Facial pain

University Of AdenUniversity Of Aden20122012

Oral MedicineOral Medicine

Dr. Muhgat AbdoDr. Muhgat AbdoOral & Dentofacial SurgeonOral & Dentofacial Surgeon

[email protected]

www.adendent-faculty.netwww.adendent-faculty.net

Pain Pain is an unpleasant sensory and emotional is an unpleasant sensory and emotional caused by actual or potential tissue damage, caused by actual or potential tissue damage, or described in terms of such damage.or described in terms of such damage.

There are typical and atypical facial pain.There are typical and atypical facial pain.

Facial PainFacial Pain

Trigeminal Neuralgia:Trigeminal Neuralgia: Most common Neurological cause of facial pain. It Most common Neurological cause of facial pain. It

is an excruciating condition affecting mainly is an excruciating condition affecting mainly

the the > 50 years.> 50 years. Symptoms:Symptoms:

It presents as a shooting electric shock of pain of It presents as a shooting electric shock of pain of rapid onset and short duration which is often rapid onset and short duration which is often stimulated by touching a trigger point in the stimulated by touching a trigger point in the distribution of the distribution of the VV Nerve. Nerve.

Typical Facial PainTypical Facial Pain


Trigeminal Neuralgia:Trigeminal Neuralgia:Patient under the age 50 years with cranial NervePatient under the age 50 years with cranial Nerve

Neuralgia require full neurological ExaminationNeuralgia require full neurological Examination

(Tumor)(Tumor) Treatment:Treatment:

Local Anaesthesia is useful both therapeutically Local Anaesthesia is useful both therapeutically and diagnostically. Injection of L.A. and diagnostically. Injection of L.A. (Carbamezine) can break pain cycles.(Carbamezine) can break pain cycles.

Tegretol tablets 200mg xBDx 10 days Tegretol tablets 200mg xBDx 10 days

Glossopharyngeal Neuralgia:Glossopharyngeal Neuralgia:

A similar condition to trigeminal A similar condition to trigeminal Neuralgia but less commonNeuralgia but less common

Symptoms:Symptoms:

Sharp shooting pain on swallowingSharp shooting pain on swallowing Treatment:Treatment:

Tegretol tablets 200mg x BD x 10 daysTegretol tablets 200mg x BD x 10 days

L.A.L.A.


Migraine:Migraine:Periodic Migrainous Neuralgia (cluster headache)Periodic Migrainous Neuralgia (cluster headache)

Symptoms:Symptoms:Periodic attacks of severe, unilateral paine, boring or Periodic attacks of severe, unilateral paine, boring or burning in character, lasting 30-60 min, located burning in character, lasting 30-60 min, located around the eye, associated with Nausea, vomiting around the eye, associated with Nausea, vomiting and photophobia.and photophobia.

Treatment:Treatment:

NSAID drugs, ergotamine and intranasal lidocaineNSAID drugs, ergotamine and intranasal lidocaine

Atypical Facial PainAtypical Facial Pain


Temporal Arteritis: (Cranial Arteritis)Temporal Arteritis: (Cranial Arteritis)A condition affecting older age groupsA condition affecting older age groups

Symptoms:Symptoms:Severe ache pain is localized to the temporal Severe ache pain is localized to the temporal and front regions. Major complication is and front regions. Major complication is involvement of retinal arteries, with sudden involvement of retinal arteries, with sudden loss of vision.loss of vision.

Treatment:Treatment:Aim is to relieve pian and prevent blindness Aim is to relieve pian and prevent blindness (Prednisolone)(Prednisolone)

Myocardia Infarction and Angina:Myocardia Infarction and Angina:May on occasion radiate to the Jaws.May on occasion radiate to the Jaws.

Pain associated with Herpes Zoster:Pain associated with Herpes Zoster: Glaucoma:Glaucoma:

Severe unilat. Pain with tense, stonyhard globe Severe unilat. Pain with tense, stonyhard globe (referre to Ophthalmologist)(referre to Ophthalmologist)

Oral dysaesthesia:Oral dysaesthesia:(Burning Mouth Symptom)(Burning Mouth Symptom) Bell´s Palsy:Bell´s Palsy:

Pain around the Ear often radiating to the JawPain around the Ear often radiating to the Jaw


Thank you for your Thank you for your AttentionAttention

Documents

Facial pain