Non-odontogenic facial pain and oral dysesthesias Flashcards

1
Q

what are some of the associated factors of dry socket?

A

trismus, swelling, unhealed socked with exposed bone

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2
Q

where would maxillary sinusitis be painful?

A

pain or discomfort over maxillary antrum with zygomatic and dental tenderness

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3
Q

what would make maxillary sinusitis worse?

A

bending forwards

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4
Q

what is persistent idiopathic facial pain associated/presented with?

A

usually unilateral, poorly localised, nagging, aching. associated with stress and fatigue

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5
Q

what is atypical odontalgia associated with?

A

localised to a specific dentoalveolar site - may have dysastehtic components
may be primary or secondary to an event such as a dental procedure, facial trauma or infection

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6
Q

what is post-traumatic neuropathy

A

burning, shock-like intensity

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7
Q

what is neuralgia often associated with?

A

sharp shooting pain

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8
Q

what is giant cell/temporal arteritis?

A

may be bilateral mostly over temporal areas - aching or throbbing

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9
Q

where does a chronic tension headache usually present?

A

over frontal, orbital or whole scalp area
BILATERAL

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10
Q

is a migraine usually bilateral or unilateral?

A

UNILATERAL in frontotemporal

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11
Q

with lichen planus where might it be painful?

A

pain localised to the areas of lesion
(intermittent) - pt may have difficulty eating certain foods

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12
Q

where does burning mouth syndrome usually affect pts?

A

tip and lateral borders of the tongue

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13
Q

what are some affects of burning mouth syndrome?

A

altered taste, denture intolerance

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14
Q

where do recurrent herpes labialis tend to present?

A

upper or lower lip

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15
Q

what are provoking factors of recurrent herpes labialis

A

stress, sunlight and menstruation

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16
Q

If a patient complains of non-odontogenic facial pain what type of exam is good to do?

A

CRANIAL NERVE exam
palpate LYMPH NODES and TMJ
muscles of mastication
palpate the temporal artery IF you suspect temporal arteritis and see if it is pulsating/tender to touch

17
Q

what special investigations might you carry out to rule out odontogenic origin/pathology

A

vitality testing +/- radiographs

18
Q

how would you manage a patient who presented with facial pain?

A

summarise the patient history and examination findings to ensure you are on the right page, offer reassurance and perhaps give information leaflets

19
Q

if a patient is diagnosed with a chronic condition, what is it important to consider? what can be done to help this?

A

their mental health - refer to GP for signpost of psychological services/counselling and physical health (yoga, walking, swimming)