Orofacial pain management: Current perspectives

Marcela Romero-Reyes, James M. Uyanik

Research output: Contribution to journalReview articlepeer-review

Abstract

Some of the most prevalent and debilitating pain conditions arise from the structures innervated by the trigeminal system (head, face, masticatory musculature, temporomandibular joint and associated structures). Orofacial pain (OFP) can arise from different regions and etiologies. Temporomandibular disorders (TMD) are the most prevalent orofacial pain conditions for which patients seek treatment. Temporomandibular disorders include a number of clinical problems that involve the masticatory musculature, the temporomandibular joint (TMJ) or both. Trigeminal neuropathic pain conditions can arise from injury secondary to dental procedures, infection, neoplasias, or disease or dysfunction of the peripheral and/or central nervous system. Neurovascular disorders, such as primary headaches, can present as chronic orofacial pain, such as in the case of facial migraine, where the pain is localized in the second and third division of the trigeminal nerve. Together, these disorders of the trigeminal system impact the quality of life of the sufferer dramatically. A multidisciplinary pain management approach should be considered for the optimal treatment of orofacial pain disorders including both non-pharmacological and pharmacological modalities.

Original languageEnglish (US)
Pages (from-to)99-115
Number of pages17
JournalJournal of Pain Research
Volume7
DOIs
StatePublished - Feb 21 2014

Keywords

  • Headache
  • Neuropathic
  • Orofacial
  • Pain
  • TMD
  • Trigeminal

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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