Atypical Facial Pain, Etiology, Pathogenesis and Management
Atypical Facial Neuralgia; atypical odontalgia; Phantom Tooth Pain; Stomatodynia; burning mouth syndrome; Idiopathic Orofacial Pain; complex regional pain syndrome
This ill-defined chronic facial pain condition is employed as a “wastebasket” definition, applied by elimination, of facial pain “not fulfilling other criteria”. Recently, attempts have been made to define atypical facial pain in a more positive way and not merely by elimination (Sharav 1999; Woda and Pionchon 1999). Atypical facial pain can be described as chronic facial pain of constant intensity, which usually has a burning quality, and occasionally intensifies to produce a throbbing sensation. Pain does not wake the patient from sleep and is not triggered by remote stimuli, but may be intensified by stimulation of the painful area itself. No local signs are present that can be related to the pain. No etiological factors are identifiable in the orofacial region.
This chronic intraoral...
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