Menu Expand
Oral and Maxillofacial Pain, An Issue of Oral and Maxillofacial Surgery Clinics of North America, E-Book

Oral and Maxillofacial Pain, An Issue of Oral and Maxillofacial Surgery Clinics of North America, E-Book

Steven J. Scrivani

(2016)

Additional Information

Book Details

Abstract

This issue of Oral and Maxillofacial Surgery Clinics of North America focuses on Orofacial Pain, and is edited by Dr. Steven Scrivani. Articles will include: Classification and Differential Diagnosis or Orofacial Pain; Psychological Assessment for Chronic Orofacial Pain; Myofascial Pain Disorders; Disorders of the Temporomandibular Joints; Headache and Orofacial Pain; Neuropathic Orofacial Pain; Burning Mouth Syndrome; Orofacial Movement Disorder; Pharmacological Management of Orofacial Pain; Behavioral Medicine for Chronic Orofacial Pain; Injection Therapy for Headache and Facial Pain; Cranial Neuralgias; Intraoral Pain Disorders, and more!

Table of Contents

Section Title Page Action Price
Front Cover Cover
Oral and Maxillofacial Pain\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents vii
Preface\r vii
Classification and Differential Diagnosis of Oral and Maxillofacial Pain\r vii
Chronic Orofacial Pain and Behavioral Medicine\r vii
A Model for Opioid Risk Stratification: Assessing the Psychosocial Components of Orofacial Pain\r vii
Intraoral Pain Disorders\r vii
Myofascial Pain: Mechanisms to Management\r viii
Internal Derangement of the Temporomandibular Joint: New Perspectives on an Old Problem\r viii
Temporomandibular Disorders and Headache\r viii
Cranial Neuralgias\r viii
Painful Traumatic Trigeminal Neuropathy\r ix
Burning Mouth Syndrome\r ix
Orofacial Movement Disorders\r ix
Medication Treatment Efficacy and Chronic Orofacial Pain\r ix
Injection Therapy for Headache and Facial Pain\r x
ORAL AND MAXILLOFACIAL SURGERY\rCLINICS OF NORTH AMERICA\r xi
FORTHCOMING ISSUES xi
November 2016 xi
February 2017 xi
May 2017 xi
RECENT ISSUES xi
May 2016 xi
February 2016 xi
November 2015 xi
Preface:\rOral and Maxillofacial Pain xiii
Classification and Differential Diagnosis of Oral and Maxillofacial Pain 233
Key points 233
INTRODUCTION 233
DIAGNOSTIC EVALUATION 234
Chief Complaint 235
History of Present Complaint 235
Medical History 235
Physical Examination 235
Muscle examination 235
Temporomandibular joint examination 236
Intraoral examination 236
Neurologic examination 236
Vascular examination 237
Diagnostic Imaging 237
Other Diagnostic Studies 237
Psychosocial Evaluation 237
Summary 237
CLASSIFICATION 238
REFERENCES 246
Chronic Orofacial Pain and Behavioral Medicine 247
Key points 247
INTRODUCTION 247
OROFACIAL PAIN DISORDERS AND SOMATIC FOCUS 248
HISTORICAL REVIEW OF COGNITIVE-BEHAVIORAL THERAPY AND THE THIRD-WAVE DEVELOPMENTS 249
Psychotherapy (Wave 1) 249
The Biopsychosocial Model of Health 249
Cognitive-Behavioral Therapy (Wave 2) 249
Third-Wave Therapies 250
COGNITIVE-BEHAVIORAL THERAPY 250
15 Styles of Distorted Thinking 250
Filtering 250
Polarized thinking 250
Overgeneralization 251
Mind reading 251
Catastrophizing 251
Personalization 251
Control fallacies 251
Fallacy of fairness 251
Blaming 251
Shoulds 251
Emotional reasoning 251
Fallacy of change 251
Global labeling 252
Being right 252
Heaven's reward fallacy 252
