Lecture 11: Odontogenic & Non-odontogenic pain Flashcards
Where people perceive their pain:
Site of the pain
The location of pathophysiologic process giving rise to the pain (may to may not be in the same region):
Source of the pain
The attribution of pain to an anatomic region that is different from the location of the etiologic process:
referred pain
Two types of pain that occur in our patients:
- odontogenic
- non-odontogenic
an unpleasant sensory and emotion experience associated with, or resembling that associated with, actual or potential tissue damage:
pain
Pain arising from activation of nociceptors:
nociceptive pain
Pain arising as a direct consequence of a lesion or disease affecting the somatosensory system:
neuropathic pain
Tooth pain:
odontogenic pain
Non-tooth pain:
non-odontogenic pain
Non-odontogenic pain is pain resulting from:
non-dental structures
List the characteristics of odontogenic pain:
- originates from _____ or surrounding _____
- originates from a ______
- has a typical _______
- direct testing and manipulation usually ____
- tooth or surrounding periodontal structures
- dental pathology
- dental history profile of endo or perio pathology
- reproduces symptoms
What must FIRST BE RULED OUT before considering other causes when a patient comes in with tooth pain?
Pulpal/periapical origin
What fibers are found in pulpal nociceptors?
A-beta
A-delta
C-fibers
List the types of nociceptors that can all be responsible for pulpal/periapical tooth pain:
- pulpal nociceptors
- periapical nociceptors
- osseous nociceptors
- sinus nociceptors
Tooth pain of pulpal/periapical origin is mitigated by treatment & medication. Give some examples:
- pulpotomy
- pulpectomy
- I&D to drain abscess
- Analgesics for pain
- Antibiotics for infection (with swelling & fever)