Odontogenic and non-odontogenic pain Flashcards
Pain
unpleasant sensory and emotional experience associated with actual or potential tissue damage
Pain theories
Gate control theory
Neuromatrix theory
Gate control theory
spinal sensitisation and CNS plasticity
pain is processed in an integrated matrix through the neuroaxis on at least 3 levels: peripheral, spinal and supraspinal
pain is controlled by a gate at the spinal cord and brain
Neuromatrix theory
pain is a multidimensional experience
useful for understanding chronic pain which may not have obvious pathological cause
genetically determined
Biobehavioural model
non-physical factors interact with physiological disturbances
Biobehavioural factors
behaviours that prolong physical dysfunction
- distorted thought processes (catastrophisation)
- emotional disturbances (hypervigilance)
- learned behaviours (kinesiophobia)
Tx of orofacial pain
non invasive procedures eg cbt