List of Tools and Specific Descriptions 252
Cognitive rehearsal 252
Validity testing 252
Writing in a journal 252
Guided discovery 252
Modeling 252
Homework 252
Aversive conditioning 252
Systematic positive reinforcement 252
THE NEUROSCIENCE OF MINDFULNESS BEHAVIOR 253
Patients with Temporomandibular Disorders and Somatic Arousal 253
Default Mode Network and Chronic Pain 253
Somatic Arousal and Patients with Chronic Pain 254
MINDFULNESS-BASED COGNITIVE THERAPY 254
THE MINDFULNESS-BASED PHYSICAL MEDICINE PROGRAM-SOMATIC QUIETING 255
The Relaxation Response 256
Mindfulness-Based Physical Medicine Protocol 256
Cervical rotation 257
Nose to armpit stretch 257
Ear to shoulder stretch 258
MINDFULNESS-BASED STRESS REDUCTION 258
REFERENCES 259
A Model for Opioid Risk Stratification 261
Key points 261
SUBSTANCE USE DISORDERS 263
A MODEL FOR RISK ASSESSMENT AND PATIENT MANAGEMENT 264
Prescription Monitoring Programs 265
Medical or Dental Records and Cross-Communication with Treating Providers and Others 266
Risk-Screening Questionnaires for Opioid Therapy 267
Counseling the Patient 268
Ask 268
Advise 269
Assess 269
Assist 269
Arrange 269
SPECIAL AT-RISK POPULATIONS 270
The Patient Currently on Opioids and the Patient Abusing Substances 270
SUMMARY 271
REFERENCES 272
Intraoral Pain Disorders 275
Key points 275
INTRODUCTION 275
DENTAL AND PULPAL 275
Caries 276
Exposed Cementum or Dentin 276
Pulpal Disease 276
Cracked Tooth Syndrome 277
PERIODONTAL 277
Gingival/Periodontal Abscess 277
Periapical Inflammatory Lesions 278
Alveolar Osteitis (Dry Socket) 278
Pericoronitis 279
ORAL MUCOSAL PAIN 279
Oral Candidiasis 279
Herpes Simplex Virus 280
Herpes Zoster (Shingles) 280
Necrotizing Periodontal Diseases 281
Recurrent Aphthous Stomatitis 281
Lichen Planus 282
Vesiculobullous Diseases 282
Squamous Cell Carcinoma 282
Oral Mucositis Related to Cancer Therapy 283
Immunocompromised States (Transplantation Medicine, Human Immunodeficiency Virus) 283
BONE 284
Osteomyelitis 284
Osteonecrosis 284
Maxillary Sinusitis 284
SALIVARY GLAND ABNORMALITIES 285
Oral Sialoliths 285
Bacterial Sialadenitis 285
Mumps 286
Sjögren’s Syndrome 286
Salivary Gland Neoplasms 286
REFERENCES 287
Myofascial Pain 289
Key points 289
INTRODUCTION 289
Most Common Chronic Pain Conditions 290
CLINICAL PRESENTATION 290
Clinical Characteristics 290
Association with Other Pain Conditions 292
Relationship to Other Muscle Pain Disorders 293
Myositis 293
Muscle spasm 293
Muscle contracture 293
Fibromyalgia 293
Examination Findings 293
Pain Symptoms 295
Contributing Factors 295
CAUSE AND PATHOPHYSIOLOGY 296
Peripheral and Central Sensitization 296
Peripheral Changes 296
Injury to Muscle Fiber Type I 297
Metabolic Distress at the Motor End Plates 297
Activation of Muscle Nociceptors 297
Central Nervous System Changes 299
Central Biasing of Nociceptive Input 299
EVIDENCE-BASED MANAGEMENT 299
Determine a Complete Problem List 300
Match the Complexity of Management to the Complexity of the Patient 300
Transformative Care Model 300
The Health Care Provider as an Agent of Change 302
Muscle exercises 302
Muscle treatments 303
Intraoral appliance therapy 304
Pharmacotherapy 304
Training to reduce risk factors 305
Interdisciplinary team management 305
SUMMARY 307
REFERENCES 307
