L1- Defining the Problem Flashcards
percentage of people that avoid seeing the dentist because of fear of pain
somewhere between 6% and 14%of entire population
14,000,000 - 34,000,000) voluntary avoid
definition of pain
‘unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage’
dentist must differentiate pain that stems from?
- dental
- oral
- masticatory
- elsewhere
Orofacial Pain - overview
look at slide and be able to recognize these *
Classification of Orofacial Pain
Somatic
Neuropathic
Somatic Pain
- definition
Pain orginating in any body structure other than neurogenous structures
inflamation with somatic pain? and what happens to central inhibitory control?
inflammation increases the receptivity of the neural structures
reduction in central inhibitory control will increase pain sensation
Somatic pain breakdown
Superficial pain
Deep pain
superficial somatic pain - general
the superficial surface of the body is richly innervated with receptors and sensory fibers of different types
superficial somatic pain clinical characteristics
- bright stimulating quality
- excellent localization
- the site of the pain identifies the correct localization of its source
- response to provocation at the site of pain is faithful in incidence, intensity, and location
breakdown of the superficial pain (from somatic) and examples
mucogingival - like aphatea (oral lesion in mouth or at base of gum) and cutaneous - like a skin ulcer
deep somatic pain
sensory innervation of the deeper structures of the body supplies the somatosensory cortex with constant inflow of information monitoring all the internal functioning of the body
deep somatic pain clinical characteristics
dull, depressing quality
subjective localizaton of pain is variable and diffuse
site of pain may or may not be the correct localization of its true source
breakdown of deep somatic pain
muscoloskeleton and visceral
musculoskeletal pain
branch of deep somatic pain
relates to biomechanical function
protective contraction
gradual response
visceral pain
branch of deep somatic pain
no relation to biomechanical function
is not usually felt until the threshold is reached
muscle is what type of pain
muscoloskeletal (deep somatic)
TMJ is what type of pain?
muscoloskeletal (deep somatic)
Periodontal is what type of pain?
muscoloskeletal (deep somatic)
Pulpal is what type of pain?
Visceral pain (deep somatic pain)
neuropathic pain
neuropathic pain are those that are generated within the nervous system itself
in neuropathic pain - is stimulation of receptors and nerve fibers necessary?
no this is unnecessary - neuropathic pains are those that are generated within the nervous system itself
general branches of neuropathic pain
episodic pain and continous pain
breakdown of episodic pain
Paroxismal neuralgia –> trigeminal neuralgia and glossopharyngeal neuralgia
episodic neuropathic pain
from neuropathic pain - characterized by periods of very intense pains follow by total remission
- patient is able to localize the site of pain
- the site does not identify the correct source
- response to provocation at the site of pain s unfaithful
paroxysmal neuralgia
branch of episodic
is characterized by sudden burst of electric-like pain that projects heterotopically along the course of a nerve.
1. presents at a peripheral site on the face, that when lightly touched triggers the paroxysmal pain
2. unilateral location
continuous neuropathic pain
continous neuropathic pain presents as an ongoing, unremiting pain condition
- may have some fluctuating in intensity but no periods of total remision
- will show enlargment of the receptive field and diminished central inhibitory activity
- secondary to trauma or some other damage to the neuron
neuritis and examples
pain is manifested as an ongoing, unremitting, burning sensation in the peripheral distribution of the affected nerve
*the assumed cause is an inflammatory process along the course of a nerve trunk secondary to traumatic, bacterial, viral, or toxic causes
- peripheral neuritis
- herpes zoster
psychological conditions
mood disorders, bipolar disorders, depressive disorders
mood disorders
type of psychological conditions
mental disorders that are characterized by disturbances in the patients mood
bipolar
depressive
mood disorders due to medical conditions
anxiety
bipolar disorders
type of physiological mood disorder
are characterized by alternating anic and depressive periods
depressive disorders
type of psychological conditions - mood disorder
characterized by markedly diminished interest or pleasure in activities most of the day
mood disorder due to medical condition
psychological condition - due to a medical condition
- characterized by patients who experience a prominent and persistent disturbance in mood that is a direct psychological consequence of a general medical condition
musculoskeletal pain relates to what??
biomechanical function
protective contraction
gradual response
