5 - Introduction to orofacial pain Flashcards
1
Q
What are the different types of pain?
3
A
- nociceptive pain
- inflammatory pain
- pathological pain
2
Q
Give an example of nociceptive pain.
A
Withdrawal reflex
2
Q
Give an example of inflammatory pain.
A
Irreversible pulpitis
3
Q
Give an example of pathological pain.
A
- oral dysaesthesia
- maladaptive functioning of the nervous system
4
Q
What are common causes of non-odontogenic intra-oral pain?
5
A
- ulceration
- lichen planus
- vesiculobullous disorders
- salivary gland pain
- neuropathic pain
5
Q
What is oral dysaesthesia?
A
- also known as burning mouth syndrome
- pain/burning/altered sensation
- perception of dry or excess saliva
- common on tongue
- mucosa appears normal
- doesn’t follow anatomical boundaries
- often discomfort opposed to pain
6
Q
What is TMD?
A
- temporomandibular disorders
- intermittent or continuous pain of TMJ and surrounding structures
7
Q
What is the management of TMD?
4
A
- conservative management
- bite splints
- CBT
- surgery (rare)
8
Q
What is trigeminal neuralgia?
A
- electric shock/shooting/stabbing pain
- unilateral
- severe and short lasting
- episodic
- sometimes has trigger
9
Q
What can cause trigeminal neuralgia?
4
A
- tumour
- MS
- neurovascular conflict
- idiopathic
10
Q
What is the drug management of trigeminal neuralgia?
A
- carbamazepine
- oxcarbazepine
