Diagnosis and management of facial pain

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Veröffentlicht: Philadelphia [u.a.] Saunders 2000
Schriftenreihe:Oral and maxillofacial surgery clinics of North America 12,2
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adam_text DIAGNOSIS AM) MANAGEMENT OF FACIAL PAIN CONTENTS Preface xv Harry Dym Neurophysiology of Orofacial Pain 165 Robert L. Merrill This article reviews the neurophysiology of chronic orofacial pain. Empha¬ sis is placed on current research regarding peripheral and central nocicep tor channels and receptors as they relate to the development of chronic pain. The discussion revolves around neuroplastic changes that can occur after trauma and how these changes can cause chronic pain in a tooth site long after the area has healed. Psychologic Aspects of Chronic Pain 181 Stanley Bodner Psychologic conditions play a significant role in patients who present with chronic pain symptoms. This article explores various psychological conditions and their relationship to the pain patient that are most relevant to clinicians evaluating and treating these types of patients. The Differential Diagnosis of Orofacial Pains 205 Jeffrey P. Okeson Orofacial pain is a complex problem that presents as many different disorders. To effectively manage the patient s specific orofacial pain prob¬ lem the clinician must first be able to diagnose the condition. It is only through proper diagnosis that effective therapy can be applied. This article emphasizes the concept that different orofacial structures present pain with different unique clinical characteristics. It presents a clinical road map that helps the clinician to better categorize pain condition. Myofascial Pain 217 Orrett E. Ogle and Marc B. Hertz Myofascial pain syndromes refer to inflammation and pain in the muscles and associated tendons which produce a multitude of primary and second ORAL AND MAXILLOFACIAL SURGERY CLINICS OF NORTH AMERICA VOLUME 12 ¦ NUMBER 2 • MAY 2000 ix ary symptoms. Several etiologic factors have been suggested, but stress seems to play a major role. It is not unusual for the condition to become chronic. The article presents physiologic theories and suggestions for treat¬ ment. Trigeminal Neuralgia 233 Steven B. Graff Radford This article serves to review trigeminal neuralgia. There is discussion regarding the classification, pathophysiology, and treatment. There is a distinction made between the intermittent form of trigeminal neuralgia and trigeminal dysesthesia. Trigeminal dysesthesia is defined as the pain following injury to tissues in the trigeminal nerve distribution, or injury to the nerve itself. Diagnosis and Treatment of Headache 243 Harry Dym Headache is the most common ailment currently seen by clinicians in America. It behooves those practitioners who treat patients with oral and facial pain to be thoroughly familiar with the current diagnosis and treat¬ ment of headaches. Pains of Dental Origin 263 Gunnar Hasselgren Pain is a reason for seeking and also a reason for avoiding dental treat¬ ment. Although dental treatment can rid the patient of pain, it can also in itself be painful. Occasionally, the treatment may also cause postoperative pain. This article explores the various levels of dental pain and ways to test and treat these types of pain. Diagnosis and Management of Vascular Pains 275 Earl I. Clarkson The existence of a neural connection between the trigeminal nerve and cerebral blood vessels suggests a possible pathophysiological mechanism relevant to vascular pains. One possibility is that vascular pain is initiated by local production or concentration of certain nociceptive molecules in the vicinity of the vessel wall. Bradykinin, serotonin, potassium, prosta glandin, or histamine are present at sites of vessel injury and may modu¬ late the threshold for depolarization of primary sensory fibers. Burning Mouth Syndrome: Evolving Concepts 287 Miriam Grushka, Jill Kawalec, and Joel B. Epstein Burning mouth syndrome (BMS) is defined as a burning sensation of the tongue or other oral sites in the absence of clinical and laboratory findings. Diagnosis and management of BMS are difficult, causing concern for patients and health care providers. Onset is often sudden with gradually increasing pain during the day and symptoms can persist for years. Al¬ though the etiology may be associated with psychological factors, hor¬ monal imbalance, nutritional deficiencies, xerostomic, and altered salivary composition, a specific etiology is often not found. These and other issues are discussed in this article. X CONTENTS Management of Ocular and Periocular Pain 297 David H. Berman This article reviews and summarizes the anatomic and pathophysiologic basis of common and less frequently encountered disorders that might present to the clinician as ocular or periocular pain. Practical understand¬ ing to their management is discussed in a multidisciplinary approach. Diagnosis and Management of Bell s Palsy 303 Paul R. Baker A not uncommon neurological facial condition that affects patients is Bell s palsy. These patients often suffer from acute facial pain in addition to their muscular weakness. They may seek pain relief or evaluation by the oral and maxillofacial surgeon. A review of etiology, neuroanatomy, diagnosis, and treatment is presented. Pharmacologic Treatment of Acute and Chronic Orofacial Pain 309 Raymond A. Dionne Postoperative pain control is often inadequate either because of insufficient relief of pain or unacceptable side effects. Additionally, inadequate pain control during the immediate postoperative period may contribute to the development of hyperalgesia, leading