Abstract: Clinical study of patients with persistent orofacial pain

Arq Neuropsiquiatr. 2004 Dec;62(4):988-96. Epub 2004 Dec 15.

Siqueira JT, Lin HC, Nasri C, Siqueira SR, Teixeira MJ, Heir G, Valle LB.

Dentistry Division, Hospital das Clinicas, School of Medicine, University of Sao Paulo, Sao Paulo, SP, Brazil. jtts@uol.com.br

OBJECTIVE: To evaluate a sample of patients with persistent facial pain unresponsive to prior treatments.

METHODS: Hospital records of 26 patients with persistent facial pain were reviewed (20 female and 6 male).

RESULTS: Patients were classified into three groups according to their presenting symptoms: a)Group I, eight patients (30.7%) with severe, diffuse pain at the face, teeth or head; b)Group II, eight patients (30.7%) with chronic non-myofascial pain and; c)Group III, ten patients with chronic myofascial pain (38.4%). We find 11 different diagnoses among the 26 patients: pulpitis(7), leukemia(1), oropharyngeal tumor(1), atypical odontalgia(1), Eagle’s syndrome(1), trigeminal neuralgia(4), continuous neuralgia(1), temporomandibular disorders (9), fibromyalgia (2), tension-type headache(1), conversion hysteria(2). After the treatment program all patients had a six-month follow-up period with pain relief, except the patient with tumor.

CONCLUSION: The wide variability of orofacial pain diagnosis (benign to life-threatening diseases) indicates the necessity to reevaluate patients presenting recurrent pain that is refractory to the usual treatments.

PMID: 15608957 [PubMed – in process]

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