Contributors
DAVID A. KEITH, BDS, FDSRCS, DMD (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - November 18, 2022 Category: Dentistry Source Type: research
Contents
David A. Keith, Ronald J. Kulich, Michael E. Schatman, and Steven J. Scrivani (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - November 18, 2022 Category: Dentistry Source Type: research
Forthcoming Issues
Temporomandibular Disorders: The Current Perspective (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - November 18, 2022 Category: Dentistry Source Type: research
Continued persistent facial pain despite several surgical interventions in the temporomandibular joint
This article describes a woman in her forties who spontaneously developed facial pain 19 years after double-jaw orthognathic surgery. The focus of her pain was the left side of the face, including the temporomandibular joint (TMJ). Conservative treatment was initiated, including several occlusal splints, in addition to injections with local anesthesia, botulinum toxin, and corticoster oids, with limited effects. Surgical treatments with arthroscopy and discectomy, and ultimately a TMJ prosthesis, improved the patient’s joint function but did not reduce pain. The question is whether the degenerated joint was due to prog...
Source: Dental Clinics of North America - October 28, 2022 Category: Dentistry Authors: Annika Ros èn, Espen Helgeland, Torbjørn Ø. Pedersen Source Type: research
Persistent Idiopathic Dentoalveolar Pain
This article, with a representative case presentation, briefly discusses common features that may lead to a common central cause for a variety of peripheral compla ints. (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - October 27, 2022 Category: Dentistry Authors: Gary M. Heir, Sowmya Ananthan, Mythili Kalladka, Manvitha Kuchukulla, Tara Renton Source Type: research
Masticatory Myofascial Pain Disorders
This article describes a complex case exhibiting common characteristics of MMPD while additionally reviewing the literature on classification, pathophysiology, and evidence-based treatment planning. (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - October 26, 2022 Category: Dentistry Authors: Mar ía F. Hernández-Nuño de la Rosa, Patricia Guerrero, Shuruq A. Alturki, Steven J. Scrivani Source Type: research
Burning Mouth Syndrome
This article presents a case history and reviews the epidemiology, diagnostic criteria, clinical features, diagnostic investigations, pathophysiology, and management of BMS. (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - October 26, 2022 Category: Dentistry Authors: Shehryar Nasir Khawaja, Omar F. Alaswaiti, Steven J. Scrivani Source Type: research
Posttraumatic Trigeminal Neuropathic Pain in Association with Dental Implant Surgery
Posttraumatic trigeminal neuropathy in association with dental implant surgery is preventable, and this should be the emphasis for all clinicians considering this treatment for a patient. Once the nerve injury and posttraumatic neuropathy with or without pain ensues, there is very little the clinician can do to reverse it and the high pain and permanency of the neuropathy will have a significant functional and psychological impact on the patient. Immediate implant removal is required, and home check should be routine for all cases. International diagnostic criteria are available and should be implemented in everyday practi...
Source: Dental Clinics of North America - October 26, 2022 Category: Dentistry Authors: Tara Renton, Fr éderic Van der Cruyssen Source Type: research
Trigeminal Neuralgia
This article will present a case history and review the epidemiology, diagnostic criteria, classification, clinical features, diagnostic investigations, pathophysiology, and management of TN. (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - October 26, 2022 Category: Dentistry Authors: Shehryar Nasir Khawaja, Steven J. Scrivani Source Type: research
Pathology Mimicking Orofacial Pain
A case of a 64-year-old woman is reported, who developed new-onset pain over a preexisting area of right mandibular fullness. Clinical examination, MRI, and fine-needle aspiration cytology confirmed the diagnosis of a benign parotid gland tumor-pleomorphic adenoma, which was treated by total parotidectomy with complete removal of the tumor. When evaluating a patient with orofacial pain, oral health care providers should be cognizant of all potential differential diagnoses, especially in the setting of red flags such as persistent or enlarging facial swelling/fullness. (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - October 26, 2022 Category: Dentistry Authors: Shaiba Sandhu, Shruti Handa Source Type: research
Head and Neck Cancer-Related Pain
This article will present a case study and review the epidemiology, diagnostic criteria and classification, clinical features, pathophysiology, and HNC-related pain management. (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - October 26, 2022 Category: Dentistry Authors: Shehryar Nasir Khawaja, Steven J. Scrivani Source Type: research
Posttraumatic Stress Disorder and the Role of Psychosocial Comorbidities in Chronic Orofacial Pain
This article presents the case of a patient with persistent right-sided jaw pain with a history of multiple temporomandibular joint surgeries in the setting of persistent widespread body pain, the causes of which were fibromyalgia and osteoarthritis with multiple joint replacements, as well as psychological diagnoses of PTSD and depression. Despite extensive treatment from her orofacial pain team in combination with neurology and neurosurgery, her severe pain persisted, likely due to the consequences of untreated PTSD and depression, which led to avoidance of activities that would exacerbate her pain and thus to further di...
Source: Dental Clinics of North America - October 26, 2022 Category: Dentistry Authors: Roxanne Bavarian, Michael E. Schatman, Ronald J. Kulich Source Type: research
Management of Episodic Migraine with Neuromodulation
Migraine is a highly prevalent neurovascular disorder that affects approximately 15% of the global population. Migraine attacks are a complex cascade of neurologic events that lead to debilitating symptoms and are often associated with inhibitory behavior. The constellation of severe signs and symptoms during the ictal phase (headache attack) makes migraine the third most common cause of disability globally in both sexes under the age of 50. Misuse of pharmaceuticals, such as opiates, can lead to devastating outcomes and exacerbation of pain and headache attacks. A safe and well-tolerated non-pharmacological research appro...
Source: Dental Clinics of North America - October 26, 2022 Category: Dentistry Authors: Thiago D. Nascimento, Dajung J. Kim, Conrad Chrabol, Manyoel Lim, Xiao-Su Hu, Alexandre F. DaSilva Source Type: research
Language Access and Orofacial Pain
Clear and effective communication is vital to quality patient care. More than 66 million Americans (21.5%) speak a language other than English at home, with more than 25 million (8.2%) speaking English “less than very well.” Addressing language differences in the orofacial pain setting is of utmost importance to care quality, treatment outcomes, and overall health equity. In the case presented, language-related communication challenges affect the diagnosis and management of a patient with orof acial pain. This case highlights the significance of language discordance in the clinical setting and demonstrates the need for...
Source: Dental Clinics of North America - October 26, 2022 Category: Dentistry Authors: Roxanne Bavarian, Rachel Harris, Nicole Holland Source Type: research
Orofacial Pain Case Histories with Literature Reviews
Patients with orofacial pain (OFP) present to dental practices for treatment on a regular basis. In the United States, temporomandibular disorders (TMD) and OFP affect up to 15% of the adult population1 with the prevalence of temporomandibular joint and muscle disorders ranging from 5% to 12%2 and other OFP disorders reported in 10% to 25% of the general population.3 While dentists receive excellent education regarding caries, periodontal disease, and other common dental disorders, their education in the broader area of pain and OFP, specifically, is frequently inadequate. (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - October 26, 2022 Category: Dentistry Authors: David A. Keith, Ronald J. Kulich, Michael E. Schatman, Steven J. Scrivani Tags: Preface Source Type: research
