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Facial Pain

Facial Pain REVIEW ARTICLE Steven B. Graff-Radford, DDS*†‡ and unnecessary treatment. Using a tongue blade, placed carefully Abstract: Facial pain is a debilitating disorder if left untreated. Too often, so that bite pressure is transmitted to an individual cusp, and then patients are labeled as having psychopathology when face pain etiology is asking the patient to bite and release, may evoke sharp, electrical unclear. These patients are categorized as “atypical,” “idiopathic,” or “psy- pain on release. This is indicative of a cracked tooth. A “tooth chogenic.” Cases of facial pain involving neuropathic, neurovascular, mus- slooth” is a specific instrument designed for this function. culoskeletal, as well as intracranial and extracranial systems will be re- viewed. Peripheral and central mechanisms associated with these disorders Understanding and Diagnosing Neuropathic Pain are used to provide an update of these frequently seen clinical issues. Neuropathic pain suggests that there has been some tissue or nerve injury. With injury there is a permanent peripheral nerve and (The Neurologist 2009;15: 171–177) or central nervous system (CNS) change. It is surprising that with all that the human endures; falls, scrapes, fractures, surgery, etc—that so few patients develop chronic pain. This is likely due to the brain’s ability to http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The Neurologist Wolters Kluwer Health

Facial Pain

Graff-Radford, Steven B.
The Neurologist , Volume 15 (4) – Jul 1, 2009
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ISSN
1074-7931
eISSN
2331-2637
DOI
10.1097/NRL.0b013e31819827d8
pmid
19590376
Publisher site
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Abstract

REVIEW ARTICLE Steven B. Graff-Radford, DDS*†‡ and unnecessary treatment. Using a tongue blade, placed carefully Abstract: Facial pain is a debilitating disorder if left untreated. Too often, so that bite pressure is transmitted to an individual cusp, and then patients are labeled as having psychopathology when face pain etiology is asking the patient to bite and release, may evoke sharp, electrical unclear. These patients are categorized as “atypical,” “idiopathic,” or “psy- pain on release. This is indicative of a cracked tooth. A “tooth chogenic.” Cases of facial pain involving neuropathic, neurovascular, mus- slooth” is a specific instrument designed for this function. culoskeletal, as well as intracranial and extracranial systems will be re- viewed. Peripheral and central mechanisms associated with these disorders Understanding and Diagnosing Neuropathic Pain are used to provide an update of these frequently seen clinical issues. Neuropathic pain suggests that there has been some tissue or nerve injury. With injury there is a permanent peripheral nerve and (The Neurologist 2009;15: 171–177) or central nervous system (CNS) change. It is surprising that with all that the human endures; falls, scrapes, fractures, surgery, etc—that so few patients develop chronic pain. This is likely due to the brain’s ability to

Journal

The Neurologist – Wolters Kluwer Health

Published: Jul 1, 2009

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