Facial Pain Flashcards
What is nocicpetive pain
This is cause by activity in the neural pathways in response to a poteintaly damaging stimuli
This is damage to the tissues
What is neuropathic pain
Initiated or caused by a primary lesion or dysfunction in the nervous system
Damage to the nerve carrying the information - structural damage to the nerve
Name three common examples of neuropathic pain
Post hepatic neuralgia
Stroke pain
Diabetic neuropathy
The nerves have been damaged and cause pain
In neuropathic pain why is there always a fixed location
Because this is where the nerve was damaged and where it takes its primary signal from
The pain is constant and often at the same intensity
What intervention should be avoided in patients with neuropathic pain
Surgery will make it worse
What are the two most common medications used for neuropathic pain but what should be a worry about them
Pregabalin and Gabapentin
When given in too high a dose cna disrupt patients ability to think properly
Topical medication for neuropathic pain work based on what theory
Gate theory
If you irritate the nerves in the area supplied by the nerve that is painful you will ‘’gate’’ that pain off
Not so helpful in the mouth as you need to have it on all the time
What is atypical odontalgia
Dental pain without dental pathology essentially phantom tooth ache
What is persistent idiopathic facial pain
Patient has a persistant facial pain that has no cause - they have a collection of symptoms that do not fit any disease and no managment options help
What is oral dysaesthesia
An abnormal sensory perception in the absence of an abnormal stimulus
Name 4 predisposing factors to oral dysaesthisa
Deficiency states - iron vitb12 folate
Fungal and viral infections
Anxiety and stress
Gender - more women
What is dysaesthesia most likely to be caused by
Haematinic deficiency
What is Dysgeusia
Dysgeusia is a condition in which a foul, salty, rancid, or metallic taste sensation persists in the mouth. Dysgeusia is sometimes accompanied by burning mouth syndrome, a condition in which a person experiences a painful burning sensation in the mouth.
What is a Somatoform disorder
In somatoform disorders, physical symptoms suggest a physical disorder, but there are no demonstrable organic findings and there is strong evidence for link to psychological factors or conflicts.
What kind of mediations are usually used to treat Somatoform disorders
Anxiolytic medications such as Mirtazepine
