Persistent facial pain conditions

Heli Forssell, Per Alstergren, Merete Bakke, Tore Bjørnland, Satu K. Jääskeäinen

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Abstract

Persistent facial pains, especially temporomandibular disorders (TMD), are common conditions. As dentists are responsible for the treatment of most of these disorders, up-to date knowledge on the latest advances in the field is essential for successful diagnosis and management. The review covers TMD, and different neuropathic or putative neuropathic facial pains such as persistent idiopathic facial pain and atypical odontalgia, trigeminal neuralgia and painful posttraumatic trigeminal neuropathy. The article presents an overview of TMD pain as a biopsychosocial condition, its prevalence, clinical features, consequences, central and peripheral mechanisms, diagnostic criteria (DC/TMD), and principles of management. For each of the neuropathic facial pain entities, the definitions, prevalence, clinical features, and diagnostics are described. The current understanding of the pathophysiology of these entities is presented, and a description of the evidence based treatment methods is provided.
Original languageEnglish
JournalTandlaegebladet
Volume120
Issue number2
Pages (from-to)138-144
Number of pages7
ISSN0039-9353
Publication statusPublished - Feb 2016

Keywords

  • Faculty of Health and Medical Sciences
  • Temporomandibular disorders
  • pain pathophysiology
  • trigeminal neuralgia
  • idiopathic facial pain
  • neuropathic facial pain

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