Internal Derangement of the Temporomandibular Joint 313
Key points 313
INTRODUCTION 313
CURRENT CLASSIFICATION SYSTEMS FOR TEMPOROMANDIBULAR JOINT DISORDERS 314
INTERNAL DERANGEMENT OF THE TEMPOROMANDIBULAR JOINT: DEFINITION FROM AN ORTHOPAEDIC PERSPECTIVE 316
IS INTERNAL DERANGEMENT A DISEASE? 316
DOES INTERNAL DERANGEMENT REQUIRE TREATMENT? 317
Historical Perspectives 317
Internal Derangement Treatment: Clinical Research Results 318
Does Any Surgical Procedure Reposition and Maintain a Normal Disc Position? 319
MANAGEMENT OF TEMPOROMANDIBULAR JOINT DISORDER BASED ON DISEASE CAUSE: NEW PERSPECTIVES ON INTERNAL DERANGEMENT AS A SIGN O ... 320
Inflammatory/Degenerative Arthropathy: Pathogenesis 320
Treatment of Inflammatory/Degenerative Arthropathy 323
Systemic Arthropathy: Systemic Disorders Causing Temporomandibular Joint Disease 325
Localized Atypical Arthropathy: Intra-Articular Temporomandibular Joint Disorder that Is Atypical and Not Caused by Joint O ... 326
False Arthropathy 327
False Arthropathy Caused by Neoplasia 328
How Common Is Each Etiologic Category in the Classification of Arthropathies of the Temporomandibular Joint? 329
SUMMARY: ETIOLOGIC CLASSIFICATION OF TEMPOROMANDIBULAR JOINT DISORDERS 330
REFERENCES 330
Temporomandibular Disorders and Headache 335
Key points 335
INTRODUCTION 335
EPIDEMIOLOGY OF HEADACHE AND TEMPOROMANDIBULAR DISORDERS COMORBIDITY 336
THE PATHOPHYSIOLOGY RELATIONSHIP OF MIGRAINES AND TEMPOROMANDIBULAR DISORDERS 337
TEMPOROMANDIBULAR JOINT STRUCTURE AND FUNCTION 337
INFLAMMATORY JOINT DISORDERS 338
MUSCULAR PAIN 338
MANAGEMENT 339
Treating Headache by Targeting Temporomandibular Disorders 339
Nonsurgical Temporomandibular Disorder Treatment 340
Patient Education 340
Self-care 340
PHYSICAL THERAPY 340
ORTHOPEDIC JAW APPLIANCES (SPLINTS) 341
BEHAVIORAL INTERVENTIONS 341
PHARMACOTHERAPY 341
Nonsteroidal Antiinflammatory Drugs and Corticosteroids 341
Muscle Relaxants 342
Local Anesthetics 342
Botulinum Toxin 342
COMBINATION OF MULTIPLE THERAPIES 342
SURGICAL TREATMENT 342
TEMPOROMANDIBULAR DISORDER TREATMENTS NOT PROVEN HELPFUL OR EFFECTIVE 342
Occlusal Adjustment in Temporomandibular Disorders and Headache 343
Splint Therapy in Temporomandibular Disorders and Headache 343
SUMMARY 344
REFERENCES 344
Cranial Neuralgias 351
Key points 351
INTRODUCTION 351
CLASSICAL TRIGEMINAL NEURALGIA 351
History 351
Epidemiology 353
Cause and Pathophysiology 353
THE COMPRESSION THEORY 354
PROBLEMS WITH CURRENT THEORIES 355
THERE IS NO OBJECTIVE TEST FOR TRIGEMINAL NEURALGIA 355
TRIGEMINAL NEURALGIA PATIENTS HAVE NO CLINICAL SENSORY ABNORMALITY 356
TRIGEMINAL COMPRESSION DOES NOT PRODUCE TRIGEMINAL NEURALGIA IN ANIMALS 356
SYMPTOMS AND SIGNS 356
COMMENTS ON THE SWEET CRITERIA 357
THE PAIN IN TRIGEMINAL NEURALGIA IS PAROXYSMAL 358
THE PAIN IN TRIGEMINAL NEURALGIA MAY BE PROVOKED BY LIGHT TOUCH TO THE FACE 358
THE PAIN IN TRIGEMINAL NEURALGIA IS CONFINED TO THE TRIGEMINAL ZONE 359
THE PAIN IN TRIGEMINAL NEURALGIA IS UNILATERAL 359
THE CLINICAL SENSORY EXAMINATION IS NORMAL IN TRIGEMINAL NEURALGIA 359
DIFFERENTIAL DIAGNOSIS 359
TREATMENT 360
Medication Treatment 360
Treatment of Acute Attacks 361
Nerve and Neurolytic Blockade Treatment 361
Surgical Treatment 362
SECONDARY TRIGEMINAL NEURALGIA (PAINFUL TRIGEMINAL NEUROPATHY) 363
