Abstract
With the rapidly expanding proportion of the population older than 65 years of age, clinical problems affecting older adults have received increasing attention. Greater emphasis has been placed on quality-of-life issues, rather than simply living longer. One major issue that has a dramatic influence on the quality of people’s lives is pain. Pain in the oral-facial region can be caused by a multitude of factors. Oral diseases; systemic conditions; neurological, immunological, arthritic, and infectious diseases of the maxillofacial region; medications; chemotherapy; and radiotherapy, as well as psychiatric and behavioral disorders, can cause or contribute to oral-facial pain. While the elderly may be less likely to complain about some of these disorders, they are probably at greater risk of experiencing oral-facial pain due to exposure to these etiological factors over time.
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References
Ambepitiya, G. B., Iyengar, E. N., & Roberts, M. E. (1993). Review: Silent exertional myocardial ischaemia and perception of angina in elderly people. Age and Aging, 22, 302–307.
Applegate, W. B., Graves, S., Collins, T., Zwaag, R. V., & Akins, D. (1984). Acute myocardial infarction in elderly patients. Southern Medical Journal, 77, 1127–1129.
Atkinson, J. C., & Fox, P. C. (1992). Salivary gland dysfunction. Clinics in Geriatric Medicine, 8, 499–512.
Basker, R. M., Sturdee, D. W., & Davenport, J. C. (1978). Patients with burning mouths. A clinical investigation of causative factors, including the climacteric and diabetes. British Dental Journal, 145, 9–16.
Beck, J. D., & Watkins, C. (1992). Epidemiology of nondental oral disease in the elderly. Clinics in Geriatric Medicine, 8, 461–482.
Berger, R., Florent, G., & Just, M. (1981). Decrease of the lympho-proliferative response to varicella-zoster virus antigen in the aged. Infections and Immunology, 32, 24–27.
Berkey, D. B., & Ettinger, R. L. (1991). Oral assessment of the older adult. In A. Papas, L. Niessen, & H. Chauncey (Eds.), Geriatric dentistry: Aging and oral health (pp. 105–125). St. Louis: Mosby.
Berkey, D. B., & Shay, K. (1992). General dental care for the elderly. Clinics in Geriatric Medicine, 8, 579–597.
Bernstein, J. E., Korman, N. J., Bickers, D. R., Dahl, M. V., & Millikan, L. E. (1989). Topical capsaicin in chronic postherpetic neuralgia. Journal of the American Academy of Dermatology, 21, 265–270.
Birren, J. E., Shapiro, H. B., & Miller, J. H. (1950). The effect of salicylate upon pain sensitivity. Journal of Pharmacology and Experimental Therapeutics, 100, 67–71.
Blasberg, B., Remick, R. A., Conklin, R., & Keller, F. D. (1984). Atypical facial pain in the elderly. Gerodontology, 3, 77.
Bowsher, D. (1993). Sensory change in postherpetic neuralgia. In C. P. N. Watson (Ed.), Herpes zoster and postherpetic neuralgia (pp. 97–107). Amsterdam: Elsevier.
Brisman, R. (1987). Trigeminal neuralgia and multiple sclerosis. Archives of Neurology, 44, 379–381.
Brooke, R. I. (1980). Atypical odontalgia. Oral Surgery, 49, 196–199.
Brooke, R. I., & Seganski, D. P. (1977). Aetiology and investigation of the sore mouth. Journal of the Canadian Dental Association, 10, 504–506.
Burke, B. L., Steele, R. W., Beard, O. W., Wood, J. S., Cain, T. D., & Manner, D. J. (1982). Immune responses to varicella-zoster in the aged. Archives of Internal Medicine, 142, 291–293.
Burt, B. A. (1994). Periodontitis and aging: Reviewing recent evidence. Journal of the American Dental Association, 125, 273–279.
Bush, J. P., & Harkins, S. W. (1992). Children in pain: Clinical and research issues from a developmental perspective. New York: Springer-Verlag.
