Advertisement
1 / 71

Differential Diagnosis of Orofacial Pain


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)

Presentation posted in : General

Download Presentation

Differential Diagnosis of Orofacial Pain

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other sites. SlideServe reserves the right to change this policy at anytime.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.











- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -




Presentation Transcript


Differential diagnosis of orofacial pain l.jpg

Differential Diagnosisof Orofacial Pain

By

S. Wanachantararak


Pain for intraoral origin l.jpg

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 l.jpg

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 l.jpg

Vascular Origin Orofacial Pain

  • Migraine Headache

  • Cluster Headache

  • Peroxymal hemicrania

  • Vascular Headache


History examination of orofacial pain l.jpg

History Examination ofOrofacial Pain


History ex of orofacial pain l.jpg

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 pain7 l.jpg

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 l.jpg

    Clinical Examination of Orofacial Pain


    Clinical examination l.jpg

    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 examination10 l.jpg

    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 l.jpg

    Pain from Intraoral Origin


    Pain for intraoral origin12 l.jpg

    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 origin13 l.jpg

    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 origin14 l.jpg

    Pain for Intraoral Origin


    Pain for intraoral origin15 l.jpg

    Pain for Intraoral Origin


    Pain for intraoral origin16 l.jpg

    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 origin17 l.jpg

    Pain for Intraoral Origin


    Pain for intraoral origin18 l.jpg

    Pain for Intraoral Origin


    Pain for intraoral origin19 l.jpg

    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 origin20 l.jpg

    Pain for Intraoral Origin


    Pain for intraoral origin21 l.jpg

    Pain for Intraoral Origin


    Pain for intraoral origin22 l.jpg

    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 origin23 l.jpg

    Pain for Intraoral Origin


    Pain for intraoral origin24 l.jpg

    Pain for Intraoral Origin


    Pain for intraoral origin25 l.jpg

    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 origin26 l.jpg

    Pain for Intraoral Origin


    Pain for intraoral origin27 l.jpg

    Pain for Intraoral Origin


    Pain for intraoral origin28 l.jpg

    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 origin29 l.jpg

    Pain for Intraoral Origin


    Pain for intraoral origin30 l.jpg

    Pain for Intraoral Origin


    Non vascular origin orofacial pain31 l.jpg

    Non Vascular OriginOrofacial Pain


    Non vascular origin orofacial pain32 l.jpg

    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 pain33 l.jpg

    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 pain34 l.jpg

    Non Vascular Origin Orofacial Pain


    Non vascular origin orofacial pain35 l.jpg

    Non Vascular Origin Orofacial Pain


    Non vascular origin orofacial pain36 l.jpg

    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 pain37 l.jpg

    Non Vascular Origin Orofacial Pain


    Non vascular origin orofacial pain38 l.jpg

    Non Vascular Origin Orofacial Pain


    Non vascular origin orofacial pain39 l.jpg

    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 pain40 l.jpg

    Non Vascular Origin Orofacial Pain


    Non vascular origin orofacial pain41 l.jpg

    Non Vascular Origin Orofacial Pain


    Non vascular origin orofacial pain42 l.jpg

    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 pain43 l.jpg

    Non Vascular Origin Orofacial Pain


    Non vascular origin orofacial pain44 l.jpg

    Non Vascular Origin Orofacial Pain


    Non vascular origin orofacial pain45 l.jpg

    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 pain46 l.jpg

    Non Vascular Origin Orofacial Pain


    Non vascular origin orofacial pain47 l.jpg

    Non Vascular Origin Orofacial Pain


    Non vascular origin orofacial pain48 l.jpg

    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 pain49 l.jpg

    Non Vascular Origin Orofacial Pain


    Non vascular origin orofacial pain50 l.jpg

    Non Vascular Origin Orofacial Pain


    Non vascular origin orofacial pain51 l.jpg

    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 pain52 l.jpg

    Non Vascular Origin Orofacial Pain


    Non vascular origin orofacial pain53 l.jpg

    Non Vascular Origin Orofacial Pain


    Vascular origin orofacial pain54 l.jpg

    Vascular OriginOrofacial Pain


    Vascular origin orofacial pain55 l.jpg

    Vascular Origin Orofacial Pain

    • Migraine Headache

    • Cluster Headache

    • Peroxymal hemicrania

    • Vascular Headache


    Vascular origin orofacial pain56 l.jpg

    Vascular Origin Orofacial Pain

    • Migraine Headache

    • Cluster Headache

    • Peroxymal hemicrania

    • Vascular Headache


    Vascular origin orofacial pain57 l.jpg

    Vascular Origin Orofacial Pain


    Vascular origin orofacial pain58 l.jpg

    Vascular Origin Orofacial Pain


    Vascular origin orofacial pain59 l.jpg

    Vascular Origin Orofacial Pain

    • Migraine Headache

    • Cluster Headache

    • Peroxymal hemicrania

    • Vascular Headache


    Vascular origin orofacial pain60 l.jpg

    Vascular Origin Orofacial Pain


    Vascular origin orofacial pain61 l.jpg

    Vascular Origin Orofacial Pain


    Vascular origin orofacial pain62 l.jpg

    Vascular Origin Orofacial Pain

    • Migraine Headache

    • Cluster Headache

    • Peroxymal hemicrania

    • Vascular Headache


    Vascular origin orofacial pain63 l.jpg

    Vascular Origin Orofacial Pain


    Vascular origin orofacial pain64 l.jpg

    Vascular Origin Orofacial Pain


    Vascular origin orofacial pain65 l.jpg

    Vascular Origin Orofacial Pain

    • Migraine Headache

    • Cluster Headache

    • Peroxymal hemicrania

    • Vascular Headache


    Vascular origin orofacial pain66 l.jpg

    Vascular Origin Orofacial Pain


    Vascular origin orofacial pain67 l.jpg

    Vascular Origin Orofacial Pain


    Pain for intraoral origin68 l.jpg

    Pain for Intraoral Origin

    • Pain from Dentine

    • Pain from Pulp

    • Pain from Gingiva

    • Pain from Periodontatitis

    • Pain from Periapical periodontitis


    Non vascular origin orofacial pain69 l.jpg

    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 pain70 l.jpg

    Vascular Origin Orofacial Pain

    • Migraine Headache

    • Cluster Headache

    • Peroxymal hemicrania

    • Vascular Headache


    Thank you l.jpg

    Thank You