Tag Archives | neuralgia

How to Manage Pain Patients in Dental Practice

An interesting article appears in J Can Dent Assoc 2012;78:c83 titled “Neuropathic Orofacial Pain Patients in Need of Dental Care,” written by Gary D. Klasser and Henry A. Gremillion. It was posted online on August 17, 2012, over at http://www.jcda.ca/article/c83. The abstract of the article states “Dental pain is a common complaint among the general population. Most pain is a result of traumatic injury or bacterial infection in pulpal and periapical tissues, and dental practitioners are successful at diagnosing these conditions and providing prompt relief. However, in some cases, patients continue to complain of persistent pain, which may be categorized as neuropathic. These people may avoid or neglect routine dental treatment or interventions to prevent precipitation, perpetuation or exacerbation of their pain condition, and practitioners may have to modify their procedures when managing the dental needs of this unique population.” The article mentions that most dental pain is the result of traumatic injury or bacterial infection and classified as nociceptive or inflammatory. A description of the differences between nociceptive and inflammatory pain is provided. The article states that dental practitioners are very succesful at recognizing and treating these types of pain. The article then goes on to say “However, in […]

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Root Canal Triggers Headache

I found an interesting article the other day written by a Chiropractor and describing how myofascial trigger points can mimic signs and symptoms of a neurological disease. The case describes the patient as the following. “A 44-year-old female, an office manager for a dentist for eight years, was referred by an EENT specialist with a chief complaint of headaches (HA), with a six- to eight-year history of HA and facial pain. Although all of her symptoms were usually on the right side of the face and head, the HA occasionally became bilateral when very intense. The facial pain was always located on the right. Once started, her symptoms lasted anywhere from four to ten hours. The only thing she remembers that may have triggered the onset was dental work done within six months of the start of the symptoms-several fillings and a root canal, all on the right side. Initially, the symptom was a pain in the upper molars, which appeared to be another cavity. Over the next few years, however, the pain developed into HA and facial pain.” The article goes on to describe the different types of neuralgias that most closely resemble the symptoms experienced by the patient. […]

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