Chapman, W P., & Jones, C. M. (1944). Variations in cutaneous and visceral pain sensitivity in normal subjects. Journal of Clinical Investigations, 23, 81–91.
Clark, G. T., Choi, J.-K., & Browne, P. A. (1995). The efficacy of physical medicine treatment, including occlusal appliances, for a population with temporomandibular disorders. In B. J. Sessle, P. S. Bryant, & R. A. Dionne (Eds.), Temporomandibular disorders and related pain conditions (pp. 375–397). Seattle: IASP Press.
Clark, W. C., & Mehl, L. (1971). Thermal pain: A sensory decision theory analysis of the effect of age and sex on d′, various response criteria, and 50 percent pain threshold. Journal of Abnormal Psychology, 78, 202–212.
Clinch, D., Banerjee, A. K., & Ostick, G. (1984). Absence of abdominal pain in elderly patients with peptic ulcer. Age and Aging, 13, 120–123.
Coleman, J. A., & Denham, M. J. (1980). Perforation of peptic ulceration in the elderly. Age and Aging, 9, 257–261.
Collins, G., & Stone, L. A. (1966). Pain sensitivity, age and activity level in chronic schizophrenics and in normals. British Journal of Psychiatry, 112, 33–35.
Cooper, B., Ahlquist, M., Friedman, R. M., Loughner, B., & Heft, M. (1992). Properties of high threshold mechanoreceptors in the gingival mucosa: I. Responses to dynamic and static pressure. Journal of Neurophysiology, 66, 1273–1279.
Cooper, B. Y., & Sessle, B. J. (1992). Anatomy, physiology and pathophysiology of the trigeminal system and its relationship to the development and maintenance of paresthesias, dysesthesias and chronic pain. In J. Gregg & J. LaBanc (Eds.), Trigeminal nerve injury: Diagnosis and management. Oral and Maxillofacial Surgery Clinics of North America, 4, 297–322.
Critchley, M. (1931). The neurology of old age. The Lancet, 1(225), 1221–1230.
Dolwick, M. F., & Saunders, B. (1985). TMJ internal derangement and arthrosis. St. Louis: Mosby.
Dubner, R. (1985). Recent advances in our understanding of pain. In I. Klineberg & B. Sessle (Eds.), Orofacial pain and neuromuscular dysfunction: Mechanisms and clinical correlates (pp. 3–19). Oxford: Pergamon.
Dubner, R., & Bennett, G. J. (1983). Spinal and trigeminal mechanisms of nociception. Annual Review of Neuroscience, 6, 381–418.
Dubner, R., Sharav, Y., Gracely, R. H., & Price, D. D. (1987). Idiopathic trigeminal neuralgia: Sensory features and pain mechanisms. Pain, 31, 23–33.
Dworkin, S. F., Huggins, K. H., LeResche, L., Von Korff, M., Howard, J., Truelove, D., & Sommers, E. (1990). Epidemiology of signs and symptoms in temporomandibular disorders: Clinical signs in cases and controls. Journal of the American Dental Association, 120, 273–281.
Ellen, R. P. (1992). Considerations for physicians caring for older adults with periodontal disease. Clinics in Geriatric Medicine, 8, 599–616.
Evans, E. R., Rendall, M. S., Bartek, J. P., Bamisedun, O., & Giiter, M. (1992). Current perception threshold in ageing. Age and Aging, 21, 273–279.
Forabosco, A., Criscuolo, M., Coukos, G., Uccelli, E., Weinstein, R., Spinato, S., Botticelli, A., & Volpe, A. (1992). Efficacy of hormone replacement therapy in postmenopausal women with oral discomfort. Oral Surgery, Oral Medicine, and Oral Pathology, 73, 570–574.
Frazier, C. H., & Russell, E. C. (1924). Neuralgia of the face: An analysis of seven hundred and fifty-four cases with relation to pain and other sensory phenomena before and after operation. Archives of Neurology and Psychiatry, 11, 557–563.
Fromm, G. H. (1989). Trigeminal neuralgia and related disorders. Neurologic Clinics, 7, 305–319.
