Differential diagnosis of orofacial pain III: associated with neuropathic disorders

Authors

  • Rodolfo Acosta-Ortiz Nova Southeastern University, Florida

DOI:

https://doi.org/10.17533/udea.rfo.343849

Keywords:

Pain, Orofacial pain, Defferential diagnosis, Headache, Neuropathic pain, Neuralgias, Traumatic neuralgia

Abstract

This is the last of three articles that have the purpose of presenting a literature review of the conditions that have been considered to establish the differential diagnosis of different orofacial pain conditions (OFP). In this article, neuropathic disorders both episodic (trigeminal neuralgia, glossopharyngeal neuralgia, occipital neuralgia) and continuos (neuritis, postherpetic neuralgia, deafferentation pain, and atypical pain) are discussed. Throughout these articles, the main clinical characteristics of the different orofacial pain conditions have been presented. Those characteristics are used to make a systematic comparison with the clinical finding of the patient, which will provide the basis to establish the correct differential diagnosis. Therefore, independent of knowing the treatment, the clinician should be familiar with as many clinical characteristics of the different orofacial pain conditions as possible.

|Abstract
= 324 veces | PDF
= 65 veces| | PDF (ESPAÑOL (ESPAÑA))
= 280 veces|

Downloads

Download data is not yet available.

Author Biography

Rodolfo Acosta-Ortiz, Nova Southeastern University, Florida

Dentist, Universidad del Valle, Cali, Colombia. Training in Temporomandibular Disorders and Orofacial Pain, Master of Science in Oral Science and Epidemiology, University of Minnesota, Adjunct Professor, Department of Prosthodontics, College of Dental Medicine, NOVA Southeastem University, Florida, USA.

References

Acosta-Ortiz R. Diagnóstico diferencial del dolor orofacial I: asociado a estructuras intracraneanas, extracraneanas y desórdenes sicogénicos. Rev Fac Odont Univ Ant. 2001; 13(1): 5-16.

Acosta-Ortiz R. Diagnóstico diferencial del dolor orofacial II. Asociado a desórdenes neurovasculares, vasculares y músculo-esqueléticos. Rev Fac Odontol Univ Ant. 2001; 13(1): 17-28. DOI: https://doi.org/10.17533/udea.rfo.343848

Zakrzewska JA, Hamlyn PJ. Facial pain. In Crombie IK, Croft PR, Linton SJ, LeResche L, Von Korff M. Epidemiology of pain: task force in epidemiology. International association for the study of pain. Seatle: IASP Press; 1999.

Katusic S, Beard M, Bergstralh E, Kurland LT. Incidence and clinical features of trigeminal neuralgia, Rochester, Minnesota, 1945-1984. Ann Neurol. 1990; 27(1): 89-95. DOI: https://doi.org/10.1002/ana.410270114

Rothman KJ, Monson RR. Epidemiology of trigeminal neuralgia. J Chronic Dis. 1973, 26(1): 3-12. DOI: https://doi.org/10.1016/0021-9681(73)90075-1

Brisman R. Bilateral trigeminal neuralgia. J Neurosurg. 1987; 67(1): 44-8. DOI: https://doi.org/10.3171/jns.1987.67.1.0044

Dalessio DJ. Diagnosis and treatment of cranial neuralgias. Med Clin North Am. 1991; 75(3): 605-15. DOI: https://doi.org/10.1016/s0025-7125(16)30436-9

Fromm GH. Trigeminal neuralgias and related disorders. Neurol Clin. 1989; 7(2): 305-19.

Graff-Radford SB. Orofacial pain: an overview of diagnosis and management. In Fricton JR, Dubner R. Advances in pain Research and Therapy orofacial pain and temporomandibular disorders. New York: Raven Press; 1995.

