Non-odontogenic facial pain and oral dysesthesias Flashcards
what are some of the associated factors of dry socket?
trismus, swelling, unhealed socked with exposed bone
where would maxillary sinusitis be painful?
pain or discomfort over maxillary antrum with zygomatic and dental tenderness
what would make maxillary sinusitis worse?
bending forwards
what is persistent idiopathic facial pain associated/presented with?
usually unilateral, poorly localised, nagging, aching. associated with stress and fatigue
what is atypical odontalgia associated with?
localised to a specific dentoalveolar site - may have dysastehtic components
may be primary or secondary to an event such as a dental procedure, facial trauma or infection
what is post-traumatic neuropathy
burning, shock-like intensity
what is neuralgia often associated with?
sharp shooting pain
what is giant cell/temporal arteritis?
may be bilateral mostly over temporal areas - aching or throbbing
where does a chronic tension headache usually present?
over frontal, orbital or whole scalp area
BILATERAL
is a migraine usually bilateral or unilateral?
UNILATERAL in frontotemporal
with lichen planus where might it be painful?
pain localised to the areas of lesion
(intermittent) - pt may have difficulty eating certain foods
where does burning mouth syndrome usually affect pts?
tip and lateral borders of the tongue
what are some affects of burning mouth syndrome?
altered taste, denture intolerance
where do recurrent herpes labialis tend to present?
upper or lower lip
what are provoking factors of recurrent herpes labialis
stress, sunlight and menstruation
If a patient complains of non-odontogenic facial pain what type of exam is good to do?
CRANIAL NERVE exam
palpate LYMPH NODES and TMJ
muscles of mastication
palpate the temporal artery IF you suspect temporal arteritis and see if it is pulsating/tender to touch
what special investigations might you carry out to rule out odontogenic origin/pathology
vitality testing +/- radiographs
how would you manage a patient who presented with facial pain?
summarise the patient history and examination findings to ensure you are on the right page, offer reassurance and perhaps give information leaflets
if a patient is diagnosed with a chronic condition, what is it important to consider? what can be done to help this?
their mental health - refer to GP for signpost of psychological services/counselling and physical health (yoga, walking, swimming)