Fromm, G. H. (1993). Physiological rationale for the treatment of neuropathic pain. APS Journal, 2, 1–7.
Fromm, G. H., Graff-Radford, S., & Terrence, C. F. (1988). Does trigeminal neuralgia have a prodrome? Neurology, 38 (Suppl. 1), 112.
Gilbert, G. H., & Dolwick, M. F. (1992). Oral and maxillofacial surgical therapy for the older adult. Clinics in Geriatric Medicine, 8, 617–641.
Glazier, J. J., Vrolix, M., Kesteloot, H., & Piessens, J. (1991). Silent ischemia: An update on current concepts. Acta Cardiology, 46, 461–469.
Grushka, M. (1987). Clinical features of burning mouth syndrome. Oral Surgery, Oral Medicine, and Oral Pathology, 63, 30–36.
Grushka, M., & Sessle, B. J. (1991). Burning mouth syndrome. Dental Clinics of North America, 35, 171–184.
Hammermeister, K. E., & Bonica, J. J. (1990). Cardiac and aortic pain. In J. J. Bonica (Ed.), The management of pain (2nd ed., pp. 552–559). Philadelphia: Lea & Febiger.
Hand, J. S., & Whitehill, J. M. (1986). The prevalence of oral mucosal lesions in an elderly population. Journal of the American Dental Association, 112, 73–76.
Hardy, J. D., Wolff, H. G., & Goodell, H. (1943). The pain threshold in man. American Journal of Psychiatry, 99, 744–751.
Hargreaves, K. M., Roszkowski, M. T., Jackson, D. L., Bowles, W., Richardson, J. D., & Swift, J. Q. (1995). Neuroendocrine and immune responses to injury, degeneration, and repair. In B. J. Sessle, P. S. Bryant, & R. A. Dionne (Eds.), Temporomandibular disorders and related pain conditions (pp. 273–292). Seattle: IASP Press.
Harkins, S. W. (1988). Pain in the elderly. In R. Dubner, F. G. Gebhart, & M. R. Bond (Eds.), Proceedings of the Vth World Congress on Pain (pp. 355–357). New York: Elsevier (Biomedical Division).
Harkins, S. W., & Chapman, C. R. (1977). The perception of induced dental pain in young and elderly women. Journal of Gerontology, 32, 428–435.
Harkins, S. W., & Chapman, C. R. (1976). Detection and decision factors in pain perception in young and elderly men. Pain, 2, 253–264.
Harkins, S. W., & Price, D. D. (1992). Assessment of pain in the elderly. In D. C. Turk & R. Melzack (Eds.), Handbook of pain assessment (pp. 315–331). New York: Guilford Press.
Harkins, S. W., Kwentus, J., & Price, D. D. (1990). Pain and suffering in the elderly. In J. J. Bonica (Ed.), Management of Pain (2nd ed., pp. 552–559). Philadelphia: Lea & Febiger.
Harkins, S. W., Price, D. D., & Martelli, M. (1986). Effects of age on pain perception: Thermonociception. Journal of Gerontology, 41, 58–63.
Heft, M. W. (1984). Prevalence of TMJ signs and symptoms in the elderly. Gerodontology, 3, 125–130.
Heft, M. W. (1992). Orofacial pain. Clinics in Geriatric Medicine, 8, 557–568.
Helme, R. D., Katz, B., Neufeld, S., Lachal, J., & Carron, H. T. (1989). The establishment of a geriatric pain clinic: A preliminary report of the first 100 patients. Australian Journal of Aging, 8, 27–30.
Hu, J. W., & Sessle, B. J. (1988). Properties of functionally identified nociceptive facial primary afferents and presynaptic excitability changes induced in their brainstem endings by raphe and orofacial stimuli in cats. Experimental Neurology, 101, 385–399.
James, F. R., Large, R. G., Bushneil, J. A., & Wells, J. E. (1991). Epidemiology of pain in New Zealand. Pain, 44, 279–283.
Jensen, M. P., Turner, J. A., Romano, J. M., & Karoly, P. (1991). Coping with chronic pain: A critical review of the literature. Pain, 47, 249–283.
