Differential Diagnosis of Orofacial Pain By Dr.bahram Azizi
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 of Orofacial Pain
History Ex. of Orofacial Pain 1. Chief complaints A. Location of pain B. Onset of pain Association with other factors Progression C. Characteristics of pain Quality of pain Behaviour of pain Temporal Frequency Duration Intensity Concomitant symptoms Flow of pain
History Ex. of Orofacial Pain 1. Chief complaints (cont.) D. Aggravating and alleviating factors Physical modalities Function and parafunction Sleep disturbances Medications Emotional stress E. Past consultation and/or treatment F. Relationship to other complaints 2. Past medical history 3. Review of systems 4. Psychological assessment
Clinical Examination of Orofacial Pain
Clinical Examination 1. General examination 2. Muscle examination A. Vital signs Blood pressure Pulse rate Respiratory rate Temperature B. Cranial nerve evaluation C. Eye evaluation D. Ear evaluation E. Cervical evaluation F. Balance and co-ordination 2. Muscle examination A. Pulpation Pain and tenderness Trigger points and pain referal
Clinical Examination 3. Masticatory evaluation A. Range of mandibular movement Measurement Pain B. Temoromandibular joint evaluation Dysfunction C. Oral structures Mucogingival tissues Teeth Periodontium Occlusion 4. Other diagnostic tests A. Imaging B. Laboratory tests C. Psychologic provocation tests
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 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 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 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
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 Pain from Teeth (pulp) Pain from TM muscle Pain from TMJ Sinusitis Salivary gland Trieminal Neuralgia Atypicgal 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 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 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
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 Migraine Headache Cluster Headache Peroxymal hemicrania Vascular Headache
Vascular Origin Orofacial Pain Migraine Headache Cluster Headache Peroxymal hemicrania Vascular Headache
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
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