Persistent Pain after Dental Surgery

Renton, Tara

doi:10.1177/204946371100500103

Cited by 15 publications

(11 citation statements)

References 40 publications

(49 reference statements)

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“…For obscure reasons, persistent postsurgery pain is uncommon in the oral and maxillofacial regions. 38 As reported by Kehlet et al., 2006, 26 only about 10% of patients who have severe intraoperative nerve damage while undergoing mandibular osteotomy go on to develop persistent postsurgery neuropathic pain. This suggests that nerve injury in itself is not sufficient to cause persistent postsurgery pain, but in most cases, other factors such as genetic, cognitive and emotional predisposition are necessary for persistent postsurgery pain to develop.…”

Section: Persistent Postsurgery Painmentioning

confidence: 91%

Section: Persistent Postsurgery Painmentioning

confidence: 99%

“…Patients with such post-traumatic iatrogenic trigeminal neuropathy may have allodynia to mechanical or cold stimuli, burning or tingling sensations and pain during functional activities. 38 Further research is necessary to identify the psychological and physiological risk factors in the pathogenesis of persistent postsurgery pain, and the reason for marked variations in its prevalence between persons of similar age, gender and health status, undergoing comparable surgeries. More information is also needed regarding the roles that socio-cultural and genetic factors, personality, cognition, and emotion play in persistent postsurgery pain; and regarding the elements of the sensory neural pathways that are impaired in subjects with persistent postsurgery pain.…”

Section: Persistent Postsurgery Painmentioning

confidence: 99%

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Pain: Persistent postsurgery and bone cancer-related pain

et al. 2019

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The generation of neuropathic pain is a complex dynamic process. Factors involved include one or more dysregulated sensory neural pathways; dysregulated activity of specific neurotransmitters, synapses, receptors and cognitive and emotional neural circuits; and the balance between degenerative and regenerative neural events. Risk factors include age, sex, cognition, emotions, genetic polymorphism, previous or ongoing chronic pain conditions and the use of certain drugs. Intense pain experienced before, during and after surgery is a risk factor for the development of central sensitization with consequent persistent postsurgery neuropathic pain. Blockade of N-methyl-D-aspartate receptors with appropriate drugs during and immediately after surgery may prevent persistent postsurgical pain. Most cancers, but particularly malignant metastases in bone, can induce persistent pain. Local factors including direct damage to sensory nerve fibres, infiltration of nerve roots by cancer cells and algogenic biological agents within the microenvironment of the tumour bring about central sensitization of dorsal horn neurons, characterized by neurochemical reorganization with persistent cancer pain. In this article, the clinical features, pathogenesis and principles of management of persistent postsurgery pain and cancer pain are briefly discussed.

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Section: Persistent Postsurgery Painmentioning

confidence: 91%

Section: Persistent Postsurgery Painmentioning

confidence: 99%

Section: Persistent Postsurgery Painmentioning

confidence: 99%

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Pain: Persistent postsurgery and bone cancer-related pain

et al. 2019

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“…The different terms and varying criteria provide great confusion among clinicians and scientists alike, as well as fodder for disagreement. A previous article in this journal provided the background for all chronic orofacial pain conditions and presented the most widely accepted classification (13). The author presented the groups of orofacial pain conditions and used the term 'persistent idiopathic facial pain (PIFP)' to classify PDAP, which is an apt description that highlights previous thinking.…”

Section: Multiple Terms and Various Diagnostic Criteriamentioning

confidence: 99%

Persistent Dento-Alveolar Pain Disorder (PDAP): Working towards a Better Understanding

Nixdorf

Moana-Filho

2011

Reviews in Pain

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k e y w o r d s Non-odontogenic tooth pain, chronic tooth pain, atypical odontalgia, phantom tooth pain, review, diagnosis, epidemiology, mechanisms s u m m a r y p o i n t s • New terminology, persistent dento-alveolar pain disorder (PDAP), and diagnostic criteria have been put forward to address the shortcomings of existing nomenclature, which are associated with unclear criteria.• Arriving at an accurate diagnosis of PDAP is based on excluding other possible aetiologies, and may involve different care providers.• Synthesis of published data suggests that PDAP has a frequency of occurrence following root canal therapy of around 1.6%.• The putative risk factors involved in PDAP are largely unknown, but seem to be similar to those being identified with other post-surgical chronic pain disorders.• The underlying mechanisms involved in the development of and/or perpetuating PDAP are unknown and the approach to treatment remains empiric in nature.

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“…The position of the condyles in relation to the temporal bone can also be altered during surgery. Furthermore, trauma (major or due to dental procedures) can result in neuropathic pain [ 7 ]. Inferior alveolar nerve injury may occur during surgery and give rise to unpleasant sensations (e.g., allodynia, dysesthesia, and paresthesia) and, in some patients, continuous aching in the lower face (i.e., hyperalgesia and neuralgia) [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Pain Complaints in Patients Undergoing Orthognathic Surgery

Agbaje

Luyten

Politis

2018

Pain Research and Management

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The aim of this retrospective study was to assess the frequency of orofacial (nonodontogenic, neuropathic, or atypical) and temporomandibular joint (TMJ) and/or masticatory muscle pain in orthognathic patients in a tertiary institution. A total of 286 consecutive patients undergoing sagittal split osteotomy from 2014 to 2016 were included. Thirty-nine (13.6%) patients presented with TMJ pain and 10 (3.5%) with orofacial nonodontogenic pain before orthognathic surgery; 79.6% (39/49) of these patients had no pain 1 year after surgery. Twenty-nine patients (12.2%) with no preoperative orofacial pain and 22 (9.3%) without preoperative TMJ pain presented with pain 1 year after surgery. Fifty-one (17.8%) of the 286 patients treated for orthognathic cases at our center over the 3-year period presented with pain 1 year after surgery. Most patients were managed conservatively with nonsurgical therapeutic modalities including counseling, physical therapy, warmth application, and bilateral chewing and splint therapy. In patients with TMJ pain refractory to conservative treatment, arthroscopic surgery was advised and successful in all patients for both pain reduction and improvement of the maximal interincisal opening. TMJ symptoms do develop after orthognathic surgery in patients with and without a previous history of TMJ complaints. Most patients can be managed with nonsurgical therapeutic modalities.

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Persistent Pain after Dental Surgery

Cited by 15 publications

References 40 publications

Pain: Persistent postsurgery and bone cancer-related pain

Pain: Persistent postsurgery and bone cancer-related pain

Persistent Dento-Alveolar Pain Disorder (PDAP): Working towards a Better Understanding

Pain Complaints in Patients Undergoing Orthognathic Surgery

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