Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

endo > odontogenic and non-odontogenic pain > Flashcards

odontogenic and non-odontogenic pain Flashcards

1
Q

site of pain

A

where pt senses it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

source of pain

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

referred pain

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

pain

A

An unpleasant sensory and emotional
experience associated with, or resembling that
associated with, actual or potential tissue
damage.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

nociceptive pain

A

Pain arising from activation of nociceptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

neuropathic pain

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what technique to is preffered to remve pain of SIP

A

pulpotomy, less time and simple

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

can acute pain be managed with a single Rx/ method

A

no, required multi-modal/ balanced analgesia approach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

NSAIDS increase the risk of?

A

CVD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

triple whammy of Rx interations

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

effects of cryotherapy as an analgesic

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

intracanal cryotherapy

A

can decrease post op pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

apical fenestration and pain

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

A nonodontogenic toothache

A

A nonodontogenictoothache has a source of pain that
is not the tooth the patient has indicated
Diagnostic challenge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

pain resolution with endo

A

90%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

how many cases have persistant pain, possible explanation

A

10%
- 5% untreated canals, fractures, persistent infection
- 5% neuropátic, neurovascular… etc

17
Q

Non-dental Pain as persistant pain?

A
18
Q

six month period study of pain

A
19
Q

Peripheral Sensitization

A

Increased responsiveness and reduced thresholds
of nociceptors to stimulation of their receptive
fields

20
Q

Central Sensitization

A

Increased responsiveness of nociceptive neurons in
the central nervous system to their normal or
subthreshold afferent input

21
Q

Heterotopic Pain

A

Any pain that is felt in an area other than its true source isheterotopic pain.
Cannot be provoked by stimulation of the area where the pain is felt.
Cannot be arrested unless the primary source of pain is anesthetized.

22
Q

most frequent non-odonto pain associated with RCT

A

TMD

23
Q

Myofascial pain (MFP)

A

Myofascial pain (MFP) emanates from small foci of hyperexcitable muscle tissue
Clinically these areas feel like taut bands or knots and are termed trigger points.
The pain is described as a diffuse, constant, dull, aching sensation; this may lead the clinician to a misdiagnosis of pulpal pain.
Another potentially misleading characteristic of masticatory muscle pain is that patients may report pain when chewing.

24
Q

tx MFP

A

Muscle relaxants (ciclobenzaprine/flexeril) every 24 hrs. night!

25
Q

Neuropathic (Neuritis,
Neuroma, Neuralgia

A

can occur post endo tx , rare and chronic

26
Q

endo tx persistant pain

% severly affect

A
  • 30% get persistent pain
  • Up to 10% are severely affected
27
Q

NEUROPATHIC RED FLAGS
- No apparent?
- Migration of? no?
- Does not change with?
- sense?
- Can’t be?
- Local anesthesia and analgesic?
- Doesn’t respond to?

A
  • No apparent etiology
  • Migration of pain, no improvement
  • Does not change with time
  • Atypical (Burning, electric shock)
  • Can’t be reproduced or provoked
  • Local anesthesia and analgesics ineffective
  • Doesn’t respond to dental treatment
28
Q

What is persistent post-procedural
pain (PPSP)?
*Consequence of?
*Lasts at least?
*No other explanation for?
*Not a continuation of?

A

*Consequence of surgery
*Lasts at least 2 months
*No other explanation for pain
*Not a continuation of preexisting chronic pain condition for which the surgery was performed

29
Q

do we tx pts with neuropathic orofacial plane

A

no

30
Q

forms of reffered OF pain

A

sinusitis and cancer

31
Q

Odontogenic sinusitis
Should we be diagnosing it?

A

dont diagnose this

32
Q

dentist role in odontogenic sinusitis

A

confirm maxillary odontogenic pathology

33
Q

Paroxysmal Hemicrania

A

2:1 Female: Male
Onset 20-30 years old
Severe unilateral orbital, supraorbital, and or
temporal pain lasting 10 to 30 minutes

  • HA is accompanied by at least one of the following
    1.Ipsilateral conjuctival injection and/or lacrimation
    2.Ipsilateral nasal congestion and/or rhinorrhoea
    3.Ipsilateral eyelid edema
    4.Ipsilateral horehead and facial swelling
    5.Ipsilateral miosis and/or ptosis
34
Q

CLUSTER

A

3:1 Male: Female
Onset 20-29 years old
Severe unilateral orbital, supraorbital, and or
temporal pain lasting 15 to 180 minutes if untreated

2.1.Ipsilateral conjuctival injection and/or lacrimation
2.Ipsilateral nasal congestion and/or rhinorrhoea
3.Ipsilateral eyelid edema
4.Ipsilateral horehead and facial swelling
5.Ipsilateral miosis and/or ptosis
6.Sense of restlessness or agitation

35
Q

cluster pts and sleep

A

patients dont want to sleep
+ nasal liquid discharge
+ tears

endo (22 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions