Outcomes of referrals from endodontic to orofacial pain specialists: A retrospective cohort study

Erdoğan, Özge; Ramsey, Ashley; Uyanik, James M; Gibbs, Jennifer L.; Burns, Lawton R.

doi:10.1002/cre2.497

Cited by 4 publications

(2 citation statements)

References 35 publications

(49 reference statements)

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“… 43 Further, no research has explored the association between mindfulness and pain-related outcomes in chronic orofacial pain. Given that orofacial pain conditions tend to be comorbid 44 , 45 and may share psychosocial processes, 43 assessing these coping variables in individuals with heterogeneous chronic orofacial pain may help develop interventions for this population that are scalable and implementable.…”

Section: Introductionmentioning

confidence: 99%

Association Between Coping Strategies and Pain-Related Outcomes Among Individuals with Chronic Orofacial Pain

Greenberg¹,

Bakhshaie²,

Lovette³

et al. 2022

JPR

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Background Chronic orofacial pain is associated with substantial pain-related disability and emotional distress. Understanding the relationship between individuals’ coping strategies and pain-related outcomes is important yet understudied in this population. Purpose To test the cross-sectional association of three coping strategies (pain catastrophizing, kinesiophobia and mindfulness) to four pain-related outcomes (depression, anxiety, pain intensity, and pain-related disability) among individuals with chronic orofacial pain, after accounting for relevant demographic and clinical variables. Methods Individuals (N=303) with heterogeneous chronic orofacial pain (eg, trigeminal neuralgia, other trigeminal neuropathic pain, persistent idiopathic facial pain and other types) completed self-report measures of coping (Pain Catastrophizing Scale, Tampa Scale of Kinesiophobia, and the 15-item Five Facet Mindfulness Questionnaire), pain intensity and pain-related disability (Graded Chronic Pain Scale), and PROMIS measure of anxiety and depression. We conducted 4 two-step hierarchical regressions for each of the four pain-related and emotional outcomes, with the first step including demographic and clinical covariates, and the second step including the three coping variables together. Results Pain catastrophizing was the only coping variable significantly associated with pain intensity (B=0.362, SE=0.115, p=0.002, 3% variance explained) and pain-related disability (B =0.813, SE=0.162, p<0.001, 7% variance explained). Pain catastrophizing (B=0.231-0.267, SE=0.046-0.051-0.050, p<0.001), kinesiophobia (B=0.201-0.316, SE=0.081-0.084, p<0.001-0.018), and mindfulness (B=0.231–0.306, SE=0.046-0.067, p<0.001) were each independently associated with symptoms of anxiety and depression, with the largest incremental variance added by catastrophizing (5–8%) and mindfulness (5%). Conclusion Pain catastrophizing appears to be an important intervention target to improve pain intensity, pain-related disability, anxiety and depression among individuals with chronic orofacial pain. Kinesiophobia and mindfulness may be additional treatment targets for interventions to improve anxiety and depression.

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Section: Introductionmentioning

confidence: 99%

Association Between Coping Strategies and Pain-Related Outcomes Among Individuals with Chronic Orofacial Pain

Greenberg¹,

Bakhshaie²,

Lovette³

et al. 2022

JPR

View full text Add to dashboard Cite

show abstract

“…The study concluded that it is difficult to diagnose and manage non-odontogenic pain. Patients may be more likely to experience persistent pain following endodontic therapy or suffer from an undetected, chronic orofacial pain disease as the genuine cause of their primary complaint 45 . Understanding the trigeminal system's pain neurobiology is essential to produce more effective and secure treatments.…”

Section: Collagenmentioning

confidence: 99%

General Considerations in Managing Non- Odontogenic Orofacial Pain

R. Sonar,

S. Panchbhai

2023

Int J Life Sci Pharm Res

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Orofacial pain is characterized as facial and mouth discomfort. The most prevalent inflammatory pain to appear in this area is dental pain. However, chronic pain illnesses, such as temporomandibular joint disorders, primary headaches (neurovascular), neuropathic pain, and idiopathic pain, can commonly mimic toothaches. Dentistry's specialty in orofacial pain focuses on diagnosing and treating persistent, complicated facial pain and oromotor disorders. This area of dentistry has grown throughout time due to the desire to comprehend better a group of patients who, for some reason, were not experiencing tooth pain issues. Orofacial discomfort has a major impact on morbidity and the use of medical services. Several illnesses can cause orofacial discomfort; diagnostic uncertainty is commonly seen in clinical practice. Due to their varying pain presentation, toothaches can resemble many chronic episodic orofacial pain syndromes, leading to many improperly prescribed antibiotic regimens and surgical treatments. Ear, nose, throat, and maxillofacial surgeons also fall victim to the misdiagnosis, making them not the only professionals to suffer from it. The orofacial region's complex diversity makes it difficult for doctors to handle nonodontogenic pain with an oral origin. The physician must be well-versed in the many pain problems affecting the orofacial area and the various alternatives accessible for their best care to provide a precise diagnosis and successful treatment. This paper focuses on the different types of pain, characteristics, assessments, investigations, and general considerations in managing nonodontogenic pain of the orofacial region. To adequately manage these patients, our profession has come to understand how important a fundamental understanding of orofacial pain is. Many improvements have been brought about by this adjustment in the approach in both clinical and educational settings. This review covers all general aspects of orofacial pain management.

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Outcomes of referrals from endodontic to orofacial pain specialists: A retrospective cohort study

Erdoğan

Ramsey

Uyanik

et al. 2021

Clinical & Exp Dental Res

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Objectives: Diagnosis and treatment of non-odontogenic pain is challenging for endodontists. The purpose of the study was to investigate the outcomes of referrals to orofacial pain specialists made for patients with suspected non-odontogenic pain, after evaluation and/or treatment by an endodontist. Materials and Methods:A retrospective review of dental records was conducted for 60 patients referred from a postgraduate endodontic clinic to an orofacial pain clinic.Patient demographics, pain history, endodontic, and orofacial pain diagnoses were collected. Number of visits, length of treatment, and treatments prescribed were recorded. For analysis of outcomes, data pertinent to resolution/persistence of symptoms and patient compliance were analyzed.Results: Thirty-five patients were included in the study. The most frequent pulpal and periapical diagnoses were previously treated (62%) and symptomatic apical periodontitis (72%), respectively. The most common orofacial pain diagnosis was temporomandibular disorder. The average time spent to diagnose and treat the pain was 17 months. Pain reduction varied and was documented for 51% of patients. Indications of non-compliance with orofacial pain appointments and treatments were documented for 66% of patients.Conclusions: Non-odontogenic pain diagnosis and treatment are challenging.Patients may have an increased predilection for developing persistent pain after endodontic treatment and/or have an undiagnosed, chronic orofacial pain condition as a true source of their chief complaint. It may be helpful for endodontists to set expectations of typical treatment times/plans when referring patients for evaluation and treatment of non-odontogenic pain.

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Outcomes of referrals from endodontic to orofacial pain specialists: A retrospective cohort study

Cited by 4 publications

References 35 publications

Association Between Coping Strategies and Pain-Related Outcomes Among Individuals with Chronic Orofacial Pain

Association Between Coping Strategies and Pain-Related Outcomes Among Individuals with Chronic Orofacial Pain

General Considerations in Managing Non- Odontogenic Orofacial Pain

Outcomes of referrals from endodontic to orofacial pain specialists: A retrospective cohort study

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