to greater pain later during recovery. Optimal analgesic therapy for ambulatory dental patients should be effi¬ cacious, with a minimum incidence of side effects, and, ideally, it should lessen the prospects for pain associated with future dental therapy. The best strategy for minimizing postoperative pain is administration of a nonsteroidal anti inflammatory drug (NSAID) prior to the induction of COX 2 postoperatively. The use of repeated doses of NSAIDs for chronic orofacial pain should be re evaluated in light of their apparent lack of efficacy, the potential for serious gastrointestinal and renal toxicity with repeated dosing, and the potential for tolerance with repeated dosing. The use of NSAIDs should be limited to a short trial and discontinued if signs of gastrointestinal or renal toxicity are noted. Alternative Treatment Modalities for Orofacial Pain 321 Leslie R. Halpern and Orrett E. Ogle This article discusses alternative modes of nonsurgical treatment for pa¬ tients with facial pain. The therapeutic protocols are consistent with physi¬ ological principles already established in mainstream dentistry, surgery, and medicine. They include electrical stimulation, laser, and other transcu taneous physical and biochemical approaches. Each is described in terms of its mechanisms of action, risks, benefits, and contraindications. All lie within a comprehensive framework to manage orofacial pain syndromes of an acute and chronic nature. Current Pain Research: The Genetics of Pain 335 John R. Zuniga This article reviews the current state of knowledge about the genetics of pain related neurophysiology and pain behavior, and illustrates the scope and power of genetic approaches to the study of pain. It focuses on neuropathic pain and temporomandibular disorders because there is evi¬ dence that simple Mendelian or sex linked inheritance patterns of an inheritable pain trait may mediate differences in pain sensitivity and re CONTENTS Xi sponse to analgesics in these pain conditions. This article illustrates the usefulness of classical genetic approaches, especially when used in combi¬ nation with newly available molecular genetic techniques. Establishing a Facial Pain Center 343 Steven J. Scrivani, Ronald J. Kulich, and Howard A. Israel Complex facial pain patients are often misdiagnosed, frustrated, fright¬ ened, and wander from one practitioner to another searching for pain relief. An interdisciplinary, specialized pain center is designed to treat the whole patient and avoid fragmented care, eliminating multiple referrals to specialists at different locations. It offers patients a comprehensive evalua¬ tion and a coordinated management/treatment plan at one location with state of the art technology. Treatment is provided by pain specialists who will communicate effectively with patients and the referring physicians with emphasis on quality of care, compassion, and concern for patients and their families. Index 355 Subscription Information Inside back cover Xii CONTENTS
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spelling Diagnosis and management of facial pain Harry Dym, guest ed.
Philadelphia [u.a.] Saunders 2000
XVI S., S. 165 - 359 graph. Darst.
txt rdacontent
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nc rdacarrier
Oral and maxillofacial surgery clinics of North America 12,2
Douleur faciale - Diagnostic
Douleur faciale - Thérapeutique
Névralgie essentielle du trijumeau
Paralysie faciale de Bell
Stomatodynie
Bell Palsy
Burning Mouth Syndrome
Facial Pain diagnosis
Facial Pain therapy
Trigeminal Neuralgia
Gesichtsschmerz (DE-588)4157119-8 gnd rswk-swf
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Gesichtsschmerz (DE-588)4157119-8 s
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Dym, Harry Sonstige oth
Oral and maxillofacial surgery clinics of North America 12,2 (DE-604)BV002758944 12,2
HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009008286&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis
spellingShingle Diagnosis and management of facial pain
Oral and maxillofacial surgery clinics of North America
Douleur faciale - Diagnostic
Douleur faciale - Thérapeutique
Névralgie essentielle du trijumeau
Paralysie faciale de Bell
Stomatodynie
Bell Palsy
Burning Mouth Syndrome
Facial Pain diagnosis
Facial Pain therapy
Trigeminal Neuralgia
Gesichtsschmerz (DE-588)4157119-8 gnd
subject_GND (DE-588)4157119-8
(DE-588)4143413-4
title Diagnosis and management of facial pain
title_auth Diagnosis and management of facial pain
title_exact_search Diagnosis and management of facial pain
title_full Diagnosis and management of facial pain Harry Dym, guest ed.
title_fullStr Diagnosis and management of facial pain Harry Dym, guest ed.
title_full_unstemmed Diagnosis and management of facial pain Harry Dym, guest ed.
title_short Diagnosis and management of facial pain
title_sort diagnosis and management of facial pain
topic Douleur faciale - Diagnostic
Douleur faciale - Thérapeutique
Névralgie essentielle du trijumeau
Paralysie faciale de Bell
Stomatodynie
Bell Palsy
Burning Mouth Syndrome
Facial Pain diagnosis
Facial Pain therapy
Trigeminal Neuralgia
Gesichtsschmerz (DE-588)4157119-8 gnd
topic_facet Douleur faciale - Diagnostic
Douleur faciale - Thérapeutique
Névralgie essentielle du trijumeau
Paralysie faciale de Bell
Stomatodynie
Bell Palsy
Burning Mouth Syndrome
Facial Pain diagnosis
Facial Pain therapy
Trigeminal Neuralgia
Gesichtsschmerz
Aufsatzsammlung
url http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009008286&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA
volume_link (DE-604)BV002758944
work_keys_str_mv AT dymharry diagnosisandmanagementoffacialpain