OTHER CRANIAL NEURALGIAS 364
OTHER TRIGEMINAL BRANCH NEURALGIAS 364
ANESTHESIA DOLOROSA 365
SUMMARY 365
REFERENCES 365
Burning Mouth Syndrome 381
Key points 381
INTRODUCTION 381
EPIDEMIOLOGY 382
DIAGNOSTIC CRITERIA 382
CLASSIFICATION 382
CLINICAL SIGNS AND SYMPTOMS 384
CAUSE 384
Local Factors 385
Systemic Factors 385
Psychological Factors 385
ASSOCIATED FEATURES 386
Saliva 386
Taste 386
Psychosocial Comorbidities 386
PATHOPHYSIOLOGIC THEORIES 386
Taste and Sensory System Interactions 386
Hormonal Alterations 387
Neuropathic Consideration 387
Peripheral small fiber neuropathy 387
Nociceptive channels and neuropeptides 387
Subclinical trigeminal neuralgia 388
Central pain related to deficient dopaminergic inhibition 388
Autoimmune disorder (lichen planus) 388
DIAGNOSIS 389
MANAGEMENT 389
Behavioral Strategies 389
Topical Therapies 391
Systemic Therapies 391
SUMMARY 391
REFERENCES 391
Medication Treatment Efficacy and Chronic Orofacial Pain 409
Key points 409
CHRONIC OROFACIAL PAIN DISEASES AND PHARMACOLOGIC TREATMENT 409
MEDICATIONS FOR TRIGEMINAL NEUROPATHIC PAIN 410
Topical Medicines for Trigeminal Neuropathic Pain 410
Gabapentinoids and Serotonin-Norepinephrine Reuptake Inhibitors Used to Treat Trigeminal Neuropathic Pain 411
Tricyclic Antidepressants for Trigeminal Neuropathic Pain 412
Opioids for Trigeminal Neuropathic Pain 412
MEDICATIONS FOR CHRONIC DAILY HEADACHES 413
Is Naproxen a Good Medication for Treating Episodic Migraine? 413
How Effective Are Preventive Medications for Chronic Migraine? 413
Use of an N-methyl-d-aspartate Receptor Blocking Agent for Chronic Migraines 414
Do Chronic Migraine Patients Take Their Medications as Prescribed? 414
Opioids for Chronic Migraine and Chronic Daily Headache 415
MEDICATIONS FOR CHRONIC MYOFASCIAL PAIN/FIBROMYALGIA 415
Efficacy of Medications to Treat Fibromyalgia 415
Effective Dose and Cost-Benefit of Pregabalin for Fibromyalgia 416
Behavioral Methods Versus Medication in the Treatment of Fibromyalgia 416
Opioids for Fibromyalgia? 416
MEDICATIONS FOR TEMPOROMANDIBULAR ARTHRITIS 417
Nonsteroidal Anti-inflammatory Drugs for Temporomandibular Osteoarthritis 417
Temporomandibular Joint Corticosteroid Injections 417
Anticytokine Therapy for Rheumatoid Arthritis 418
Opioids for Arthritis 418
SUMMARY REGARDING MEDICATIONS FOR CHRONIC OROFACIAL PAIN 419
Neuropathic Pain 419
Chronic Daily Headache 419
Fibromyalgia and Widespread Myofascial Pain 419
Osteoarthritis, Rheumatoid Arthritis, and Juvenile Idiopathic Arthritis 419
REFERENCES 419
Injection Therapy for Headache and Facial Pain 423
Key points 423
INTRODUCTION 423
CLINICAL CONDITIONS TREATED WITH INJECTION THERAPY 424
OVERVIEW OF PHARMACOLOGY 424
MECHANISMS OF NERVE BLOCK EFFECTS IN PRIMARY HEADACHE AND FACIAL PAIN DISORDERS 424
CONTRAINDICATIONS TO PERIPHERAL NERVE BLOCKADE 425
PROCEDURAL TECHNIQUE FOR NERVE BLOCKS 425
Preparation and Patient Positioning 425
Surgical Approach 425
Procedure 425
Immediate postoperative care 426
Patient care postprocedure 426
Possible Complications and Management 426
Mechanical nerve trauma 426
Systemic side effects 426
Other complications 426
SPECIFIC NERVE BLOCKS: TECHNIQUES AND CLINICAL RESULTS IN THE LITERATURE 426
Greater Occipital Nerve Block 426
Anatomy and surgical approach 426
Index 435