Merril RL, Graff-Radford SB. Trigeminal Neuralgia: how to rule out the wrong treatment. J Am Dent Assoc. 1992; 123(2): 63-8. DOI: https://doi.org/10.14219/jada.archive.1992.0047

Law AS, Lilly JP. Trigeminal neuralgia mimicking odontogenic pain: a report of two cases. Oral Surg Oral Med Oral Pathol. 1995; 80(1): 86-100. DOI: https://doi.org/10.1016/s1079-2104(95)80024-7

Fromm GH, Graff-Radford SB, Terrence CF, Sweet WH. Pretrigeminal neuralgia. Neurology. 1990; 40(10): 1493-5. DOI: https://doi.org/10.1212/wnl.40.10.1493

Mitchell RG. Pretrigeminal neuralgia. Brit Dent J. 1980; 149(6): 167-70. DOI: https://doi.org/10.1038/sj.bdj.4804480

Kennett S, Cohen L. Paroxysmal trigeminal neuralgia: a review of thirty-six cases. Oral Surg Oral Pathol Oral Med Oral Pathol. 1968; 25(3): 375-9. DOI: https://doi.org/10.1016/0030-4220(68)90011-x

Cheng TMW, Cascino TL, Onofiro BM. Comprehensive study of diagnosis and treatment of trigeminal neuralgias secundary to tumors. Neurology. 1993; 43(11): 2298-302. DOI: https://doi.org/10.1212/wnl.43.11.2298

Terrence CF, Jensen TS. Trigeminal and other cranial neuralgias. In Olesen J, Tfelt-Hansen P, Welch KMA Ed. The headaches. Philadelphia: Lippincot Williams & Wilkins; 2000.

Rushton JG, Olafson RA. Trigeminal neuralgia associated with multiple sclerosis: a case resport.. Arch Neurol. 1965; 13(4): 383-6. DOI: https://doi.org/10.1001/archneur.1965.00470040049007

Ruge D, Brochner R, Davis L. A study of the treatment of 637 patients with trigeminal neuralgia. J Neurosurg. 1958; 15(5): 528-36. DOI: https://doi.org/10.3171/jns.1958.15.5.0528

Katusic S, Williams DB, Beard CM, Bergstralh E, Kurland LT. Incidence and clinical features of glosofaringeal neuralgia, Rochester, Minnesota, 1945-1984. Neuroepidemiology. 1991; 10(5-6): 266-75. DOI: https://doi.org/10.1159/000110283

Katusic S, Williams DB, Beard CM, Bergstralh EJ, Kurland LT. Epidemiological and clinical features of idiopathic trigeminal neuralgia and glossopharyngeal neuralgias: similarities and differences, Rochester, Minnesota, 1945-1984. Neuroepidemiology. 1991; 10(5-6): 276-81. DOI: https://doi.org/10.1159/000110284

Bruyn GW. Glossopharingeal neuralgia. Cephalalgia. 1983; 3(3): 143-57. DOI: https://doi.org/10.1046/j.1468-2982.1983.0303143.x

Rushton JG, Stevens JC, Miller RH. Glossopharingeal (vagoglossopharyngeal) neuralgia: a study of 217 cases. Arch Neurol. 1981; 38(4): 201-05. DOI: https://doi.org/10.1001/archneur.1981.00510040027002

Keith DA. Differential diagnosis of craniofacial pain. Cranio Clin Int. 1991; 1(1): 173-85.

Sulfaro MA, Gobetti JP. Occipital neuralgia manisfesting as orofacial pain. Oral Surg Oral Med Oral Pathol. 1995; 80(6): 751-5. DOI: https://doi.org/10.1016/s1079-2104(05)80261-6

Anthony M. Headache and the greater occipital nerve. Clin Neurol Neurosurg. 1992; 94(4): 297-301. DOI: https://doi.org/10.1016/0303-8467(92)90177-5

Dugan MC, Locke S, Gallagher JR. Occipital neuralgia in adolescents and young adults. New Engl J Med. 1962; 267: 1166-72.

Graff-Radford SB, Jaeger B, Reeves JL. Myofascial pain may present clinically as occipital neuralgia. Neurosurgery. 1986; 19(4): 610-3. DOI: https://doi.org/10.1227/00006123-198610000-00017

Okeson JP. Bell's orofacial pain. Chicago: Quintessence; 1995.

Vinken PJ, Bruyn GW, Klawans HL. Handbook of clinical neurology. Vol 4. Headache. New York: Elsevier Sciance Publishing; 1986.

Sluder G. Etiology, diagnosis, prognosis and treatment of sphenopalatine neuralgia. JAMA. 1913; 61: 1201-05.

Bruyn GW. Sphenopalatine neuralgia (Sluder). In Vinken PJ, Bruyn GW, Klawans HL. Handbook of clinical neurology. Vol 4. Headache. New York: Elsevier Sciance Publishing; 1986.

