Pain Among General Dentists of Kermanshah, Iran

Rezaei

Sharifi

Shahrezaee

et al. 2017

TODENTJ

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“…Psychiatric and psychosocial disability have often been associated with PIFP (23), although one study on 14 PIFP patients found no significant comorbid psychiatric disorders compared to controls (22). Increased scores for anxiety and depression are common, especially in PIFP patients reporting higher pain intensity (24), indicating that a psychiatric screening should be performed (25). Systematic screening revealed that 41.3% of patients suffering from PIFP or burning mouth syndrome (BMS) had an axis I disorder (major depression was the most frequent) before the onset of orofacial pain.…”

Section: Symptomatologymentioning

confidence: 99%

Persistent idiopathic facial pain

Benoliel

Gaul

2017

Cephalalgia

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Background Persistent idiopathic facial pain (PIFP) is a chronic disorder recurring daily for more than two hours per day over more than three months, in the absence of clinical neurological deficit. PIFP is the current terminology for Atypical Facial Pain and is characterized by daily or near daily pain that is initially confined but may subsequently spread. Pain cannot be attributed to any pathological process, although traumatic neuropathic mechanisms are suspected. When present intraorally, PIFP has been termed 'Atypical Odontalgia', and this entity is discussed in a separate article in this special issue. PIFP is often a difficult but important differential diagnosis among chronic facial pain syndromes. Aim To summarize current knowledge on diagnostic criteria, differential diagnosis, pathophysiology and management of PIFP. Methods We present a narrative review reporting current literature and personal experience. Additionally, we discuss and differentiate the common differential diagnoses associated with PIFP including traumatic trigeminal neuropathies, regional myofascial pain, atypical neurovascular pains and atypical trigeminal neuropathic pains. Results and conclusion The underlying pathophysiology in PIFP is still enigmatic, however neuropathic mechanisms may be relevant. PIFP needs interdisciplinary collaboration to rule out and manage secondary causes, psychiatric comorbidities and other facial pain syndromes, particularly trigeminal neuralgia. Burden of disease and psychiatric comorbidity screening is recommended at an early stage of disease, and should be addressed in the management plan. Future research is needed to establish clear diagnostic criteria and treatment strategies based on clinical findings and individual pathophysiology.

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“…There is no specific treatment for PIFP. A multidisciplinary biopsychosocial approach with the use of antidepressant and antiepileptic drugs and psychological counseling helps relieve pain [8, 9]. In our case, the patient was obliged to stop carbamazepine because of general fatigue after the first administration.…”

Section: Discussionmentioning

confidence: 98%

Persistent Idiopathic Facial Pain Associated with Somatoform Disorder in an 11-Year-Old Boy

Sakurai

Fujii

Kato

2019

Case Reports in Psychiatry

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Persistent idiopathic facial pain (PIFP) is a poorly understood chronic disorder that rarely occurs in children. An 11-year-old boy initially presented with right cheek pain and a streptococcal infection 6 weeks previously. Facial cellulitis was suspected, which was resolved by antibiotic treatment. The right cheek pain recurred within 4 weeks of this initial visit. Because the antibiotic treatment did not relieve the pain, the patient visited our outpatient clinic. Physical examination revealed facial tenderness in an area that corresponded with the region supplied by the second branch of the trigeminal nerve (maxillary nerve), suggesting trigeminal neuralgia (TN). However, brain magnetic resonance imaging revealed no vascular compression. Furthermore, the continuous nagging and dull nature of the pain experienced by the patient differed from the sudden and severe nature of pain associated with TN. Subsequently, PIFP was diagnosed. The patient was unable to attend school because of prolonged lassitude, nausea, headache, and anorexia. Psychological counseling revealed psychological stress related to his out-of-school life. Upon learning stress management through psychotherapy, his general malaise gradually improved, and he was able to attend school with more facial expressions. This case indicates the psychogenic aspect of PIFP as well as the value of psychological counseling.

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Chronic/Persistent Idiopathic Facial Pain

Cited by 26 publications

References 44 publications

Knowledge About Chronic Orofacial Pain Among General Dentists of Kermanshah, Iran

Knowledge About Chronic Orofacial Pain Among General Dentists of Kermanshah, Iran

Persistent idiopathic facial pain

Persistent Idiopathic Facial Pain Associated with Somatoform Disorder in an 11-Year-Old Boy

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