OROFACIAL PAIN.

                       OROFACIAL PAIN 

Greetings to all my dear readers.

I am back with another weblog making  you all aware of the pain, a sensory modality  that is  an emotional and unpleasant experience--OROFACIAL PAIN.

Let’s get into it..

We need to know about …

 

WHAT IS OROFACIAL PAIN:-

It is the pain associated with the hard and the soft tissues of the head ,neck and the oral cavity. 

OROFACIAL PAIN should be elucidated(making it clear) and to be applied to clinical practice now onwards and in the future too.
OROFACIAL PAIN IS ANOTHER DENTAL SPECIALITY IN WHICH A DENTIST  has a broad understanding of the diagnosis, management and treatment of the various OROFACIAL PAIN DISORDERS. 

Is a well known SPECIALITY IN DENTISTRY TAKEN UP BY THE DENTIST IN TERMS OF SUPER SPECIALITY that encompasses the diagnosis, management and treatment of pain disorders.

Is described as symptoms of pain or dysfunction in the HEAD AND NECK REGION AND THE ORAL CAVITY. 

 

PAIN PHYSIOLOGY AND ITS CLASSIFICATION TO BE REVIEWED IN DENTISTRY. 
Multiple causes of pain are there and expression of symptoms include

 EXPRESSION OF PAIN:-

Headaches.

Earache.

Neckpain.

Facial pain.

Facial burning 

Stabbing sensation.

Jaw joint pain.

Sleep deficit disorder.

Neurovascular pain disorders. 

Neuropathic disorders.


 

DIAGNOSIS OF THE OROFACIAL PAIN:

It’s very difficult to diagnose the pain.

It requires detailed examinationns and histories for the better and clear diagnosis. 

NOTE:-INDEPTH PAIN DIAGNOSIS IS VERY IMPORTANT. 

Readers let’s see the pain diagnosis which  includes.

Location-Head ,Neck and Oral cavity.

Duration-Acute and Chronic.

Frequency-continuous and intermittent.

Associated symptoms -Reffered pain and other prominent symptoms. 

Contributory factors/Excacerbating factors/Alleviating factors to be considered. 

Description of the pain in a detailed manner- like dull,excruciating, throbbing,burning, tingling, pulsating etc.

 
HISTORY AND EXAMINATION:-
Above all :-COMPLETE COOPERATION BY THE PATIENT in terms of providing information to the doctor concerned with COMPLETE HISTORY AND DETAILED EXAMINATION. 

HISTORY TAKING:-

DETAILED MEDICAL HISTORY:-
History of the PATIENT PROVIDES INFORMATION RELATED TO MEDICAL AILMENTS AND MEDICINES PRESCRIBED FOR THE SAME.

DETAILED DENTAL HISTORY WITH ANY PAST TREATMENT OR THE ONGOING TREATMENT WITH ALL THE ORAL (TEETH)MODELS IF ANY WITH THE PATIENT FOR ANALYSIS .

 

NEXT IS THE THOROUGH …

DENTAL EXAMINATION:(DIAGNOSTIC) with all the X RAYS- Digital radiography(2D AND 3D SCANS)OR ANY ADVANCED SCANS  DONE BEFOREHAND thus guiding the doctor to reach the conclusion with utmost precision and accuracy .

A range of IMAGING MODALITIES ARE AVAILABLE TO EVALUATE THE OROFACIAL PAIN:-

Dental Panoramic Tomography. (DPT).
Intra Oral Radiography( Conventional oral radiology,RVG-RadioVisioGraphy)
Extra Oral Radiography eg OPG(FULL MOUTH RADIOGRAPHY).
CONE BEAM Computed Tomography.
Multidetector Computed Tomography .
Ultrasonography(UG).
Magnetic Resonance Imaging(MRI).
NUCLEAR MEDICINE ETC.



Last but not the least --

ORAL EXAMINATION (INTRA-ORAL /EXTRA-ORAL) BY THE TREATING DOCTOR WITH ALL THE RECORDS(DIGITAL RECORDS(SOFT COPIES) AND HARD COPIES(RADIOGRAPHIC FILMS) HELPING IN PROPAGATING THE TREATMENT PLAN TOWARDS THE CORRECT AND ACCURATE DIAGNOSIS.

CLASSIFICATION OF PAIN:-



 



ACUTE AND CHRONIC PAIN DIFFERENCE:-

Readers let’s learn about..

