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Differential Diagnosis of Orofacial Pain PowerPoint PPT Presentation


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Differential Diagnosis of Orofacial Pain. By S. Wanachantararak. Pain for Intraoral Origin. Pain from Dentine Pain from Pulp Pain from Gingiva Pain from Periodontatitis Pain from Periapical periodontitis Pain from oral mucosa. Non Vascular Origin Orofacial Pain. Pain from Teeth (pulp)

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Differential Diagnosis of Orofacial Pain

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Differential Diagnosisof Orofacial Pain

By

S. Wanachantararak


Pain for Intraoral Origin

  • Pain from Dentine

  • Pain from Pulp

  • Pain from Gingiva

  • Pain from Periodontatitis

  • Pain from Periapical periodontitis

  • Pain from oral mucosa


Non Vascular Origin Orofacial Pain

  • Pain from Teeth (pulp)

  • Pain from TM muscle

  • Pain from TMJ

  • Sinusitis

  • Salivary gland

  • Trigeminal Neuralgia

  • Atypical Neuralgia


Vascular Origin Orofacial Pain

  • Migraine Headache

  • Cluster Headache

  • Peroxymal hemicrania

  • Vascular Headache


History Examination ofOrofacial Pain


History Ex. of Orofacial Pain

C. Characteristics of pain

  • Quality of pain

  • Behaviour of pain

    • Temporal

    • Frequency

    • Duration

  • Intensity

  • Concomitant symptoms

  • Flow of pain

1. Chief complaints

A. Location of pain

B. Onset of pain

  • Association with other factors

  • Progression


History Ex. of Orofacial Pain

  • E. Past consultation and/or treatment

  • F. Relationship to other complaints

  • 2. Past medical history

  • 3. Review of systems

  • 4. Psychological assessment

  • 1. Chief complaints (cont.)

    D. Aggravating and alleviating factors

    • Physical modalities

    • Function and parafunction

    • Sleep disturbances

    • Medications

    • Emotional stress


    Clinical Examination of Orofacial Pain


    Clinical Examination

    E. Cervical evaluation

    F. Balance and co-ordination

    2. Muscle examination

    A. Pulpation

    • Pain and tenderness

    • Trigger points and pain referal

    1. General examination

    A. Vital signs

    • Blood pressure

    • Pulse rate

    • Respiratory rate

    • Temperature

      B. Cranial nerve evaluation

      C. Eye evaluation

      D. Ear evaluation


    Clinical Examination

    C. Oral structures

    • Mucogingival tissues

    • Teeth

    • Periodontium

    • Occlusion

      4. Other diagnostic tests

      A. Imaging

      B. Laboratory tests

      C. Psychologic provocation tests

    3. Masticatory evaluation

    A. Range of mandibular movement

    • Measurement

    • Pain

      B. Temoromandibular joint evaluation

    • Pain

    • Dysfunction


    Pain from Intraoral Origin


    Pain for Intraoral Origin

    • Pain from Dentine

    • Pain from Pulp

    • Pain from Gingiva

    • Pain from Periodontatitis

    • Pain from Periapical periodontitis

    • Pain from oral mucosa


    Pain for Intraoral Origin

    • Pain from Dentine

    • Pain from Pulp

    • Pain from Gingiva

    • Pain from Periodontatitis

    • Pain from Periapical periodontitis

    • Pain from oral mucosa


    Pain for Intraoral Origin


    Pain for Intraoral Origin


    Pain for Intraoral Origin

    • Pain from Dentine

    • Pain from Pulp

    • Pain from Gingiva

    • Pain from Periodontatitis

    • Pain from Periapical periodontitis

    • Pain from oral mucosa


    Pain for Intraoral Origin


    Pain for Intraoral Origin


    Pain for Intraoral Origin

    • Pain from Dentine

    • Pain from Pulp

    • Pain from Gingiva

    • Pain from Periodontatitis

    • Pain from Periapical periodontitis

    • Pain from oral mucosa


    Pain for Intraoral Origin


    Pain for Intraoral Origin


    Pain for Intraoral Origin

    • Pain from Dentine

    • Pain from Pulp

    • Pain from Gingiva

    • Pain from Periodontatitis

    • Pain from Periapical periodontitis

    • Pain from oral mucosa


    Pain for Intraoral Origin


    Pain for Intraoral Origin


    Pain for Intraoral Origin

    • Pain from Dentine

    • Pain from Pulp

    • Pain from Gingiva

    • Pain from Periodontatitis

    • Pain from Periapical periodontitis

    • Pain from oral mucosa


    Pain for Intraoral Origin


    Pain for Intraoral Origin


    Pain for Intraoral Origin

    • Pain from Dentine

    • Pain from Pulp

    • Pain from Gingiva

    • Pain from Periodontatitis

    • Pain from Periapical periodontitis

    • Pain from oral mucosa


    Pain for Intraoral Origin


    Pain for Intraoral Origin


    Non Vascular OriginOrofacial Pain


    Non Vascular Origin Orofacial Pain

    • Pain from Teeth (pulp)

