Perspectives on next steps in classification of oro‐facial pain – part 2: role of psychosocial factors

Durham, Justin; Raphael, Karen G.; Benoliel, Rafael; Ceusters, Werner; Michelotti, Ambra; Ohrbach, Richard

doi:10.1111/joor.12329

Cited by 24 publications

(25 citation statements)

References 67 publications

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“…However, in order for our specialty to reliably develop evidence‐based management of these conditions, alignment and rationalisation of the current nomenclature must be undertaken. A refreshing approach to apply the research diagnostic criteria used for TMD will be applied to other chronic orofacial pain conditions, allowing clarification of diagnostic terminology promoting improved consensus in assessment and management (Ceusters et al , ; Durham et al , ).…”

Section: Resultsmentioning

confidence: 99%

Chronic orofacial pain

Renton

2016

Oral Diseases

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The issues specific to trigeminal pain include the complexity of the region, the problematic impact on daily function and significant psychological impact (J Dent, 43, 2015, 1203). By nature of the geography of the pain (affecting the face, eyes, scalp, nose, mouth), it may interfere with just about every social function we take for granted and enjoy (J Orofac Pain, 25, 2011, 333). The trigeminal nerve is the largest sensory nerve in the body, protecting the essential organs that underpin our very existence (brain, eyes, nose, mouth). It is no wonder that pain within the trigeminal system in the face is often overwhelming and inescapable for the affected individual.

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Section: Resultsmentioning

confidence: 99%

Chronic orofacial pain

Renton

2016

Oral Diseases

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“…Nevertheless, Axis-II may likely have a similar effect with other chronic pain conditions of the oro-facial region, such as burning mouth syndrome and persistent dentoalveolar pain disorder. 69,70 Sleep bruxism is another condition for which clinicians should consider using Axis-II in their standard evaluation; clinical observations suggest that this group of patients often exhibits complex comorbidities and may have contributing psychosocial factors that are not readily detectable. Standard assessment is a core component of the biopsychosocial model of health care embraced by WHO.…”

Section: Effects Of the Physical Diagnosis (Axis-i) On Axis-iimentioning

confidence: 99%

Challenges in the clinical implementation of a biopsychosocial model for assessment and management of orofacial pain

Sharma

Breckons

Lambelet³

et al. 2019

J of Oral Rehabilitation

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Distress, suffering and care‐seeking behaviour are characteristics of pain‐related disease and illness. Pain that transitions from an acute to a chronic phase carries with it the potential of further effects: these include a worsening of the disease or illness; high‐impact chronic pain; and substantial personal, societal and economic burden. The biopsychosocial model directly addresses these multiple processes, yet clinical frameworks supporting this model are not universally implemented. This paper explores barriers to clinical implementation of a full biopsychosocial framework for temporomandibular disorders (TMD) and other oro‐facial pain (OFP) conditions. In June 2016, INfORM invited OFP researchers to a workshop designed to optimise the DC/TMD Axis‐II. Workshop groups identified five sources of implementation barriers: (1) cultures and societies, (2) levels‐of‐care settings, (3) health services, (4) cross‐cultural validity of self‐report instruments and (5) provider and patient health literacy. Three core problems emerged: (A) mental health aspects are seldom fully considered, thus impairing the recognition of illness, (B) training in use of validated multi‐axial assessment protocols is under‐rated and insufficiently used, and (C) clinical assessment often fails to recognise that sensory and emotional dimensions are fundamental aspects of pain. To improve patient care, these barriers and problems require action. Most importantly, TMD/OFP educators and researchers need to coordinate globally and (i) be educated in the biopsychosocial model, (ii) implement evidence‐based biopsychosocial guidelines for assessment and management of OFP conditions at their institutions, (iii) incorporate this model in undergraduate and postgraduate dental curricula and (iv) be responsive to stakeholders, including regulatory authorities and practitioners.

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“…Further elaboration is, however, beyond the scope of this paper and is, in part, addressed in Durham et al . ; moreover, we hope that others will pursue this issue with regard to oro‐facial pain taxonomic development.…”

Section: Current Pain Terminology Reflects the Exploratory Nature Of mentioning

confidence: 99%

“…We try to provide an introduction, but this study may be difficult to understand at times, given that the language is that of ontology and is necessarily one of precision. The two other papers in this series address the remaining three questions and include applications of what we develop in this paper to the respective domains of incorporating psychosocial entities and incorporating biomarker entities into a classification system.…”

Section: Introductionmentioning

confidence: 99%

Perspectives on next steps in classification of oro‐facial pain – part 1: role of ontology

Ceusters

Michelotti

Raphael

et al. 2015

J of Oral Rehabilitation

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The purpose of this paper is to review existing principles of orofacial pain classifications and to specify design recommendations for a new system that would reflect recent insights in biomedical classification systems, terminologies and ontologies. The paper was initiated by a symposium organized by the International RDC/TMD Consortium Network in March 2013, to which the present authors contributed. The following areas are addressed: problems with current classification approaches, status of the ontological basis of pain disorders, insufficient diagnostic aids and biomarkers for pain disorders, exploratory nature of current pain terminology and classification systems, and problems with prevailing classification methods from an ontological perspective. Four recommendations for addressing these problems are: 1) develop a hypothesis-driven classification structure built on principles that ensure to our best understanding an accurate description of the relations among all entities involved in orofacial pain disorders; 2) take into account the physiology and phenomenology of orofacial pain disorders in order to adequately represent both domains including psychosocial entities in a classification system; 3) plan at the beginning for field-testing at strategic development stages; and 4) consider how the classification system will be implemented. Implications in relation to the specific domains of psychosocial factors and biomarkers for inclusion into an orofacial pain classification system are described in two separate papers.

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Perspectives on next steps in classification of oro‐facial pain – part 2: role of psychosocial factors

Cited by 24 publications

References 67 publications

Chronic orofacial pain

Chronic orofacial pain

Challenges in the clinical implementation of a biopsychosocial model for assessment and management of orofacial pain

Perspectives on next steps in classification of oro‐facial pain – part 1: role of ontology

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