REFERRED PAIN IN THE TOOTH(TOOOTHACHE) FROM OTHER SOURCES.

REFERRED PAIN IN THE TOOTH(TOOOTHACHE) FROM OTHER SOURCES.

Hi to all my readers and viewers!!

Wish and hope to find u all with keeping  eyes open and appetite for knowledge to understand the MODERN-AGE DENTISTRY IN A SIMPLER WAY BY MEANS OF MY  BLOGGING PLATFORM. 

Here I am to enhance your inquisitiveness /eagerness to learn about the BASICS AND ADVANCED DENTAL FEEDS TIME TO TIME AND PUTTING IT TO UTILITY IF POSSIBLE FOR YOU ALL IN TERMS OF YOUR BETTERMENT  BOTH THE DENTAL AND OVERALL HEALTH. 

 

Let’s begin ...

When pain is the tooth/DENTAL PAIN(TYPE OF THE OROFACIAL PAIN) felt stems from a different source OF NON-ODONTOGENIC ORIGIN. 

This is what the MEDICAL PROFESSIONAL CALLS  IT AS REFERRED PAIN.

This pain is mainly evaluated by the DOCTOR DEALING WITH THE PAIN CALLED OROFACIAL PAIN SPECIALIST. 

 

Explaining it LITTLE MORE-

ON COMPLETE EVALUATION OF THE TEETH,

The  tooth/teeth or the concerned area involved can be upper or lower jaw with either right or left side is examined to rule out the ROOT -CAUSE.

BUT SOMETIMES TEETH/JAWS(HARD TISSUES) and SOFT TISSUES  ARE NOT INVOLVED IN CAUSING THE PAIN BUT SOME OTHER FOCUS IS RESPONSIBLE FOR THE SAME.

The region of the body where the pain is percieved is not the same where the pain originates.

THIS IS CALLED THE REFERRED PAIN(PAIN THAT ORIGINATES SOMEWHERE ELSE/SOURCE IS SOMEWHERE ELSE PRESENT BUT NOT IN THE MOUTH) BUT PERCIEVED AS A TYPICAL TOOTHACHE WITH ODONTOGENIC(DENTAL)ETIOLOGY.

 

 

HERE..

MY DEAR READERS AND VIEWERS...THE CAUSATIVE FACTORS THAT INCLUDE ARE THE NON- DENTAL (NO TOOTH/TEETH AND SOFT OR HARD TISSUES ANOMALIES/INFECTION/CARIES/TOOTH -RELATED PROBLEMS ETC. PRESENT).

This will surely make you aware of the wide-spread ETIOLOGY resulting pain in the mouth FROM THE FOCUS OF PAIN OUTSIDE THE MOUTH.

 

ETIOLOGY OF THE PAIN(NON- DENTAL CAUSES):-

1)NEUROLOGICAL TOOTHACHE:

Nerve disorders eg FACIAL NERVE PALSY/TRIGEMMINAL NEURALGIA/OCCIPITAL NEURALGIA(rare cause)/ATYPICAL FACIAL PAIN.

2)Temporomandibular joint disorders(  TMJ DISORDERS)-TMJ DYSFUNCTION. 

3)Ear infection(OTITIS).

4)SINUS TOOTHACHE:

Maxillary Sinus infection/sinusitis(common).

5)Jaw clenching/TEETH grinding/BRUXISM.

6)MYOFACIAL PAIN.

7)PAIN STEMMING FROM OTHER PATHOLOGICAL CONDITIONS.

8)PSYCHOGENIC PAIN-PAIN DUE TO STRESS(ANXIETY).

 

OTHER CAUSES:-

HEADACHES/NEUROVASCULAR:-

-Migraine

-Cluster headaches

MUSCULAR ACHES:-

Fibromyalgia/fibrosis.

NUTRITIONAL DEFFICIENCY:- 

Burning mouth syndrome. 

Iron,folic acid defficiency. 

Vitamin defficiency-vit B-12 too.

VIRAL INFECTION:-

Shingles/HERPES ZOSTER.

CARDIAC DISORDERS/HEART TOOTHACHE:-

Heart -related disorders.(less common).

CANCEROUS ETIOLOGY/NEOPLASTIC:

Lung cancers(likely).

BONE INFLAMMATORY DISORDERS:-

Arthritis.

MUSCULOSKETETAL /MUCOSAL PAIN:-

Myofacial pain dysfunction syndrome.

Salivary gland diseases. 

Chronic back pain.

FUNGAL INFECTION:-ORAL CANDIDIASIS/ ORAL THRUSH.

DIFFERENTIAL DIAGNOSIS MADE BEFORE REACHING THE FINAL DIAGNOSIS.