Ryan RE Jr, Ryan RE sr. Cluster headache. Otolaryngol Clin North Am. 1989; 22(6): 1131-44.

Bruyn GW. Nervus intermedius neuralgia (Hunt). In Vinken PJ, Bruyn GW, Klawans HL. Handbook of clinical neurology. Vol 4. Headache. New York: Elsevier Sciance Publishing; 1986.

Bruyn GW. Superior laryngeal neuralgia. In Vinken PJ, Bruyn GW, Klawans HL. Handbook of clinical neurology. Vol 4. Headache. New York: Elsevier Sciance Publishing; 1986.

Bruyn GW. Charlin's neuralgia. In Vinken PJ, Bruyn GW, Klawans HL. Handbook of clinical neurology. Vol 4. Headache. New York: Elsevier Sciance Publishing; 1986.

Donoff RB, Colin W. Neurologic complications of oral and maxillofacial surgery. Oral Maxillofac Surg Clin North Am. 1990; 2: 453-62.

Campbell RL, Parks KW, Dodds N. Chronic facial pain associated with endodontic therapy. Oral Surg Oral Med Oral Pathol. 1990; 69(3): 287-90. DOI: https://doi.org/10.1016/0030-4220(90)90288-4

Delcanho RE. Neuropathic implications of prosthodontics treatment. J prosthet Dent. 1995; 73(2): 146-52. DOI: https://doi.org/10.1016/s0022-3913(05)80154-4

Bruyn GW. Stylohyoid sindrome (eagle). In Vinken PJ, Bruyn GW, Klawans HL. Handbook of clinical neurology. Vol 4. Headache. New York: Elsevier Sciance Publishing; 1986.

Hunt WE. Tolosa-Hunt syndrome: one cause of painful ophthalmoplegia. J Neurosurg. 1976; 44(5): 544-9. DOI: https://doi.org/10.3171/jns.1976.44.5.0544

Kline LB. The Tolosa-Hunt Syndrome. Survey Ophtalmol. 1982; 27(2): 79-5. DOI: https://doi.org/10.1016/0039-6257(82)90190-4

Fricton JR, Kroening RJ. Neuralgic disorders: peripheral nerve pain. In Fricton JR, Kroening, Hathaway KM. TMJ craniofacial pain: diagnosis and management. St Louis: Ishiyaku EuroAmeric; 1988.

Goh CL, Khoo L. A retrospective study of the clinical presentation and outcome of of a herpez zoster in a tertiary dermatology outpatients referral clinic. Inter J Dermatol. 1997; 36(9): 667-72. DOI: https://doi.org/10.1046/j.1365-4362.1997.00241.x

Gershon AA. Epidemiology and management of postherpetic neuralgia. Semin Dermatol. 1996; 15 (2 suppl 1): 8-13.

Watson CP. Postherpethic neuralgia. Neurol Clin. 1989; 7(2): 231-48.

Holland GR. Experimental trigeminal nerve injury. Crit Rev Oral Biol Med. 1996; 7(3): 237-58. DOI: https://doi.org/10.1177/10454411960070030301

Simpson HE. Injuries to the inferior dental and mental nerves. J Oral Surg. 1958; 16(4): 300-05.

Wilbourn AJ. Iatrogenic nerve injuries. Neurol Clin. 1998; 16(1): 55.

Donoff RB, Colin W. Neurologic complications of oral and maxillofacial surgery. Oral Maxillofac Surg North Am. 1990; 2: 453-62.

Gregg JM. Studies of traumatic neuralgias in the maxillofacial region: surgical pathology and neural mechanisms. J Oral Maxillofac Surg. 1990; 48(3): 228-37. DOI: https://doi.org/10.1016/0278-2391(90)90385-f

Staton-Hicks M, Jänig W, Hassenbusch S, Haddox JD, Boas R, Wilson P. Reflex sympathetic distrophy: changing concepts and taxonomy. Pain. 1995; 63(1): 127-33. DOI: https://doi.org/10.1016/0304-3959(95)00110-e

Lynch ME, Elgeneidy AK. The role of sympathetic activity in neuropathic orofacial pain. J Orofac Pain. 1996; 10(4): 297-305.

