Non-dental Facial Pain Flashcards
What is a neuropathic episodic pain?
Trigeminal Neuralgia
What is a continuous neuropathic pain?
Trigeminal neuropathy or post-herpetic neuralgia
What are some neurovascular types of pain?
Tension headaches
Migraines
Temporal arteritis - refer
What are some red flags of oro-facial pain?
Bilateral pain described as toothache
Toothache with no dental pathology
Pain radiating to the forehead
Toothache with hearing changes
Dental pain can’t be blocked.
How do you diagnose facial pain?
MH/SH/DH
Habits
All symptoms
Follow SOCRATES
What are aphthous ulcers?
Usually from trauma to the soft tissues
Aggravated by spicy foods
Treat with cellulose paste
What is TMJ disfunction?
Pain and clicking on the TMJ
Muscle tenderness
What is the treatment for trismus?
Soft diet
Anti-inflammatory analgesics
Physiotherapy
What is sinusitis?
Constant burning pain with dental tenderness.
What are the signs of sinusitis?
Maxillary teeth are TTP
Nasal discharge
Maxillary tenderness.
What is the treatment for sinusitis?
Decongestants
Antibiotics are a last resort
What are the two types of trigeminal neuralgia?
Idiopathic
Secondary
What are the symptoms of Idiopathic Trigeminal neuralgia?
Sharp, stabbing, burning pain
Triggered by touch.
What is the treatment for idiopathic TN?
Course of carbamazepine.
What is secondary TN?
Pain in the forehead or orbit.
