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4th yr- CMS- Medicine > Non Odontogenic Facial Pain > Flashcards

Non Odontogenic Facial Pain Flashcards

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Introductory Sommelier Exam (CMS) flashcards
1
Q

List some differential diagnosis of oro facial pain

A
  1. Reversible/irreversible pulpitis
  2. Chronic apical periodontitis
  3. Dry socket
  4. Denture pain or sensitivity
  5. Maxillary sinusitis
  6. Pericoronitis
  7. Persistent idiopathic facial pain
  8. Atypical odontalgia
  9. Post traumatic neuopathy
  10. Trigeminal neuralgia
  11. Giant cell temporal arteritis
  12. Chronic tension headache or migraine
  13. Glossopharyngeal neuralgia
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2
Q

Describe the signs and symptoms of reversible pulpitis

A
  • Well localised to a tooth
  • Lasts 10-30 mins after sugar
  • Sharp stabbing throbbing dull
  • Mild to severe pain
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3
Q

Describe the signs and symptoms of irreversible pulpitis

A
  • Poor localisation intraorally
  • Pain last intermittently for hours
  • Mild full or throbbing pain
  • Occasionally set off my heat or laying down
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4
Q

What might be seen intraorally in a patient with reversible pulpitis

A

Caries in tooth

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5
Q

What might you see intraorally in a patient with irreversible pulpitis

A

Large restoration or caries with TTP

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6
Q

Describe the signs and symptoms of a patient with chronic apical periodontitis

A
  • Pain poorly localised
  • Pain last intermittent for mins to hours
  • Mild, dull or throbbing pain
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7
Q

What might you see intra orally in a patient with chronic apical periodontitis

A 
Gingivitis 
Large restoration 
Sinus may be visible 
Base taste 
Affected tooth TTP
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8
Q

Describe the signs and symptoms of a patient with periodontitis

A
  • generalised or localised pain
  • pain last intermittent for mins to hours
  • Mild, dull or throbbing pain
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9
Q

What might we see inter orally in a patient with periodontitis

A
  • Mobile teeth
  • Gingival recession
  • Poor OH
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10
Q

Describe the signs and symptoms of dry socket

A
  • Localised pain intra orally
  • Pain is continuous and throbbing
  • Severe pain
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11
Q

What might we see intraorally in a patient with dry socket

A
  • Touching or pressure on extraction socket
  • Trismis
  • Swelling
  • Unhealed socket with exposed bone
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12
Q

Describe the signs and symptoms of denture pain

A
  • Localised intraorally
  • Pain is daily and intermittent
  • Pain may be aching or sharp over mental nerve
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13
Q

What might we see intra orally in a patient with denture pain

A
  • Often redness

- Ulceration I’m area of pressure

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14
Q

Describe the signs and symptoms of denture sensitivity

A
  • Localised area of exposed dentine
  • Pain lasts second/mins
  • Sharp pain
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15
Q

What might we see intra orally in a patient with denture sensitivity

A

Defects at dental enamel junction

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16
Q

Describe the signs and symptoms of maxillary sinusitis

A
  • Pain or discomfort over maxillary antrum
  • Zygomatic and dental tenderness
  • Continuous pain
  • Dull ache
  • Patient may sense fullness in cheeks
17
Q

What might we see intra orallly in a patient with maxillary sinusitis

A
  • Purple to secretions
  • Recent URTI that cleared and retuned
  • Rhinorrhoea
  • Tooth in antrum
18
Q

Describe the signs and symptoms or pericoronitis

A
  • Pain localised to a partially erupted tooth (usually 8)
  • Continuous pain
  • Dull ache that becomes throbbing as worsens
  • Eating chewing affexted
19
Q

What might be see intraorally in a patient with pericoronitis

A
  • Limited mouth opening
  • Trismus
  • Soft tissue erythema
  • Presence of operculum around affected tooth
20
Q

Describe the signs and symptoms of persistent idiopathic facial pain

A
  • Usually unilateral
  • Deep and poorly localised
  • Continuous pain
  • Nagging aching dull pain occasionally sharp at time
21
Q

What can we also see in a patient with persistent idiopathic facial pain

A
  • Chronic widespread pain
  • HA
  • Back pain
  • Anxiety and depression
  • Stress and fatigue
22
Q

How common is persistent idiopathic facial pain

A

Rare

23
Q

Describe the signs and symptoms of atypical odontalgia

A
  • Localised pain to a specific dentoalveolar site

- Persistent pain

24
Q

Describe the signs and symptoms of post traumatic neuropathy

A
  • Continuous pain
  • Burning shock like pain
  • Pricking, tingling, pins and needles
  • moderate severity
25
Q

Describe the signs and symptoms of trigeminal neuralgia

A
  • Episodic pain lasting seconds to minutes
  • Sharp, shooting electric pain
  • Moderate to severe pain
26
Q

Describe the signs and symptoms of atypical trigeminal neuralgia

A
  • Sharp attacks for seconds to minutes
  • Constant background pain with little remission
  • Sharp shooting pain
  • Moderate to severe
  • Burning continuous mild background pain
27
Q

Describe the signs and symptoms of Glossopharyngeal neuralgia

A
  • Episode of pain lasts for seconds to 2 mins
  • Sharp stabbing pain
  • Severe
28
Q

Describe the signs and symptoms of postherpetic neuralgia

A
  • Continuous pain
  • Burning, testing, itching
  • moderate pain
29
Q

Describe the signs and symptoms of giant cell arthritis

A
  • Pain may be bilateral mostly over temporal areas
  • Continuous new sudden onset
  • Aching, throbbing sharp pain
  • Moderate to severe
30
Q

What might be see systemically in a patient with giant cell arthritis

A
  • Neck pain
  • Anorexia
  • Visual symptoms
  • Scalp tenderness
  • Systemic symptoms
  • Decreased pulse in temporal artery
31
Q

Describe the signs and symptoms of recurrent oral ulcerations

A
  • Pain Localised to areas of ulceration
  • intermittent pain that lasts for hours
  • Sharp, stabbing of throbbing
32
Q

Describe the signs and symptoms of burning mouth syndrome

A
  • Pain in tip and lateral borders or tongue
  • Continuous pain
  • Burning tender tiring nagging pain
  • Pain varies in intensity
  • Dry mouth

4th yr- CMS- Medicine (14 decks)

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