Orofacial neuropathic pain
ABSTRACT BACKGROUND AND OBJECTIVES: To carry out a literature review on major orofacial neuropathic pains, their differential diagnosis and therapies. CONTENTS: Neuropathic pains may be classified as episodic or continuous. They may be unilateral and more infrequently bilateral. They may last for...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira para o Estudo da Dor
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| Series: | Revista Dor |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132016000500075&lng=en&tlng=en |
| _version_ | 1811294966476963840 |
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| author | Eduardo Grossmann José Tadeu Tesserolli de Siqueira Silvia Regina Dowgan Tesseroli de Siqueira |
| author_facet | Eduardo Grossmann José Tadeu Tesserolli de Siqueira Silvia Regina Dowgan Tesseroli de Siqueira |
| author_sort | Eduardo Grossmann |
| collection | DOAJ |
| description | ABSTRACT BACKGROUND AND OBJECTIVES: To carry out a literature review on major orofacial neuropathic pains, their differential diagnosis and therapies. CONTENTS: Neuropathic pains may be classified as episodic or continuous. They may be unilateral and more infrequently bilateral. They may last for seconds, hours or days and may present as electrical shock or burning pain, favorably responding to pharmacological treatment. There are situations in which the first therapeutic choice is dental surgery and/or neurosurgery, especially in cases of malignancies. Without accurate diagnosis there is major possibility of poor results. Diagnosis is based on clinical history associated to pain quality, duration and clinical, surgical or combined therapeutic response. Additional exams may be needed in some cases, such as standard periapical radiography of the area to be investigated, panoramic X-rays, computerized tomography and magnetic resonance of the skull base for possible diagnostic confirmation. Treatment may be conservative using anticonvulsants associated or not to antidepressants, local anesthetic infiltration with or without steroid, and orofacial and neurosurgical procedures. CONCLUSION: Health professionals acting in the area of orofacial pain have to be able to establish the differential diagnosis of different neuropathic orofacial pains, since they may have similar clinical presentations involving a same facial territory in a same temporal space, responding differently to the same therapies. Understanding all of this makes available basically two favorable outcomes: improved quality of life or cure of existing neuropathic pain. |
| first_indexed | 2024-04-13T05:26:19Z |
| format | Article |
| id | doaj.art-0d7c05adca514908aedd15f8cae859d6 |
| institution | Directory Open Access Journal |
| issn | 1806-0013 2317-6393 |
| language | English |
| last_indexed | 2024-04-13T05:26:19Z |
| publisher | Sociedade Brasileira para o Estudo da Dor |
| record_format | Article |
| series | Revista Dor |
| spelling | doaj.art-0d7c05adca514908aedd15f8cae859d62022-12-22T03:00:35ZengSociedade Brasileira para o Estudo da DorRevista Dor1806-00132317-639317suppl 1757810.5935/1806-0013.20160054S1806-00132016000500075Orofacial neuropathic painEduardo GrossmannJosé Tadeu Tesserolli de SiqueiraSilvia Regina Dowgan Tesseroli de SiqueiraABSTRACT BACKGROUND AND OBJECTIVES: To carry out a literature review on major orofacial neuropathic pains, their differential diagnosis and therapies. CONTENTS: Neuropathic pains may be classified as episodic or continuous. They may be unilateral and more infrequently bilateral. They may last for seconds, hours or days and may present as electrical shock or burning pain, favorably responding to pharmacological treatment. There are situations in which the first therapeutic choice is dental surgery and/or neurosurgery, especially in cases of malignancies. Without accurate diagnosis there is major possibility of poor results. Diagnosis is based on clinical history associated to pain quality, duration and clinical, surgical or combined therapeutic response. Additional exams may be needed in some cases, such as standard periapical radiography of the area to be investigated, panoramic X-rays, computerized tomography and magnetic resonance of the skull base for possible diagnostic confirmation. Treatment may be conservative using anticonvulsants associated or not to antidepressants, local anesthetic infiltration with or without steroid, and orofacial and neurosurgical procedures. CONCLUSION: Health professionals acting in the area of orofacial pain have to be able to establish the differential diagnosis of different neuropathic orofacial pains, since they may have similar clinical presentations involving a same facial territory in a same temporal space, responding differently to the same therapies. Understanding all of this makes available basically two favorable outcomes: improved quality of life or cure of existing neuropathic pain.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132016000500075&lng=en&tlng=endor neuropáticador orofacialtratamento cirúrgicotratamento clínico |
| spellingShingle | Eduardo Grossmann José Tadeu Tesserolli de Siqueira Silvia Regina Dowgan Tesseroli de Siqueira Orofacial neuropathic pain Revista Dor dor neuropática dor orofacial tratamento cirúrgico tratamento clínico |
| title | Orofacial neuropathic pain |
| title_full | Orofacial neuropathic pain |
| title_fullStr | Orofacial neuropathic pain |
| title_full_unstemmed | Orofacial neuropathic pain |
| title_short | Orofacial neuropathic pain |
| title_sort | orofacial neuropathic pain |
| topic | dor neuropática dor orofacial tratamento cirúrgico tratamento clínico |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132016000500075&lng=en&tlng=en |
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