OROFACIAL PAIN CAN REPRESENT IN MYRIAD FORMS:-

DENTAL AND NON-DENTAL ETILOGY(CAUSES):-


 

A) DENTAL RELATED:-

 PULPAL:-

DENTAL HYPERSENSITIVITY. 

REVERSIBLE and IRREVERSIBLE PULPITIS. 

PERIAPICAL PATHOLOGY.

PERIODONTAL DISEASES. 

CRACKED TOOTH SYNDROME. 

 

B) NON- DENTAL RELATED:-

 
MUSCULOSKETETAL DISORDER.

TEMPOROMANDIBULAR DISEASE.

NEURALGIAS AND NEUROPATHIES-

EG:TRIGEMMINAL NEURALGIA.

      BURNING MOUTH SYNDROME. 

IDIOPATHIC OROFACIAL PAIN-PAIN of unknown origin/No identifiable cause.

MUCOSAL ISSUES :like ORAL LICHEN PLANUS,PJOGREN’S SYNDROME, 

 
PSYCHOSOMATIC-Psychological condition involving occurrence of physical symptoms.example…Psoriasis, Eczema,stomach ulcers,high blood pressure,heart disease,aches like muscle ache and neck pain,trouble breathing(dysnoea),insomnia ,fatigue etc

 SINONASAL(SINUSITIS)-Dental sinus,sinus tumors etc.

TEMPOROMANDBULAR disorders.(TMDs) Including aching Masticatory muscles and Temporomandibular joints. 



DIAGNOSIS FOR THE OROFACIAL PAIN :-

Multidisciplinary approach is required for the OROFACIAL PAIN DISORDERS.

APPROACH FOLLOWED:-
It is pharmacological and non pharmacological approach for the  specific type of  pain disorder.

 IT COMPRISES OF...

NON-PHARMACOLOGICAL APPROACH INCLUDES:-
PHYSICAL THERAPIES AND PSYCHOLOGICAL SUPPORT to manage pain and also reduce the negative impact on the quality of life and daily functioning. 

Certain  SELF INTERVENTIONS/REGULATION WILL HELP IF FOLLOWED RELIGIOUSLY:-

Self posture relaxation,behavioral (cognitive) self regulation has so far been successful in improving long term outcomes for patients for OROFACIAL PAIN.


PHARMACOLOGICAL APPROACH INCLUDES MEDICATION PRESCRIBED ACCORDINGLY-

 
-SUITABLE FOR THE CERTAIN ACUTE OR CHRONIC ORO-FACIAL PAIN.

-ALSO DEPENDING UPON THE SYSTEMIC AILMENTS AND THEIR MEDICATION CONCERNED TO BE CONSIDERED BEFORE HAND BY THE TREATING DOCTOR.

-REFFERALS TO BE ISSUED BY THE DOCTOR FOR THE SPECIALIZED TREATMENT BASED ON THE KIND OF THE OROFACIAL PAIN .

 
BILATERAL COOPERATION:-
AGAIN EMPHASIZING ON THE BILATERAL APPROACH BY BOTH THE SPECIALIZED DENTAL PROFESSIONAL INVOLVING SPECIALIZED MEDICAL PROFESSIONAL APPROACH FOR THE MYRIAD OROFACIAL PAIN DISORDERS AND THE PATIENT‘S EXPRESSION.

 

So Dear Readers..this Blog will give you a great amount of information which will make you aware ,think and implement in a easier way about different pain disorders elicited.

 

Here I am ending my blog and conclude positively and will keep writing many more with a difference making you all well versed in a refined and simplified manner.

 

Thankyou all my dear readers with all your cooperation and  backing support in the YEAR 2021.

So........
This is my YEAR ENDING BLOG 2021.
WISH YOU ALL MY READERS A VERY HAPPY NEW YEAR BRINGING LOTS OF HAPPINESS AND GOOD HEALTH...

KEEP READING AND ENHANCE YOUR HORIZON IN THE FIELD OF DENTISTRY AND MUCH MORE BEYOND WITH TIME TO TIME BLOGS OF MINE....

LOOKING FORWARD TO MEET YOU ALL NEXT YEAR 2022 WITH MY ENGROSSING AND GRIPPING WEBLOGS WITH ENTHUSIASM AND CAPTIVATING TILL THE END......


Put in your suggestions and comments…..
Your QUERIES ARE WELCOME..


Goodbye Readers..

THANKYOU..
MERRY CHRISTMAS AND A VERY HAPPY NEW YEAR 2022.

 


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