    • Pain from TM muscle

    • Pain from TMJ

    • Sinusitis

    • Salivary gland

    • Trigeminal Neuralgia

    • Atypical Neuralgia


    Non Vascular Origin Orofacial Pain

    • Pain from Teeth (pulp)

    • Pain from TM muscle

    • Pain from TMJ

    • Sinusitis

    • Salivary gland

    • Trigeminal Neuralgia

    • Atypical Neuralgia


    Non Vascular Origin Orofacial Pain


    Non Vascular Origin Orofacial Pain


    Non Vascular Origin Orofacial Pain

    • Pain from Teeth (pulp)

    • Pain fromTM muscle

    • Pain from TMJ

    • Sinusitis

    • Salivary gland

    • Trigeminal Neuralgia

    • Atypical Neuralgia


    Non Vascular Origin Orofacial Pain


    Non Vascular Origin Orofacial Pain


    Non Vascular Origin Orofacial Pain

    • Pain from Teeth (pulp)

    • Pain from TM muscle

    • Pain fromTMJ

    • Sinusitis

    • Salivary gland

    • Trigeminal Neuralgia

    • Atypical Neuralgia


    Non Vascular Origin Orofacial Pain


    Non Vascular Origin Orofacial Pain


    Non Vascular Origin Orofacial Pain

    • Pain from Teeth (pulp)

    • Pain from TM muscle

    • Pain from TMJ

    • Sinusitis

    • Salivary gland

    • Trigeminal Neuralgia

    • Atypical Neuralgia


    Non Vascular Origin Orofacial Pain


    Non Vascular Origin Orofacial Pain


    Non Vascular Origin Orofacial Pain

    • Pain from Teeth (pulp)

    • Pain from TM muscle

    • Pain from TMJ

    • Sinusitis

    • Salivary gland

    • Trigeminal Neuralgia

    • Atypical Neuralgia


    Non Vascular Origin Orofacial Pain


    Non Vascular Origin Orofacial Pain


    Non Vascular Origin Orofacial Pain

    • Pain from Teeth (pulp)

    • Pain from TM muscle

    • Pain from TMJ

    • Sinusitis

    • Salivary gland

    • Trigeminal Neuralgia

    • Atypical Neuralgia


    Non Vascular Origin Orofacial Pain


    Non Vascular Origin Orofacial Pain


    Non Vascular Origin Orofacial Pain

    • Pain from Teeth (pulp)

    • Pain from TM muscle

    • Pain from TMJ

    • Sinusitis

    • Salivary gland

    • Trigeminal Neuralgia

    • Atypical Neuralgia


    Non Vascular Origin Orofacial Pain


    Non Vascular Origin Orofacial Pain


    Vascular OriginOrofacial Pain


    Vascular Origin Orofacial Pain

    • Migraine Headache

    • Cluster Headache

    • Peroxymal hemicrania

    • Vascular Headache


    Vascular Origin Orofacial Pain

    • Migraine Headache

    • Cluster Headache

    • Peroxymal hemicrania

    • Vascular Headache


    Vascular Origin Orofacial Pain


    Vascular Origin Orofacial Pain


    Vascular Origin Orofacial Pain

    • Migraine Headache

    • Cluster Headache

    • Peroxymal hemicrania

    • Vascular Headache


    Vascular Origin Orofacial Pain


    Vascular Origin Orofacial Pain


    Vascular Origin Orofacial Pain

    • Migraine Headache

    • Cluster Headache

    • Peroxymal hemicrania

    • Vascular Headache


    Vascular Origin Orofacial Pain


    Vascular Origin Orofacial Pain


    Vascular Origin Orofacial Pain

    • Migraine Headache

    • Cluster Headache

    • Peroxymal hemicrania

    • Vascular Headache


    Vascular Origin Orofacial Pain


    Vascular Origin Orofacial Pain


    Pain for Intraoral Origin

    • Pain from Dentine

    • Pain from Pulp

    • Pain from Gingiva

    • Pain from Periodontatitis

    • Pain from Periapical periodontitis


    Non Vascular Origin Orofacial Pain

    • Pain from Teeth (pulp)

    • Pain from TM muscle

    • Pain from TMJ

    • Sinusitis

    • Salivary gland

    • Trigeminal Neuralgia

    • Atypical Neuralgia


    Vascular Origin Orofacial Pain

    • Migraine Headache

    • Cluster Headache

    • Peroxymal hemicrania

    • Vascular Headache


    Thank You


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