Orofacial Pain After Invasive Dental Procedures

Spierings, Egilius L.H.; Dhadwal, Shuchi

doi:10.1097/nrl.0b013e3182811968

Cited by 9 publications

(3 citation statements)

References 4 publications

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“…The incidence of direct trigeminal nerve injuries resulting from surgical dental procedures is small, but given the number of dental procedures routinely carried out, the number of affected patients is still substantial. 4,5 The majority of these injuries are reported as altered sensation and resolve spontaneously over time. Unfortunately, a small minority (about 3%) are associated with severe (sometimes disabling) pain.…”

Section: Common Clinical Scenarios Associated With Persistent Pain Af...mentioning

confidence: 99%

Persistent post-surgical orofacial pain

Canavan

Hardy

O’Sullivan

et al. 2021

Journal of the Irish Dental Association

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Delivery of pain-free dental treatment is the ultimate goal for clinicians, and the hoped-for result by patients. Thanks to the optimised use of local anaesthesia and high standards of clinical training, this goal is frequently achieved. Research also tells us that the incidence of persistent pain following dental procedures, while relatively low, is not zero. Given the number of procedures we perform as dentists, the number of patients affected with post-treatment pain is still substantial. Moreover, persistent pain is not exclusive to dentistry, but is a risk for all surgical interventions. When this pain lasts over six months it has been labelled persistent or chronic post-surgical pain (CPSP), and as expected it has a detrimental effect on the patient’s quality of life. While all persistent pain is vexing, it is especially true for persistent orofacial pain. It creates increased levels of stress, anxiety and confusion for the patient, which in turn may place a strain on the dentist-patient relationship. On occasions, patient dissatisfaction may even result in medicolegal litigation. This article describes some of the common clinical scenarios associated with chronic pain after dental procedures. Known risk factors are also discussed and recommendations are made so that clinicians might identify those at risk prior to an invasive procedure, and then possibly prevent post-surgical pain.

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Section: Common Clinical Scenarios Associated With Persistent Pain Af...mentioning

confidence: 99%

Persistent post-surgical orofacial pain

Canavan

Hardy

O’Sullivan

et al. 2021

Journal of the Irish Dental Association

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“…A diagnosis of neuropathic pain requires more than just a stabbing, jabbing, or lancinating temporal pattern but also symptoms or signs of nerve dysfunction, and the same applies to pain of a burning nature [3]. The required symptoms or signs of nerve dysfunction concern the sensory response to fine touch in the painful area, consisting of paresthesia, dysesthesia, or allodynia, respectively referring to a tingling sensation, an unpleasant sensation, or pain.…”

Section: Trigeminal Neuralgiamentioning

confidence: 99%

Diagnosis and Treatment of Face Pain: A Brief Guide

Spiering

2018

OAJNN

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Face pain is relatively common and is often thought to be caused by trigeminal neuralgia, while it rarely is. The most common cause is muscular, related to the muscles of mastication in the context of a condition referred to as myofascial temporomandibular disorder (TMD). However, other causes of face pain are possible as well and range in spectrum from continuous neuropathic face pain, sometimes with superimposed stabbing, referred to as painful trigeminal neuropathy, to non-neuropathic or nociceptive stabbing face pain, sinus vacuum, and intranasal contact. A diagnostic approach to these conditions is presented along with a brief description of the treatment options. A face-pain condition not covered here is persistent idiopathic face pain, which used to be referred to as atypical face pain, because the author considers it a non-diagnosis.

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“…Although the authors hypothesized a possible relation between nerve damage and subsequent development of CH, they also admitted that dental extraction and endodontics could have been performed in response to CH-related pain. However, the authors did not include information about the presence of paraesthesia, dysesthesia, or allodynia which has been described in patients suffering from neuropathic pain after invasive dental procedures [12].…”

Section: Introductionmentioning

confidence: 99%

Trigeminal autonomic cephalalgias presenting in a multidisciplinary tertiary orofacial pain clinic

et al. 2019

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Orofacial pain may have a variety of causes and offers a significant clinical challenge for its diagnosis and management.ObjectiveTo assess the headache disorders presenting in a tertiary multidisciplinary orofacial pain clinic, after dental causes have been excluded.MethodsClinic letters from the initial consultation and subsequent follow up reviews of the 142 patients, who were seen in the tertiary Multidisciplinary Orofacial Pain clinic between January 2015 until January 2018 were reviewed as a clinical audit.ResultsThe most common diagnoses were possible trigeminal autonomic cephalalgia (n = 62, 44%), migraine (n = 38, 27%) and painful post-traumatic trigeminal neuropathy (n = 17, 12%). The most common trigeminal autonomic cephalalgia diagnosis was hemicrania continua (n = 13, 9%), which is higher than the reported prevalence in neurology and headache clinics.ConclusionThis study demonstrates the importance of a multidisciplinary approach to diagnosing complex orofacial pain patients and the importance of awareness of primary headache disorders, in particular trigeminal autonomic cephalalgias, thereby reducing unnecessary diagnostic delays or procedures.

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Orofacial Pain After Invasive Dental Procedures

Cited by 9 publications

References 4 publications

Persistent post-surgical orofacial pain

Persistent post-surgical orofacial pain

Diagnosis and Treatment of Face Pain: A Brief Guide

Trigeminal autonomic cephalalgias presenting in a multidisciplinary tertiary orofacial pain clinic

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