Jensen, R., Rasmussen, B. K., Pedersen, B., Lous, I., & Olesen, J. (1992). Cephalic muscle tenderness and pressure pain threshold in a general population. Pain, 48, 197–203.
Kenshalo, D. R., Sr. (1986). Somesthetic sensitivity in young and elderly humans. Journal of Gerontology, 41, 732–742.
Kleinman, D. V., Swango, P. A., & Niessen, L. C. (1991). Epidemiologic studies of oral mucosal conditions—methodological issues. Community Dentistry Oral Epidemiology, 19, 129–140.
Klingman, A. M, & Balin, A. K. (1989). Aging of human skin. In A. K. Balin & A. M. Klingman (Eds.), Aging and the skin (pp. 1–42). New York: Raven Press.
Koch, H. (1986). The management of chronic pain in office-based ambulatory care. National Ambulatory Medical Care Survey. Advance Data for Vital and Health Statistics, No. 123, DHHS Publication No. (PHS) 86-1250, Public Health Service, Hyattsville, MD.
Kugelberg, E., & Lindblom, U. (1959). The mechanism of pain in trigeminal neuralgia. Journal of Neurology, Neurosurgery and Psychiatry, 22, 36–43.
Lamey, P. J., & Lamb, A. B. (1988). Prospective study of aetiological factors in burning mouth syndrome. British Medical Journal, 296, 1243–1246.
Lamey, P. J., & Lamb, A. B. (1989). The usefulness of the HAD scale in assessing anxiety and depression in patients with burning mouth syndrome. Oral Surgery, Oral Medicine, and Oral Pathology, 67, 390–392.
Laskin, D. M., & Greene, C. S. (1990). Diagnostic methods for temporomandibular disorders: What we have learned in two decades. Anesthesia Progress, 37, 66–71.
Linn, B. S. (1980). Age differences in the severity and outcome of burns. Journal of the American Geriatric Society, 28, 118–130.
Lipton, J. A., Ship, J. A., & Larach-Robinson, D. (1993). Estimated prevalence and distribution of reported orofacial pain in the United States. Journal of the American Dental Association, 124, 115–121.
Locker, D., & Grushka, M. (1987a). The impact of dental and facial pain. Journal of Dental Research, 66, 1414–1417.
Locker, D., & Grushka, M. (1987b). The prevalence of oral and facial pain and discomfort: Preliminary results of a mail survey. Community Dentistry Oral Epidemiology, 15, 169–172.
Loeser, J. D. (1986). Herpes zoster and postherpetic neuralgia. Pain, 25, 149–164.
Lowenthal, U., & Pisanti, S. (1978). The syndrome of oral complaints: Etiology and therapy. Oral Surgery, 46, 2–6.
MacDonald, J. B., Baillie, J., Williams, B. O., & Ballantyne, D. (1983). Coronary care in the elderly. Age and Aging, 12, 17–20.
Marbach, J. J., Hubrock, J., Hohn, C., & Segal, A. G. (1982). Incidence of phantom tooth pain: An atypical facial neuralgia. Oral Surgery, 53, 190–193.
Melzack, R., Abbott, F. V., Zackon, W., Mulder, D. S., & Davis, M. W. L. (1987). Pain on a surgical ward: A survey of the duration on intensity of pain and the effectiveness of medication. Pain, 29, 67–72.
Merskey, H. (Ed.) (1986). Classification of chronic pain: Descriptions of chronic pain syndromes and definitions of pain terms. Pain (Suppl. 3), pp. S1-S226.
Middaugh, S. J., Woods, S. E., Kee, W G., Harden, N., & Peters, J. R. (1991). Biofeedback-assisted relaxation training for the aging chronic pain patient. Biofeedback and Self-Regulation, 16, 361–377.
Miller, A. J., Brunelle, J. A., Carlos, J. P., Brown, L. J., & Loe, H. (1987). Oral health of United States adults: 1985–1986. NIH Publication No. 87-2868. National Institutes of Health, Public Health Service, Department of Health and Human Services.
