[Intro to Oral Medicine] Orofacial Pain

Question 1

what is pain and the types?

Answer 1

signals to brain

nociceptive pain (hand on hot pan)

Inflammatory pain (pulpitis)

Pathological pain (dysaesthesia, abnormal nervous system function)

Question 2

what are some non tooth related intra-oral pains?

Answer 2

ulcers
lichen planus (burning sensation?)
vesiculobullous disorders
salivary gland pain

Question 3

what is neuropathic pain?

Answer 3

non diseased dentoalveolar structure

burning/shooting/shocklike sensation,
most common is trigeminal neuralgia

Question 4

what is oral dysaesthesia?

Answer 4

also known as burning mouth syndrome

pain/burning sensation
altered sensation
perception of dry/excess saliva
common on tongue
mucosa looks normal

Question 5

What is TMD and its management?

Answer 5

temporomandibular disorder

pain as a result of TMJ and associated structures
- exclude dislocations/direct trauma

No specific cure, more management
meditation,
bite splints
exercise,
warm/cold therapy

Question 6

what is trigeminal neuralgia and its features + medicine used to treat?

Answer 6

electric shock like pain,
UNILATERAL

short lasting
sometimes has a cause - tumour/MS/blood vessels pressing on the nerve in neurovascular bundle

MRI ESSENTIAL

Medication: Carbamazepine