Registration for a live webinar on 'Neuroleptic malignant syndrome' is now open.
See webinar detailsWe noted you are experiencing viewing problems
-
Check with your IT department that JWPlatform, JWPlayer and Amazon AWS & CloudFront are not being blocked by your network. The relevant domains are *.jwplatform.com, *.jwpsrv.com, *.jwpcdn.com, jwpltx.com, jwpsrv.a.ssl.fastly.net, *.amazonaws.com and *.cloudfront.net. The relevant ports are 80 and 443.
-
Check the following talk links to see which ones work correctly:
Auto Mode
HTTP Progressive Download Send us your results from the above test links at access@hstalks.com and we will contact you with further advice on troubleshooting your viewing problems. -
No luck yet? More tips for troubleshooting viewing issues
-
Contact HST Support access@hstalks.com
-
Please review our troubleshooting guide for tips and advice on resolving your viewing problems.
-
For additional help, please don't hesitate to contact HST support access@hstalks.com
We hope you have enjoyed this limited-length demo
This is a limited length demo talk; you may
login or
review methods of
obtaining more access.
Printable Handouts
Navigable Slide Index
- Introduction
- Source of odontogenic pain
- Pulpal pain
- Periodontal pain
- Sources of non-odontogenic pain
- Non-odontogenic toothache
- Musculoskeletal pain
- Temporalis
- Masseter
- Anterior & posterior digastric
- Primary headaches
- Headaches and orofacial pain
- Migraine headache
- Sinus headaches
- TAC: Trigeminal Autonomic Cephalgias
- Cluster headache
- The role of plasticity in chronic pain
- Neuropathic pain
- Neuropathic pain: intermittent / continuous
- Trigeminal Neuralgia (TN): diagnostic criteria
- Pathophysiology
- Glossopharyngeal Neuralgia (CNIX)
- Continuous neuropathic pain
- Chronic dental pain
- Chronic trigeminal neuropathy
- Diagnosis
- Persistent orofacial pain
- Persistent orofacial pain - studies
- Factors associated with neuropathic pain
- Pain management
- Burning mouth syndrome
- Temporal arteritis
- Temporal arteritis: etiology
- Temporal arteritis: management
- Systemic diseases
- Psychogenic pain
- Diagnosis is the key
- Solving the puzzle
- Summary
Topics Covered
- Source of odontogenic and non–odontogenic pain
- Neuropathic pain
- Differential diagnoses of: trigeminal neuropathy, trigeminal neuralgia, trigeminal autonomic cephalalgias
- Contemporary management strategies
Links
Series:
Categories:
Therapeutic Areas:
Talk Citation
Gonzales, T. (2017, July 31). Chronic orofacial pain (COFP) disease or symptom? 2 [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved October 14, 2024, from https://doi.org/10.69645/ZXRP5149.Export Citation (RIS)
Publication History
Financial Disclosures
- Dr. Theresa Gonzales has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
Chronic orofacial pain (COFP) disease or symptom? 2
Published on July 31, 2017
43 min
Transcript
Please wait while the transcript is being prepared...
0:04
Pulpal pain versus Periodontal pain.
Let's talk about Odontogenic pain.
These are algorithms, I'm always a little loath to discuss with dentists,
because we have this skill set.
We know pulpal pain and it's presentation,
and pain in the periodontal.
This is something that we have really done well from an acute pain perspective,
and I'd like you to think of it from my perspective.
We've done more than just modify the pain algorithm,
we've done something very very very special, and that is,
we have managed those,
and kept those acute injuries from trending chronic.
Many people believe the other entry into chronic pain,
is through poorly managed acute, and so,
this is something I think that dental community does
Well.
0:45
Pulpal pain is very specific,
is often described as a visceral pain,
it's all or none.
It's sort of a lack of proprioception.
It's difficult to localized pain that is purely pulpal.
These nerves show a high degree of convergence.
When we test these neurons,
in the nucleus caudalis,
we know that Dr. Sessle would show that they converge from multiple tooth pulps.
1:08
Periodontal pain, is more of a musculoskeletal type pain.
It is a graded response.
They're mechanoreceptors present in the PDL,
and it is easier to localize that location of pain in the context of periodontal pain.
Two of the most common acute pain conditions that occur in our collective practices.
For non-odontogenic pain, which is a very different style of pain,
does not involve the dentition.
There was no connection between the dentition.
What is important here is distinguishing that early on,
and one of the best ways to determine whether the tooth is involved or not involved,
is to go ahead and use diagnostic anesthesia on the presumptive tooth,
you thought it was an odontalgia,
to anesthetize that site.
If that site does not reduce the pain,
then it most likely is not the source of the pain.
So there is no need to engage in further treatment in that area.
Non-odontogenic pain sources are different.