Lecture 11: Odontogenic & Non-odontogenic pain Flashcards

1
Q

Where people perceive their pain:

A

Site of the pain

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2
Q

The location of pathophysiologic process giving rise to the pain (may to may not be in the same region):

A

Source of the pain

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3
Q

The attribution of pain to an anatomic region that is different from the location of the etiologic process:

A

referred pain

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4
Q

Two types of pain that occur in our patients:

A
  1. odontogenic
  2. non-odontogenic
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5
Q

an unpleasant sensory and emotion experience associated with, or resembling that associated with, actual or potential tissue damage:

A

pain

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6
Q

Pain arising from activation of nociceptors:

A

nociceptive pain

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7
Q

Pain arising as a direct consequence of a lesion or disease affecting the somatosensory system:

A

neuropathic pain

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8
Q

Tooth pain:

A

odontogenic pain

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9
Q

Non-tooth pain:

A

non-odontogenic pain

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10
Q

Non-odontogenic pain is pain resulting from:

A

non-dental structures

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11
Q

List the characteristics of odontogenic pain:

  1. originates from _____ or surrounding _____
  2. originates from a ______
  3. has a typical _______
  4. direct testing and manipulation usually ____
A
  1. tooth or surrounding periodontal structures
  2. dental pathology
  3. dental history profile of endo or perio pathology
  4. reproduces symptoms
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12
Q

What must FIRST BE RULED OUT before considering other causes when a patient comes in with tooth pain?

A

Pulpal/periapical origin

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13
Q

What fibers are found in pulpal nociceptors?

A

A-beta
A-delta
C-fibers

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14
Q

List the types of nociceptors that can all be responsible for pulpal/periapical tooth pain:

A
  1. pulpal nociceptors
  2. periapical nociceptors
  3. osseous nociceptors
  4. sinus nociceptors
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15
Q

Tooth pain of pulpal/periapical origin is mitigated by treatment & medication. Give some examples:

A
  1. pulpotomy
  2. pulpectomy
  3. I&D to drain abscess
  4. Analgesics for pain
  5. Antibiotics for infection (with swelling & fever)
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16
Q

When would antibiotics be given to a patient with pulpal/periapical tooth pain?

A

When swelling & fever are present

17
Q

Due to convergence of multiple primary AFFERENT nerve fibers into a SINGLE SECOND ORDER PROJECTION FIBER in the medullary horn

A

Referred pain

18
Q

Due to increase in LOCAL NEURAL ACTIVITY or due to INCREASED STIMULATION (reduced threshold) of SECONDARY NERVE FIBERS centrally due to a BARRAGE OF PRIMARY FIBER STIMULATION (central sensitization):

A

Hypersensitivity

19
Q

Pain to what would normally be a non-painful stimulus:

A

allodynia

20
Q

Maxillary molar pain causing pain in mandinunlar tooth and jaw is an example of:

A

referred pain

21
Q

Exaggerated cold response, other teeth also very sensitive to percussion and pulpal testing are all examples of:

A

Hypersensitivity

22
Q

Severe percussion sensitivity is an example of:

A

Allodynia

23
Q

Adjacent tooth percussion sensitivity is an example of:

A

Allodynia

24
Q

Sun burn sensitivity is an example of:

A

allodynia

25
Q
A