scholarly journals Temporomandibular disorder and other causes of orofacial pain: first international classification and new treatment perspectives

2020 ◽  
Vol 4 (35) ◽  
pp. 40-46
Author(s):  
N. V. Latysheva ◽  
E. G. Filatova ◽  
Al. B. Danilov ◽  
R. R. Parsamyan ◽  
E. A. Salina

The diagnosis and treatment of orofacial pain is in many cases a complex task due to difficulties in history taking, multi‑faceted pathology, psychiatric comorbidities and psychosocial factors involved in such pain. Neurologists tend to overdiagnose trigeminal neuralgia. However, other types of neuropathiс orofacial pain are also common. Moreover, neurologists are often unfamiliar with the temporomandibular disorder and tend to neglect this extremely prevalent cause of orofacial pain. Correct understanding of the causes of orofacial pain is vital not only for treatment selection, but also to minimize the risk of adverse events associated with unnecessary madications. Moreover, untreated orofacial pain often becomes chronic and treatment resistant. Many patients in this case would require physical therapy, pharmacological treatments, cognitive behavioral therapy and other support options. The aim of this paper is to review the new International classification of orofacial pain as well as the prevalence, pathophysiology and treatment of the temporomandibular disorder, trigeminal neuralgia, persistent idiopathic facial pain, burning mouth syndrome and other forms of orofacial pain.

2021 ◽  
Vol 27 (1) ◽  
pp. 1-6
Author(s):  
Souichirou TADOKORO ◽  
Noboru NOMA ◽  
Daiki TAKANEZAWA ◽  
Kana OZASA ◽  
Akiko OKADA ◽  
...  

2020 ◽  
pp. 28-29
Author(s):  
Paulo Cesar Rodrigues Conti ◽  
Juliana Stuginski Barbosa ◽  
Leonardo R Bonjardim ◽  
Daniela Aparecida de Godoi Gonçalves

Editorial


Author(s):  
Maria Pigg ◽  
Donald R. Nixdorf ◽  
Alan S. Law ◽  
Tara Renton ◽  
Yair Sharav ◽  
...  

2008 ◽  
Vol 66 (3b) ◽  
pp. 716-719 ◽  
Author(s):  
Adriana Ronchetti de Castro ◽  
Silvia Regina Dowgan Tesseroli de Siqueira ◽  
Dirce Maria Navas Perissinotti ◽  
José Tadeu Tesseroli de Siqueira

OBJECTIVE: To determine the psychological aspects of orofacial pain in trigeminal neuralgia (TN) and temporomandibular disorder (TMD), and associated factors of coping as limitations in daily activities and feelings about the treatment and about the pain. METHOD: 30 patients were evaluated (15 with TN and 15 with TMD) using a semi-directed interview and the Hospital Anxiety Depression (HAD) scale. RESULTS: TN patients knew more about their diagnosis (p<0.001). Most of the patients with TN considered their disease severe (87%), in opposite to TMD (p=0.004); both groups had a high level of limitations in daily activities, and the most helpful factors to overcome pain were the proposed treatment followed by religiosity (p<0.04). Means of HAD scores were 10.9 for anxiety (moderate) and 11.67 for depression (mild), and were not statistically different between TMD and NT (p=0.20). CONCLUSION: TN and TMD had similar scores of anxiety and depression, therefore patients consider TN more severe than TMD. Even with higher limitations, patients with TN cope better with their disease then patients with TMD.


2020 ◽  
Vol 3 ◽  
pp. 251581632096278
Author(s):  
Noboru Imai ◽  
Asami Moriya ◽  
Eiji Kitamura

The International Classification of Orofacial Pain (ICOP) classifies orofacial pain resembling primary headache as orofacial migraine and tension-type, trigeminal autonomic, and neurovascular orofacial pain. We used the ICOP classification style to make a diagnosis on a 76-year-old woman with orofacial pain, which developed only during sleep three times per week, caused awakening, and lasted 3–4 h without cranial autonomic symptoms or restlessness. Except for the pain area, her symptoms fulfilled the diagnostic criteria for hypnic headache. We diagnosed her with orofacial pain resembling hypnic headache. We should review the cases of such patients and classify them according to the ICOP.


2020 ◽  
Vol 83/116 (6) ◽  
pp. 602-607
Author(s):  
Pavel Řehulka ◽  
Julie Bartáková ◽  
Markéta Hudečková ◽  
Tomáš Filipovský ◽  
Rudolf Kotas ◽  
...  

Author(s):  
Daniel Chavarría-Bolanos ◽  
Amaury Pozos-Guillén ◽  
Mauricio Montero-Aguilar

In 2020, two important changes were adapted by the international health community: a new definition of pain and a new classification for orofacial pain conditions. With these changes new tasks and challenges also emerged, and clinicians from several disciplines begun to adopt and reconsidered classic paradigms, and the policies derived from them. This new perspective article, examine the new definition of pain proposed by the International Association for the Study of Pain, and the new International Classification of Orofacial Pain; analyzing the positive impact and further perspectives of these.


Cephalalgia ◽  
2014 ◽  
Vol 35 (4) ◽  
pp. 291-300 ◽  
Author(s):  
Stine Maarbjerg ◽  
Morten Togo Sørensen ◽  
Aydin Gozalov ◽  
Lars Bendtsen ◽  
Jes Olesen

Introduction We aimed to field-test the beta version of the third edition of the International Classification of Headache Disorders (ICHD-3 beta) diagnostic criteria for classical trigeminal neuralgia (TN). The proposed beta draft of the 11th version of the International Classification of Diseases (ICD-11 beta) is almost exclusively based on the ICHD-3 beta classification structure although slightly abbreviated. We compared sensitivity and specificity to ICHD-2 criteria, and evaluated the needs for revision. Methods Clinical characteristics were systematically and prospectively collected from 206 consecutive TN patients and from 37 consecutive patients with persistent idiopathic facial pain in a cross-sectional study design. Results: The specificity of ICHD-3 beta was similar to ICHD-2 (97.3% vs. 89.2%, p = 0.248) and the sensitivity was unchanged (76.2% vs. 74.3%, p = 0.134). The majority of false-negative diagnoses in TN patients were due to sensory abnormalities at clinical examination. With a proposed modified version of ICHD-3 beta it was possible to increase sensitivity to 96.1% ( p < 0.001 compared to ICHD-3 beta) while maintaining specificity at 83.8% ( p = 0.074 compared to ICHD-3 beta). Conclusion ICHD-3 beta was not significantly different from ICHD-2 and both lacked sensitivity. A modification of the criteria improved the sensitivity greatly and is proposed for inclusion in the forthcoming ICHD-3.


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