orofacial pain classification

Question 1

what are the 2 classifications of orofacial pain

Answer 1

nternational classification of headache disorders ICHD

International classification of orofacial pain ICOP

Question 2

what classification is trigeminal neuralgia in

Answer 2

Orofacial pain attributed to lesion or disease of the cranial nerves

International classification of orofacial pain ICOP

Question 3

what is trigeminal neuralgia

Answer 3

Recurrent unilateral brief electric shock-like pains triggered by innocuous stimuli

Question 4

diagnostic criteria for trigeminal neuralgia

Answer 4

Recurrent sudden unilateral facial pain in one or more divisions of the trigeminal nerve with no radiation

Pain characteristics
- Lasting from fraction of a second to 2mins
- Severe intensity
- Electric shock-like, shooting, stabbing or sharp in quality

Precipitated by innocuous stimuli

Not better accounted for by another diagnosis

Question 5

what are the 3 types of trigeminal neuralgia

Answer 5

classical, secondary and idiopathic trigeminal neuralgia

Question 6

what is classical trigeminal neuralgia caused by

Answer 6

morphological changes in the nerve secondary to close relationship with a blood vessel

Question 7

what is secondary trigeminal neuralgia caused by

Answer 7

a causative disease process e.g. MS

Question 8

basic features of idiopathic facial pain

Answer 8

Daily pain

> 2hrs duration per day for >3months

No apparent abnormality to account for symptoms

Conventional analgesics usually ineffective

Question 9

what is burning mouth syndrome

Answer 9

Intraoral burning or dysaesthesia sensation, recurring for >2hrs each day for >3months, without evident causative lesions on clinical examination and investigation

Question 10

diagnostic criteria for burning mouth syndrome

Answer 10

Orofacial pain recurring daily for >2hrs per day for > 3months

Burning pain felt superficially in the oral mucosa

Oral mucosa is of normal appearance and local/systemic cause have been excluded

Not better accounted for by another diagnosis

Question 11

what is a migraine without aura

Answer 11

Recurrent headache disorder manifesting in attacks lasting 4-72hrs. Typically unilateral, pulsating quality, moderate or severe intensity, aggravation by routine physical activity and associated with nausea, noise and light sensitivity

Question 12

diagnostic criteria for migraine without aura

Answer 12

At least 5 attacks of the following

• Headache attack lasting 4-27hrs untreated or unsuccessfully treated
• At least 2 of the following characteristics
  
  • Unilateral location
  • Pulsating quality
  • Moderate or severe pain quality
  • Aggravation by or causing avoidance of routine physical activity
• During the headache at least one of the following
  
  • Nausea and/or vomiting
  • Photophobia and phonophobia (light and sound)

Not better accounted for by another diagnosis

Question 13

what is a migraine with aura

Answer 13

Recurring attacks, lasting minutes, of unilateral fully reversible visual, sensory or other central nervous system symptoms that usually develop gradually and are usually followed by headache and associated migraine symptoms

Question 14

diagnostic criteria for a migraine with aura

Answer 14

At least two attacks of the following

• one or more of the following fully reversible aura symptoms
  
  • Visual, sensory, speech, motor, brainstem, retinal

-The aura is accompanied by a headache within 60mins