Miller, P. F., Sheps, D. S., Bragdon, E. E., Herbst, M. C., Dalton, J. L., Hinderliter, A. L., Hoch, G. G., Maizner, W., & Eketund, L. G. (1990). Aging and pain perception in ischemic heart disease. American Heart Journal, 120, 22–30.
Montague, T., Wong, R., Crowell, R., Bay, K., Marshall, D., Tymchak, W, Teo, K., & Davies, N. (1990). Acute myocardial infarction: Contemporary risk and management in older versus younger patients. Canadian Journal of Cardiology, 6, 241–246.
Mumford, J. M. (1965). Pain perception threshold and adaptation of normal human teeth. Archives of Oral Biology, 10, 957–968.
Mumford, J. M. (1968). Pain perception in man on electrically stimulating the teeth. In A. Soulairac, J. Cahn, & J. Charpentier (Eds.), Pain (pp. 224–229). London: Academic Press.
Mumford, J. M. (1982). Orofacial pain: Aetiology, diagnosis and treatment. New York: Churchill Livingstone.
Pathy, M. S. (1967). Clinical presentation of myocardial infarction in the elderly. British Heart Journal, 29, 190–199.
Peterson, D. E. (1992). Oral candidiasis. Clinics in Geriatric Medicine, 8, 513–528.
Peterson, D. E., & D’Ambrosio, J. A. (1994). Nonsurgical management of head and neck cancer patients. Dental Clinics of North America, 38, 425–446.
Procacci, P., Bozza, G., Buzzelli, G., & Delia Corte, M. (1970). The cutaneous pricking pain threshold in old age. Gerontology Clinics, 12, 213–218.
Puder, R. S. (1988). Age analysis of cognitive-behavioral group therapy for chronic pain outpatients. Psychology and Aging, 3, 204–207.
Rees, R. T., & Harris, M. (1979). Atypical odontalgia. British Journal of Oral Surgery, 16, 212–218.
Schumacher, G. A., Goodell, H., Hardy, J. D., & Wolff, H. G. (1940). Uniformity of the pain threshold in man. Science, 92, 110–112.
Sharav, Y. (1989). Orofacial pain. In P. D. Wall & R. Melzack (Eds.), Textbook of pain (pp. 441–454). New York: Churchill Livingstone.
Sharav, Y, Leviner, E., Tzukert, A., & McGrath, P. A. (1984). The spatial distribution, intensity and unpleasantness of acute dental pain. Pain, 20, 363–370.
Sherman, E. D., & Robillard, E. (1964a). Sensitivity to pain in relationship to age. In P. F. Hansen (Ed.), Age with a future: Proceedings of the Sixth International Congress of Gerontology, Copenhagen, 1963 (pp. 325–333). Philadelphia: F. A. Davis.
Sherman, E. D., & Robillard, E. (1964b). Sensitivity to pain in relationship to age. Journal of the American Geriatrics Society, 12, 1037–1044.
Ship, J. A., & Baum, B. J. (1990). Is reduced salivary flow normal in old people? The Lancet, 336, 1507.
Ship, J. A., & Crow, H. C. (1994). Diseases of periodontal tissues in the elderly: Description, epidemiology, aetiology and drug therapy. Drugs and Aging, 5, 346–357.
Ship, J. A., Grushka, M., Lipton, J., Mott, A., Sessle, B., & Dionne, R. (1995a). An update on burning mouth syndrome. Journal of the American Dental Association, 126, 842–853.
Ship, J. A., Nolan, N., & Puckett, S. (1995b). Longitudinal analysis of parotid and submandibular salivary flow rates in healthy, different aged adults. Journals of Gerontology: Medical Science, 50A, M235–M289.
Silverman, S., Jr. (1992). Precancerous lesions and oral cancer in the elderly. Clinics in Geriatric Medicine, 8, 529–542.
Sorkin, B. A., Rudy, T. E., Hanlon, R. B., Turk, D. C., & Stieg, R. L. (1990). Chronic pain in old and young patients: Differences appear less important than similarities. Journal of Gerontology, 45, 64–68.