Here, CLINICAL RELEVANCE COMES INTO PLAY BY THE TREATING PAIN SPECIALIST -BY NARROWING THE DIFFERENTIAL DIAGNOSIS TO A PROBABLE DIAGNOSIS.

 

IN CASE.... WHEN PAIN DISORDERS/CONDITION MIMIC THE TOOTH PAIN-THE ORAL SURGEONS,MEDICAL SPECIALIST (PHYSICIANS),ENT-SPECIALIST NEUROLOGIST,ORTHOPEADIC SURGEON AND MANY MORE  SHOULD GO INTO DETAIL TO UNDERSTAND AND PROVIDE UTMOST CLARITY TO THE PATIENTS(INVOLVING THE MULTIDISCIPLINARY APPROACH).

FOR THE ACCURATE TREATMENT WITH THOROUGH EVALUATION. 

THE PERCEPTION AND THE TREATMENT OF THE PAIN CAN BE COMPLEX BUT THE SPECIALIST CONCERNED DO APPLY THEIR RIGHTFUL APPROACH/EXPERTISE FOR THE CORRECT TREATMENT AND NEEDFUL IN TURN FAVOURING THE WELFARE OF  PATIENTS. 

 

PAIN MANAGEMENT WITH TREATMENT MODALITIES:-

It begins with developing an accurate DIFFERENTIAL DIAGNOSIS OF DENTAL REFERRED PAIN BASED ON CLINICAL SIGNS AND SYMPTOMS.

Identification of the TRUE SOURCE AND LOCATION defines the treatment strategy  to achieve a SUCCESSFUL TREATMENT OUTCOME IN AN EFFICIENT WAY.

Most important INVESTIGATIATIONS DONE PRIOR TO THE TREATMENT ARE:-

Clinical examination- THOROUGH CORRELATION OF THE PAIN STARTING WITH THE ODONTOGENIC (DENTAL CAUSES) TO BE RULED OUT COMPLETELY(COMPLETE DENTAL SCREENING).

Radiographic examination -X-RAY-FULL MOUTH X-RAY/OPG.

Blood examination:-

Special  blood examined to be undertaken. 

History taking:

Medical history/Dental history detailed to be considered. 

THE BOTTOM LINE:

IN ORDER TO ALLEVIATE THE PAIN,VISIT TO THE  DENTIST FOR AN  ELABORATIVE TREATMENT AND FURTHER REFERENCE TO OTHER DOCTORS FOR ACCURATE JUDGEMENT OF THE PAIN REACHING THE DIAGNOSIS WITHOUT FAIL MAKINIG THE PATIENT COMFORTABLE GRADUALLY.

 

SO VIEWERS AND READERS ..

LET’S TRY AND UNDERSTAND THE PAIN AND GO IN FOR THE DIAGNOSIS AS SOON AS POSSIBLE. 

Here you all need to understand that explaining the pain in a AN ELABORATIVE MANNER TO THE TREATING DOCTOR WILL MAKE THE DIAGNOSIS  FAST AND ACCURATE. 

NOTE:- NON- ODONTOGENIC PAINS CAN POSE A DIAGNOSTIC DILEMMA FOR THE DENTAL PRACTIONER /CLINICIAN WHO ROUTINELY DIAGNOSIS AND TREATS THE PAIN.

SO THE KNOWLEDGE OF THESE  NON-DENTAL PAINS WILL PREVENT MISDIAGNOSIS AND WILL NOT CAUSE UNDUE IRREVERSIBLE AND INVASIVE PROCEDURES TO THE PATIENTS.

Kindly PONDER:-

In the nutshell,here the dentist can help and guide  you regarding your referred dental pain which could be the early signs and symptoms of the ailments with the appropriate referrals and the treatment without gross intervention in the early stages.

 

 

REFERRED PAIN CAN  CRIPPLE THE DAY TO DAY LIFESTYLE!!

REFERRED PAIN IN THE MOUTH/OROFACIAL PAIN(DENTAL PAIN) CAN BRING DOWN THE QUALITY OF LIFE IN A VERY UNPLEASANT WAY DUE TO COMPLEX NON-ODONTOGENIC PAINS(NON-DENTAL PAIN).

REFERRED PAIN IS SURELY A DIAGNOSTIC CHALLENGE /whereby pain of the NON-ODONTOGENIC ORIGIN CAN RESULT IN RADIATION OF THE PAIN TO THE DISTANT SITES MIMICKING THE TOOTHACHE. 

The dilemma faced by the clinician to find the correct origin becomes the foremost aim providing effective treatment with utmost relief after prolonged discomfort. 

SO WITH ALL SMILES..ENDING UP HERE THIS MIND BENDING BLOG..

 

THANKYOU..

SEE YOU ALL NEXT TIME..

Till then KEEP GOOD ORAL HEALTH!