Facial Pain

From WikiLectures

Primary Causes of Pain[edit | edit source]

  • Dentine sensitivity
  • pulpitis
  • periapical periodontitis
  • abscess
  • neuralgias

Neuralgias[edit | edit source]

  • Trigeminal neuralgia

Sharp stabbing episodic electric shock like pain; lasts a few sec

Trigger zone - stimulated by washing face/shaving etc.

Treated with carbamazepine 100mg 2x per day. Local anesthetic, injected to trigger zone can relief pain temporarily

  • Glossopharyngeal neuralgia

Posterolateral tongue and ear of affected side

stimuli : eating, drinking, speaking

  • Preherpetic neuralgia

Aching, burning pain, limited to distribution of trigeminal nerve

Treated with high dose acyclovir

  • Postherpetic neuralgia

Unpleasant burning pain.

Blockade of stellate ganglion with bupivicaine (local anesthetic) (short term relief)

Pain of Vascular Origin[edit | edit source]

  • migraine

Intense persisting aching pain, unilateral

Stimuli : food, alcohol, stress, hormones.

We give painkillers.

  • Cluster headache

Intense aching pain that disturbs sleep, nasal congestion.

Stimuli : alcohol, vasodilators, high altitude.

Treat with ergotamine or sumatriptan.

  • Giant cell Arteritis

Throbbing headache, unilateral, fever, malaise, weight loss

Treated with high dose prednisolone.

Atypical Orofacial Pain[edit | edit source]

Gripping, vice like aching pain, feeling of pressure

Links[edit | edit source]

Related Articles[edit | edit source]

Bibliography[edit | edit source]