Sreebny, L. M., & Schwartz, S. S. (1986). A reference guide to drugs and dry mouth. Gerodontology, 5, 75–99.
Sternbach, R. A. (1986a). Pain and “hassles” in the United States: Findings of the Nuprin Pain Report. Pain, 27, 69–80.
Sternbach, R. A. (1986b). Survey of pain in the United States: The Nuprin Pain Report. Clinical Journal of Pain, 2, 49–53.
Tait, R. C., Chibnall, J. T., & Margilis, R. B. (1990). Pain extent: Relations with psychological state, pain severity, pain history and disability. Pain, 41, 295–301.
Taub, A. (1973). Relief of postherpetic neuralgia with psychotropic drugs. Journal of Neurosurgery, 39, 235–239.
Taylor, H., & Curran, N. M. (1985). The Nuprin Pain Report. New York: Louis Harris.
Tourne, L. P. M, & Fricton, J. R. (1992). Burning mouth syndrome: Critical review and proposed clinical management. Oral Surgery, Oral Medicine, and Oral Pathology, 74, 158–167.
Tucker, M. A., Andrew, M. F., Ogle, S. J., & Davison, J. G. (1989). Age associated change in pain threshold measured by transcutaneous neuronal electrical stimulation. Age and Aging, 18, 241–246.
Von Korff, M., Dworkin, S. F., LeResche, L., & Kruger, A. (1988a). An epidemiologic comparison of pain complaints. Pain, 32, 173–183.
Von Korff, M., Dworkin, S. F., LeResche, L., & Kruger, A. (1988b). Epidemiology of temporomandibular disorders: 2. TMD pain compared to other common pain sites. In R. Dubner, G. F. Gebhart, & M. R. Bond (Eds.), Proceedings of the Vth World Congress on Pain (pp. 506–511). New York: Elsevier.
Von Korff, M., Wagner, E. H., Dworkin, S. F., & Saunders, K. W. (1991). Chronic pain and use of ambulatory health care. Psychosomatic Medicine, 53, 61–79.
Walsh, N. E., Schoenfeld, L., Ramamurthy, S., & Hoffman, J. (1989). Normative model for cold pressor test. American Journal of Physical and Medical Rehabilitation, 68, 6–11.
Watson, C. P. N. (1990). Postherpetic neuralgia: Clinical features and treatment. In H. L. Fields (Ed.), Pain syndromes in neurology (pp. 223–228). London: Butterworths.
Watson, C. P. N., Evans, R. J., Reed, K., Merskey, H., Goldsmith, L., & Warsh, J. (1982). Amitriptyline versus placebo in postherpetic neuralgia. Neurology, 32, 671–673.
Watson, C. P. N., Evans, R. J., & Watt, V. R. (1988). Postherpetic neuralgia and topical capsaicin. Pain, 33, 333–340.
Watson, C. P. N., Watt, V. R., Chipman, M., Birkett, N., & Evans, R. J. (1991). The prognosis with postherpetic neuralgia. Pain, 46, 195–199.
Woodrow, K. M., Friedman, G. D., Siegelaub, A. B., & Collen, M. F. (1972). Pain tolerance: Differences according to age, sex, and race. Psychosomatic Medicine, 34, 548–556.
Wu, A. J., Atkinson, J. C., Fox, P. C., Baum, B. J., & Ship, J. A. (1993). Cross-sectional and longitudinal analyses of stimulated parotid salivary constituents in healthy, different-aged subjects. Journals of Gerontology: Medical Sciences, 48, M219–M224.
Zakrzewska, J. M., & Patsalos, P. N. (1992). Drugs used in the management of trigeminal neuralgia. Oral Surgery, Oral Medicine, and Oral Pathology, 74, 439–450.
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Ship, J.A., Heft, M.W., Harkins, S.W. (1997). Oral Facial Pain in the Elderly. In: Mostofsky, D.I., Lomranz, J. (eds) Handbook of Pain and Aging. The Springer Series in Adult Development and Aging. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0283-2_15
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