Neuropathic orofacial pain: Facts and fiction

Baad‐Hansen, Lene; Benoliel, Rafael

doi:10.1177/0333102417706310

Cited by 106 publications

(130 citation statements)

References 79 publications

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“…2 Definitions and criteria of pain syndromes within the trigeminal system remain a matter of debate, and there has been difficulty discriminating among several entities that are summarised in Table S1. 3 Persistent dentoalveolar pain has very similar diagnostic criteria as PTNP. 4 Redundant terminology includes phantom tooth pain, painful neuropathy (non-traumatic) and atypical odontalgia.…”

Section: Introductionmentioning

confidence: 99%

Signs and symptoms, quality of life and psychosocial data in 1331 post‐traumatic trigeminal neuropathy patients seen in two tertiary referral centres in two countries

Cruyssen

Peeters

Gill

et al. 2020

J of Oral Rehabilitation

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Background Post‐traumatic trigeminal neuropathy (PTN) is a disturbance of function or pathological change of the trigeminal nerve branches following trauma and has an important impact on patient's quality of life (QoL). Objectives To provide diagnostic data on PTN and illustrate differences in aetiology, injured nerve, pain distribution, sensory profile and QoL between PTN subgroups. Methods 1331 patients with painful or non‐painful PTN were retrospectively reviewed in two centres, extracting demographic data, time and cause of trauma, clinical findings including signs and symptoms, basic neurosensory testing, imaging modalities, treatments, and QoL or psychosocial assessment. Results More females were represented (70%) than males. The inferior alveolar nerve was most frequently damaged (60%) followed by the lingual nerve (28%). Wisdom teeth removal was considered the main cause (48%). Pain was reported in 63% of patients and pain frequency increased with age without clinically significant gender differences. Numbness was reported in 50% of PTN patients. Neurosensory testing showed larger affected dermatome involvement in persistent injuries, with no differences between the non‐painful and painful PTN groups. Patient clustering indicated different sensory profile distributions when stratified according to aetiology or affected nerve branch. High interference with lifestyle was reported (78%), and patients suffering from painful PTN had worse QoL and psychosocial outcomes. Conclusion Patients with painful PTN had different clinical profiles and lower QoL scores than those with non‐painful PTN. Sensory profiles may provide important prognostic and therapeutic information; however, more research is needed to assess the clustering procedure and link these clusters to therapeutic guidelines.

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Section: Introductionmentioning

confidence: 99%

Signs and symptoms, quality of life and psychosocial data in 1331 post‐traumatic trigeminal neuropathy patients seen in two tertiary referral centres in two countries

Cruyssen

Peeters

Gill

et al. 2020

J of Oral Rehabilitation

View full text Add to dashboard Cite

show abstract

“…In daily practice, however, it is still possible to gain important information regarding the nervous system (eg bilateral comparison regarding mechanical, thermal, pain thresholds) using readily available instruments. The development of PTTNP is thought to involve a series of events where inflammation, peripheral sensitisation, ectopic firing of injured neurons, active involvement of glial cells and progressively increasing central sensitisation (“wind up”) play an important role (for review see).…”

Section: Non‐odontogenic Toothachementioning

confidence: 99%

Differential diagnosis of toothache to prevent erroneous and unnecessary dental treatment

Laat

2020

J of Oral Rehabilitation

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Toothache represents the most common example of oro-facial pain. Its origin is mostly odontogenic, but several other conditions may mimic dental pain or present themselves as such. Well-known examples are myofascial pain, trigeminal neuropathies like neuralgia and painful post-traumatic trigeminal neuropathic pain, oro-facial neurovascular pains, cardiac pain and sinus disease. This review first discusses the current knowledge on the underlying pathophysiology of heterotopic tooth pain. Afterwards, several conditions potentially presenting as toothache will be illustrated regarding clinical features, diagnosis and management. K E Y W O R D S dental pain, non-odontogenic toothache, referred pain How to cite this article: De Laat A. Differential diagnosis of toothache to prevent erroneous and unnecessary dental treatment. J Oral Rehabil. 2020;47:775-781. https://doi.

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“…Orofacial pain has numerous origins that include muscle, joint, sinus, pulpal, periodontal, and vascular sources [1]. Orofacial pain gravely impacts the patients' quality of life [2]; Pain may be relapsing and remitting, constant, or aggravated by certain factors [3].…”

Section: Introductionmentioning

confidence: 99%

Characteristics and Distribution of Facial Pain Related to Dental Conditions

Alabdullah¹,

Alabdullah²,

Somali³

et al. 2019

SJODR

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The head face, temporomandibular joint, and the maxillary and the mandibular muscles consist of the trigeminal system and hence the pain is more prevalent in these structures. The orofacial pain affects the patient's quality of life dramatically. In order to manage the orofacial pain disorders, the clinician need to be familiar with different types of etiologies and characteristics of facial region. In order to attain safe and best therapeutic results, the trigeminal system plays a significant role. It is a cross-sectional descriptive study aimed at evaluation of prevalence and characteristics of dental orofacial pain. The Diagnostic Criteria of Temporomandibular Disorders (DC/TMD) questionnaire was disseminated online, limiting participants to those who resided in Saudi Arabia. A total of 226 participants completed the survey. Axis I related disorders were diagnosed in 195 patients, whereas Axis II related disorders were diagnosed in 36 of patients. This study showed high prevalence rate and an immense range in pain intensity with commensurate and often significant impact on the quality of life. The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/ TMD), has been widely used globally to estimate prevalences of TMD. Additional research is necessary to establish comprehensive classification schemes for all patients with orofacial pain.

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Neuropathic orofacial pain: Facts and fiction

Cited by 106 publications

References 79 publications

Signs and symptoms, quality of life and psychosocial data in 1331 post‐traumatic trigeminal neuropathy patients seen in two tertiary referral centres in two countries

Signs and symptoms, quality of life and psychosocial data in 1331 post‐traumatic trigeminal neuropathy patients seen in two tertiary referral centres in two countries

Differential diagnosis of toothache to prevent erroneous and unnecessary dental treatment

Characteristics and Distribution of Facial Pain Related to Dental Conditions

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