scholarly journals Orofacial Dental Pain and Its Management – A General Guide and Systemic Review

Author(s):  
Dr. Pavan Rathod ◽  

Pain is one of the main symptoms for which patients seek medical attention. Pain has been designated as the “Fifth vital sign” to mark its importance as health status indicator. Orofacial dental pain may be due to various conditions affecting numerous structures local to or distant to the oral cavity including the meninges, cornea, oral, nasal, sinus mucosa, dentition, musculature, salivary glands and temporomandibular joint. Evidence support the fact that the most commonly experienced orofacial pain is dental in nature. The dental reasons should be well thought of as the first step even in cases where orofacial pain is poorly localized. One of the most common reasons for seeking dental care is said to be pain and dysfunction, usually involving the teeth and surrounding tissue. Musculoskeletal, vascular and neuropathic causes of orofacial pain occur very frequently. Orofacial disorders may have pain and associated symptoms arising from a discrete cause, such as postoperative pain or pain associated with a malignancy, or may be syndromes in which pain constitutes the primary problem, such as TMJ disorder pain or headache.

2003 ◽  
Vol 11 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Paulo César Rodrigues Conti ◽  
Richard A. Pertes ◽  
Gary M. Heir ◽  
Cibele Nasri ◽  
Harold V. Cohen ◽  
...  

Orofacial Pain is the field of dentistry devoted to the diagnosis and management of chronic, complex, facial pain and oromotor disorders. This specialty in dentistry has developed over a number of years out of the need for better understanding of a group of patients who somehow were not clearly suffering from dental pain disorders, but still did not seem to have a clearly defined medical problem. After a long period of treating patients based on the mechanicist aspect of the disease, our profession has realized the importance of basic knowledge and differencial diagnosis in order to proper manage these patients. This modification in the approach has caused severe changes in education as well as in clinical activities. Historically considered as a problem of occlusion, Orofacial Pain, including Temporomandibular Disorders (TMD) has recently reached the status of "Specialty" in Brazil. Therefore, this paper aims to discuss the main differences between musculoskeletal and neuropathic pain and the importance of basic knowledge to perform successful management.


1989 ◽  
Vol 7 (2) ◽  
pp. 111-117 ◽  
Author(s):  
Gunnar Tellnes ◽  
Kjell-Olav B. Svendsen ◽  
Dag Bruusgaard ◽  
Tor Bjerkedal

2020 ◽  
Author(s):  
Ashis Talukder ◽  
Shaharior Rahman Razu ◽  
Sheikh Alif ◽  
Muhammad Aziz Rahman ◽  
Sheikh Mohammed Shariful Islam

Abstract Background Symptoms of the novel coronavirus disease (COVD-19) are well known, although asymptomatic cases were also reported due to this rapidly evolving viral disease. However, there has been limited research with inconsistent findings on symptoms of COVID-19 and diseases severity. We aimed to evaluate the association between symptoms and severity of disease in confirmed COVID-19 cases by performing a meta-analysis.Methods We conducted a systematic review by searching four online databases (Medline, Web of Science, EMBASE and Cochrane library) of published studies that included symptoms of COVID-19 cases and severity of the disease between 01-Jan-2020 and 20-Apr-2020. PRISMA and MOOSE guidelines were followed, and only articles published in English were selected. We performed meta-analysis using Mantel-Haenszel random-effects model. Degree of heterogeneity among studies and quality of the selected studies were evaluated.Results Out of 153 articles identified, a total of seven articles, including 3,168 participants, met the inclusion criteria and were included. The median age of the patients was 49 years, 1818 (57.38%) were males, and 574 (18.11%) reported severe conditions. Fever was the most commonly reported symptom in the reported COVID-19 confirmed cases (87.89%, 95% CI: 83.22–81.39%), which was followed by cough, myalgia or fatigue, and less proportionally dyspnea and headache. Dyspnea was the only symptom, which was associated with severity of COVID-19 (OR 2.38, 95% CI: 1.83–3.10).Conclusions Dyspnoea was found to be associated with severity of COVID-19. People with existing respiratory illnesses, such as chronic obstructive pulmonary diseases need to be careful about the onset of such symptom and should seek medical attention.


2017 ◽  
Vol 131 (6) ◽  
pp. 501-507 ◽  
Author(s):  
M Arif ◽  
M Sadlier ◽  
D Rajenderkumar ◽  
J James ◽  
T Tahir

AbstractObjective:Psychotherapeutic interventions have been adopted effectively in the management of tinnitus for a long time. This study compared mindfulness meditation and relaxation therapy for management of tinnitus.Methods:In this randomised controlled trial, patients were recruited for five sessions of mindfulness meditation or five sessions of relaxation therapy. Patients’ responses were evaluated using the Tinnitus Reaction Questionnaire as a primary outcome measure, and the Hospital Anxiety and Depression Scale, visual analogue scale and a health status indicator as secondary outcome measures.Results:A total of 86 patients were recruited. Thirty-four patients completed mindfulness meditation and 27 patients completed relaxation therapy. Statistically significant improvement was seen in all outcome measures except the health status indicator in both treatment groups. The change in treatment scores was greater in the mindfulness meditation group than in the relaxation therapy group.Conclusion:This study suggests that although both mindfulness meditation and relaxation therapy are effective in the management of tinnitus, mindfulness meditation is superior to relaxation therapy.


1995 ◽  
Vol 40 (2) ◽  
pp. 133-137 ◽  
Author(s):  
W.C. Ip ◽  
Y.K. Kwan ◽  
G.T.Y. Pong ◽  
A.C.K. Poon

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