Encyclopedia of Pain

2007 Edition

Atypical Facial Pain, Etiology, Pathogenesis and Management

  • Yair Sharav
Reference work entry
DOI: https://doi.org/10.1007/978-3-540-29805-2_321

Synonyms

Atypical Facial Neuralgia; atypical odontalgia; Phantom Tooth Pain; Stomatodynia; burning mouth syndrome; Idiopathic Orofacial Pain; complex regional pain syndrome

Definition

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.

Characteristics

This chronic intraoral...

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References

  1. 1.
    Feinmann C, Harris M, Cawley R (1984) Psychogenic Facial Pain: Presentation and Treatment. BMJ 288:436–438Google Scholar
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    Grushka M, Sessle BJ, Miller R (1987a) Pain and Personality Profiles in Burning Mouth Syndrome. Pain 28:155–167Google Scholar
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    Loeser JD (1989) Tic Douloureux and Atypical Facial Pain. In: Wall PD, Melzack R (eds) Textbook of Pain, 2nd edn. Churchill Livingstone, pp 535–543Google Scholar
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    Marbach JJ (1978) Phantom tooth pain. Journal of Endodontics 4:362–372Google Scholar
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    Sharav Y, Singer E, Schmidt E, Dionne RA, Dubner R (1987) The Analgesic Effect of Amitriptyline on Chronic Facial Pain. Pain 31:199–209Google Scholar
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    Sharav Y (1999) Orofacial pain. In: Wall PD, Melzack R (eds) Textbook of Pain, 4th edn. Churchill Livingstone, pp 711–738Google Scholar
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    Vickers ER, Cousins MJ, Walker S, Chisholm K (1998) Analysis of 50 Patients with Atypical Odontalgia. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics 85:24–32Google Scholar
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    Woda A, Pionchon PA (1999) Unified Concept of Idiopathic Orofacial Pain: Clinical Features. J Orofac Pain 13:172–184Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2007

Authors and Affiliations

  • Yair Sharav
    • 1
  1. 1.Department of Oral MedicineSchool of Dental MedicineHebrew University-HadassahIsrael