differential diagnosis of orofacial pain
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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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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
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
vascular origin orofacial pain
Vascular Origin Orofacial Pain
  • Migraine Headache
  • Cluster Headache
  • Peroxymal hemicrania
  • Vascular Headache
history ex of orofacial 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 pain7
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
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
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 for intraoral origin12
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
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 origin16
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 origin19
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 origin22
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 origin25
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 origin28
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 pain32
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
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 pain36
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 pain39
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 pain42
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 pain45
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 pain48
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 pain51
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 pain55
Vascular Origin Orofacial Pain
  • Migraine Headache
  • Cluster Headache
  • Peroxymal hemicrania
  • Vascular Headache
vascular origin orofacial pain56
Vascular Origin Orofacial Pain
  • Migraine Headache
  • Cluster Headache
  • Peroxymal hemicrania
  • Vascular Headache
vascular origin orofacial pain59
Vascular Origin Orofacial Pain
  • Migraine Headache
  • Cluster Headache
  • Peroxymal hemicrania
  • Vascular Headache
vascular origin orofacial pain62
Vascular Origin Orofacial Pain
  • Migraine Headache
  • Cluster Headache
  • Peroxymal hemicrania
  • Vascular Headache
vascular origin orofacial pain65
Vascular Origin Orofacial Pain
  • Migraine Headache
  • Cluster Headache
  • Peroxymal hemicrania
  • Vascular Headache
pain for intraoral origin68
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
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
Vascular Origin Orofacial Pain
  • Migraine Headache
  • Cluster Headache
  • Peroxymal hemicrania
  • Vascular Headache
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