Advertisement

Management of Pain of Oral-Dental Origin: An Evidence-Based Approach

  • John K. Jones
Chapter

Abstract

Dental management of tooth-related facial pain is well established. As mentioned in another chapter, odontogenic pain is so prevalent that pain of oral-dental origin should be presumed odontogenic (tooth-related) until ruled out (Lipton et al., J Am Dent Assoc 124:115–121, 1993). Management of tooth-related pain is amenable to randomized clinical trials due to its prevalence, standard presentation, and objective physical and imaging findings. It is the ability to do randomized clinical trials that creates the highest levels of evidence for evidence-based management.

Non-odontogenic pain of oral-dental origin lacks the level of evidence made possible by the prevalence and objective findings associated with most odontogenic pain entities. Because of the low prevalence, subjective nature of pain, and the frequent lack of objective physical and imaging findings associated with the pain, high levels of evidence for many management strategies are limited to level V. Helpful information may still be gleaned from reviews of large series (Level V)

Keywords

Evidence-based Levels of evidence Odontogenic pain Periodontal pain Neuropathic pain Myofascial pain Trigger points Temporomandibular pain 

References

  1. 1.
    Lipton JA, Ship JA, Larach-Robinson D. Estimated prevalence and distribution of reported orofacial pain in the United States. J Am Dent Assoc. 1993;124:115–21.CrossRefPubMedGoogle Scholar
  2. 2.
    Okeson JP. Bell’s oral and facial pain. 7th ed. Chicago: Dental Pains. Quintessence Publishing; 2014. Chapter 12Google Scholar
  3. 3.
    Macfarlane TV, Blinkhorn AS, Davies RM, et al. Oro-facial pain in the community: prevalence and associated impact. Commuity Dent Oral Epidemiol. 2002;30:52.CrossRefGoogle Scholar
  4. 4.
    Israel H. Internal derangement of the temporomandibular joint: new perspectives on an old problem. Oral Maxillofaxial Surg Clin N Am. 2016;28:313–33.CrossRefGoogle Scholar
  5. 5.
    Graff-Redford SB, Abbott JJ. Temporomandibular disorders and headache. Oral Maxillofacial Surg Clin N Am. 2016;28:335–49.CrossRefGoogle Scholar
  6. 6.
    Simons DG, Travell JG, Simons LS. Travel and Simons’ myofascial pain and dysfunction: a trigger point manual. 2nd ed. Baltimore: Williams and Wilkins; 1999.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Otolaryngology/Head and Neck Surgery/Oral and Maxillofacial SurgeryUniversity of Arkansas for Medical SciencesLittle RockUSA

Personalised recommendations