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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)

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Differential Diagnosis of Orofacial Pain

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  1. Differential Diagnosisof Orofacial Pain By S. Wanachantararak

  2. Pain for Intraoral Origin • Pain from Dentine • Pain from Pulp • Pain from Gingiva • Pain from Periodontatitis • Pain from Periapical periodontitis • Pain from oral mucosa

  3. Non Vascular Origin Orofacial Pain • Pain from Teeth (pulp) • Pain from TM muscle • Pain from TMJ • Sinusitis • Salivary gland • Trigeminal Neuralgia • Atypical Neuralgia

  4. Vascular Origin Orofacial Pain • Migraine Headache • Cluster Headache • Peroxymal hemicrania • Vascular Headache

  5. History Examination ofOrofacial Pain

  6. 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

  7. 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

  8. Clinical Examination of Orofacial Pain

  9. 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

  10. 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

  11. Pain from Intraoral Origin

  12. Pain for Intraoral Origin • Pain from Dentine • Pain from Pulp • Pain from Gingiva • Pain from Periodontatitis • Pain from Periapical periodontitis • Pain from oral mucosa

  13. Pain for Intraoral Origin • Pain from Dentine • Pain from Pulp • Pain from Gingiva • Pain from Periodontatitis • Pain from Periapical periodontitis • Pain from oral mucosa

  14. Pain for Intraoral Origin

  15. Pain for Intraoral Origin

  16. Pain for Intraoral Origin • Pain from Dentine • Pain from Pulp • Pain from Gingiva • Pain from Periodontatitis • Pain from Periapical periodontitis • Pain from oral mucosa

  17. Pain for Intraoral Origin

  18. Pain for Intraoral Origin

  19. Pain for Intraoral Origin • Pain from Dentine • Pain from Pulp • Pain from Gingiva • Pain from Periodontatitis • Pain from Periapical periodontitis • Pain from oral mucosa

  20. Pain for Intraoral Origin

  21. Pain for Intraoral Origin

  22. Pain for Intraoral Origin • Pain from Dentine • Pain from Pulp • Pain from Gingiva • Pain from Periodontatitis • Pain from Periapical periodontitis • Pain from oral mucosa

  23. Pain for Intraoral Origin

  24. Pain for Intraoral Origin

  25. Pain for Intraoral Origin • Pain from Dentine • Pain from Pulp • Pain from Gingiva • Pain from Periodontatitis • Pain from Periapical periodontitis • Pain from oral mucosa

  26. Pain for Intraoral Origin

  27. Pain for Intraoral Origin

  28. Pain for Intraoral Origin • Pain from Dentine • Pain from Pulp • Pain from Gingiva • Pain from Periodontatitis • Pain from Periapical periodontitis • Pain from oral mucosa

  29. Pain for Intraoral Origin

  30. Pain for Intraoral Origin

  31. Non Vascular OriginOrofacial Pain

  32. Non Vascular Origin Orofacial Pain • Pain from Teeth (pulp) • Pain from TM muscle • Pain from TMJ • Sinusitis • Salivary gland • Trigeminal Neuralgia • Atypical Neuralgia

  33. Non Vascular Origin Orofacial Pain • Pain from Teeth (pulp) • Pain from TM muscle • Pain from TMJ • Sinusitis • Salivary gland • Trigeminal Neuralgia • Atypical Neuralgia

  34. Non Vascular Origin Orofacial Pain

  35. Non Vascular Origin Orofacial Pain

  36. Non Vascular Origin Orofacial Pain • Pain from Teeth (pulp) • Pain fromTM muscle • Pain from TMJ • Sinusitis • Salivary gland • Trigeminal Neuralgia • Atypical Neuralgia

  37. Non Vascular Origin Orofacial Pain

  38. Non Vascular Origin Orofacial Pain

  39. Non Vascular Origin Orofacial Pain • Pain from Teeth (pulp) • Pain from TM muscle • Pain fromTMJ • Sinusitis • Salivary gland • Trigeminal Neuralgia • Atypical Neuralgia

  40. Non Vascular Origin Orofacial Pain

  41. Non Vascular Origin Orofacial Pain

  42. Non Vascular Origin Orofacial Pain • Pain from Teeth (pulp) • Pain from TM muscle • Pain from TMJ • Sinusitis • Salivary gland • Trigeminal Neuralgia • Atypical Neuralgia

  43. Non Vascular Origin Orofacial Pain

  44. Non Vascular Origin Orofacial Pain

  45. Non Vascular Origin Orofacial Pain • Pain from Teeth (pulp) • Pain from TM muscle • Pain from TMJ • Sinusitis • Salivary gland • Trigeminal Neuralgia • Atypical Neuralgia

  46. Non Vascular Origin Orofacial Pain

  47. Non Vascular Origin Orofacial Pain

  48. Non Vascular Origin Orofacial Pain • Pain from Teeth (pulp) • Pain from TM muscle • Pain from TMJ • Sinusitis • Salivary gland • Trigeminal Neuralgia • Atypical Neuralgia

  49. Non Vascular Origin Orofacial Pain

  50. Non Vascular Origin Orofacial Pain

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