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Michael E. Foster, D.D.S. - The problems with toothaches |
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Michael E. Foster, D.D.S. - A dentist role in diagnosis |
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Michael E. Foster, D.D.S. - How to find a dentist |
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Michael E. Foster, D.D.S. - Did my dentist cause trigeminal neuralgia? |
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John Zuniga, D.M.D., Ph.D. - Role of oral & maxillofacial surgeons |
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Donald R. Nixdorf, D.D.S., M.S. - Who is an orofacial pain practitioner? |
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Donald R. Nixdorf, D.D.S., M.S. - How orofacial pain practitioners can help |
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Donald R. Nixdorf, D.D.S., M.S. - How to find an orofacial pain practitioner |
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Donald R. Nixdorf, D.D.S., M.S. -Aspects of managing dental procedures |
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John Zuniga, D.M.D., Ph.D. -Needle injections for dental procedures |
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David A. Sirois, D.M.D., Ph.D. - Root canal therapy vs. removing a tooth |
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Donald R. Nixdorf, D.D.S., M.S. - Considering replacing teeth with dentures? |
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John Zuniga, D.M.D., Ph.D. -Dentures and implants |
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Donald R. Nixdorf, D.D.S., M.S. - Implants, Root canals, crowns, & bridges |
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Michael E. Foster, D.D.S. - Dental care for the classic trigeminal neuralgia patient |
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John Zuniga, D.M.D., Ph.D. -Dental care and procedures for trigeminal neuralgia patients |
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Michael E. Foster, D.D.S. - Classic trigeminal neuralgia patients who need immediate dental work |
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Michael E. Foster, D.D.S. - Dental care for the trigeminal neuropathic pain patient |
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Donald R. Nixdorf, D.D.S., M.S. - Splint therapy's role |
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David A. Sirois, D.M.D., Ph.D. - The trouble with splint therapy |
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Donald R. Nixdorf, D.D.S., M.S.- Treatment for Burning Mouth Syndrome |
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Donald R. Nixdorf, D.D.S., M.S. - Medications and potential oral conditions |
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Michael E. Foster, D.D.S. - Medications and potential oral problems |
Introduction
Facial pain in the oral cavity can be tricky to diagnose – especially if neuropathic facial pain is involved. Getting the right diagnosis is vital to successful treatment.
If facial pain begins in the oral cavity, most likely patients will first go to their dentist who may diagnose and manage the pain or refer the patient for further evaluation and treatment to an endodontist, oral and maxillofacial surgeon, orofacial pain practitioner, family practice physician, or possibly a neurologist.
Try to schedule dental cleanings when your pain is in remission or when your pain is the least. If you are taking facial pain medication, schedule a cleaning one hour after taking this medication. Recommend cleaning teeth on the unaffected side of the face first.
Extensive dental work may aggravate the trigeminal nerve. Only have work done that is absolutely necessary when in a pain cycle. Discuss with your dentist all of your treatment options and predicted outcomes before choosing a procedure.
Managing dental procedures varies based on three different aspects before a procedure: how well is the pain controlled, managing patient anxiety and worry, and pre-emptive analgesia to intervene with pharmacologic techniques to try and make the dental procedure and the time afterward not be as painful. Also, most dentists will need to use really profound local anesthetics for trigeminal neuralgia and neuropathic facial pain patients to make the patient really numb so they don’t feel anything during the procedure.
Articles/ReferencesFacial pain in the oral cavity can be tricky to diagnose – especially if neuropathic facial pain is involved. Getting the right diagnosis is vital to successful treatment.
If facial pain begins in the oral cavity, most likely patients will first go to their dentist who may diagnose and manage the pain or refer the patient for further evaluation and treatment to an endodontist, oral and maxillofacial surgeon, orofacial pain practitioner, family practice physician, or possibly a neurologist.
Try to schedule dental cleanings when your pain is in remission or when your pain is the least. If you are taking facial pain medication, schedule a cleaning one hour after taking this medication. Recommend cleaning teeth on the unaffected side of the face first.
Extensive dental work may aggravate the trigeminal nerve. Only have work done that is absolutely necessary when in a pain cycle. Discuss with your dentist all of your treatment options and predicted outcomes before choosing a procedure.
Managing dental procedures varies based on three different aspects before a procedure: how well is the pain controlled, managing patient anxiety and worry, and pre-emptive analgesia to intervene with pharmacologic techniques to try and make the dental procedure and the time afterward not be as painful. Also, most dentists will need to use really profound local anesthetics for trigeminal neuralgia and neuropathic facial pain patients to make the patient really numb so they don’t feel anything during the procedure.
A Dental Focus as a Cause of Trigeminal Neuralgia: Case Report
http://www.springerlink.com/content/t766m1gj42423060/
Definition of Orofacial Pain Dentistry
http://www.abop.net/index.asp?Type=B_BASIC&SEC={09420863-3242-4498-8F0D-E60442C8C8E2}
Dental Issues related to Neuropathic Facial Pain and Trigeminal Neuralgia
http://www.fpa-support.org/aboutfp/Papers/Dental.html
Facial pain: Chronic idiopathic orofacial pain: II. What can the general dental practitioner do?
http://www.nature.com/bdj/journal/v191/n2/full/4801098a.html
Facial Pain – The Long to an Accurate Diagnosis
http://www.neurologyreviews.com/jun00/nr_jun00_facepain.html
Neuropathic Orofacial Pain Brochure
http://aaop.avenet.net/index.asp?Type=B_BASIC&SEC={2D8E3967-CF24-4131-B3D6-5FD442E086E6}
Neuropathic Orofacial Pain: A review and guidelines for diagnosis and management
http://ses.library.usyd.edu.au/bitstream/2123/806/2/adt-NU20020222.15415002whole.pdf
Toothaches of Non-dental Origin
Trigeminal Neuralgia and Dental Work
Organizations
American Association of Endodontists
http://www.aae.org/
American Academy of Orofacial Pain
http://www.aaop.org/
American Association of Oral & Maxillofacial Surgeons
http://www.aaoms.org/
American Dental Association®
http://www.ada.org/
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