Abstract :
Pain is one of the main symptoms for which patients seek medical attention. Pain has been designated as the “Fifth vital sign” to mark its importance as health status indicator. Orofacial dental pain may be due to various conditions affecting numerous structures local to or distant to the oral cavity including the meninges, cornea, oral, nasal, sinus mucosa, dentition, musculature, salivary glands and temporomandibular joint. Evidence support the fact that the most commonly experienced orofacial pain is dental in nature. The dental reasons should be well thought of as the first step even in cases where orofacial pain is poorly localized. One of the most common reasons for seeking dental care is said to be pain and dysfunction, usually involving the teeth and surrounding tissue. Musculoskeletal, vascular and neuropathic causes of orofacial pain occur very frequently. Orofacial disorders may have pain and associated symptoms arising from a discrete cause, such as postoperative pain or pain associated with a malignancy, or may be syndromes in which pain constitutes the primary problem, such as TMJ disorder pain or headache.
Keywords :
deep somatic pain., Dental pain, Musculoskelatal pain, Neuropathic painReferences :
1. Leung P. PAIN- The Fifth Vital Sign. A Resource in managing pain for People with Bleeding Disordes.Wyeth:5-9
2. Burket LW, Greenberg MS, Glick M. Burkett’s Textbook of Oral Medicine. 10th ed. Philadelphia, PA: Lippincott
3. Miller-Keane M. Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health. 7th ed. Philadelphia, PA: Saunders, An Imprint of Elsevier, Inc.; 2003
4. Bennett CR. Monheim’s Local Anesthesia and Pain Control in Dental Practice. 7th ed. St. Louis, MO: C.V. Mosby; 1984.
5. Okeson JP. Bell`s Orofacial Pain. 5th ed. Chicago: Quintessence Publ., Co.; 2013.
6. Fields HL, Martin JB. Harrison’s Principles of Internal Medicine. 16th ed. New York: McGraw-Hill; 2005. p. 71-6.
7. Jackson M. Pain: The fifth vital sign. A&C Black; 2012 Mar 1.
8. SarlanEi; Balciunas BA, Grace EG,Orofacial Pain—Part I. Assessment and Management of Musculoskeletal and Neuropathic Causes. AACN Clinical Issues. July-Spt 2005;Vol.16(3):333–346
9. AlJehani YA. Orofacial Pain–An Update for General Dental Practitioners. World Applied Sciences Journal. 2014; 31(4):491-9.
10. Renton T, Durham J, Aggarwal VR. The classification and differential diagnosis of orofacial pain. Expert review of neurotherapeutics. 2012 May 1;12(5):569-76.
11. Klasser G D,Fischer D J,Epstein J B. Burning Mouth Syndrome: Recognition, Understanding, and Management. Oral Maxillofacial Surgery Clinical North America, 2008: 255–271.
12. Lamey PJ, Lamb AB. Prospective study of aetiological factors in burning mouth syndrome. Br Med J (Clin Res ed) 1988; 296(6631):1243–6. (quoted in ref 28).
13. Jeffrey P.Okeson. Bells Orofacial Pain. The clinical management of Orofacial Pain.6th Edition, Cutaneous and Mucogingival Pain:231-232
14. Ingle IJ, Barkland LK. Ingle’s Endodontics.2013:376-380
15. Chandra S,Chandra Sh. Textbook of Endodontics.2001 Orofacial Pain:111-115
16. Jeffrey P.Okeson.BellsOrofacial Pain. The clinical management of Orofacial Pain 6th Edition. Pain of Dental Origin:259-286
17. okeson@uky.edu. Non-Odontogenic Toothache: A Diagnostic Challenge
18. Mellis M, Pharm M,Secci S.The Journal of Contemporary Dental Practice.March 2007;Volume 8(3):1-7
19. Kumar A, Dahiya A, Hooda A, Goel M, Kumar V, Sharma A.Trigeminal Neuralgia: The New Surgical Treatment Modalities. Journal of Oral HealthCommunity Dentistry 2015;9;1:40