Gregg JM. Studies of traumatic neuralgias in the maxillofacial region: symptom complexes and response to microsurgery. J Oral Maxillofac Surg. 1990; 48(3): 135-40. DOI: https://doi.org/10.1016/0278-2391(90)90385-f

Rasmussen OC. Painful traumatic neuromas in the oral cavity. Oral Surg Oral Med Oral Pathol. 1980; 49(3): 191-5. DOI: https://doi.org/10.1016/0030-4220(80)90043-2

Mathews GJ, Osterholm JL. Painful traumatic neuromas. Surg Clin North Am. 1972; 51(5): 1313-24. DOI: https://doi.org/10.1016/s0039-6109(16)39843-7

Solomon S, Lipton RB. Atypical facial pain: a review. Semin Neurol. 1988; 8:332-8.

Speculand B, Goss AN, Hallett E, Spence ND. Intractable facial pain. Brit J Oral Surg. 1979; 17(2): 166-78. DOI: https://doi.org/10.1016/s0007-117x(79)80045-1

McElin TW, Hoton BT. Atypical face pain: a statistical consideration of 66 cases. Ann Inter Med. 1947; 27(5): 749-68. DOI: https://doi.org/10.7326/0003-4819-27-5-749

Blassberg B, Remick RA, Conklin R, Keller FD. Atypical facial pain in ederly. Gerodontology. 1984; 3: 77-81.

Woda A, Pionchon P. Focus article: a unified concept of idiopathic orofacial pain: clinical features. J Orofac Pain. 1999; 13: 172-84.

Woda A, Pionchon P. Topical review: a unified concept of idiopathic orofacial pain: pathophysiologic features. J Orofacial Pain. 2000; 14(3): 196-212.

Remick RA, Blassberg B, Campos PE, Miles JE. Psychiatric disorders associated with atypical facial pain. Can J Psychiatry. 1983; 28(3): 178-81. DOI: https://doi.org/10.1177/070674378302800304

Weddington WW, Blazer D. Atipical facial pain and trigeminal neuralgia: a comparison study. Psychosomatics. 1979; 20(5): 348-56. DOI: https://doi.org/10.1016/s0033-3182(79)70831-0

Graff-Radford SB, Solberg WK. Is atypical odontalgia a psychological problem? Oral Surg Oral Med Oral Pathol. 1993; 75(5): 579-82. DOI: https://doi.org/10.1016/0030-4220(93)90228-v

Marbach JJ. Orofacial phantom pain: theory and phenomenology. J Am Dent Assoc. 1996; 127(2): 221-9. DOI: https://doi.org/10.14219/jada.archive.1996.0172

Bates RE, Stewart CM. Atypical odontalgia: phantom tooth pain. Oral Surg Oral Med Oral Pathol. 1991; 72(4): 479-83. DOI: https://doi.org/10.1016/0030-4220(91)90564-s

Marbach JJ, Hulbrock J, Honn C, Segal AG. Incidence of phantom tooth pain: an atypical facial neuralgia. Oral Surg Oral Med Oral Pathol. 1982; 53(2): 190-3. DOI: https://doi.org/10.1016/0030-4220(82)90285-7

Brooke RI. Atypical odontalgia: a report of twenty-two cases. Oral Surg Oral Med Oral Pathol. 1980; 49(3): 196-9. DOI: https://doi.org/10.1016/0030-4220(80)90044-4

Vickers ER, Cousins MJ, Walker S, Chisholm K. Analysis of 50 patients with atypical odontalgia: preliminary report on pharmacological procedures for diagnosis and treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998; 85(1): 24-32. DOI: Oral Surg Oral Med Oral Pathol Oral Radiol Endod

Graff-Radford SB, Solberg WK. Atypical odontalgia. J Craniomandib Disord Facial Oral Pain. 1992; 6(4): 260-6.

Bouquot JE, Roberts AM, Person P, Christina J. Neuralgia-inducing cavitational osteonecrosis (NICO). Osteomyelitis in 224 jawbone samples from patients with facial neuralgia. Oral Surg Oral Pathol Oral Med. 1992; 73(3): 307-19. DOI: https://doi.org/10.1016/0030-4220(92)90127-c

Bouquot JE, LaMarche MG. Ischemic osteonecrosis under fixed partial dentura pontics: radiographic and microscopic features in 38 patients with chronic facial pain. J Prosthet Dent. 1999; 81(2): 148-58. DOI: https://doi.org/10.1016/s0022-3913(99)70242-8

Bouquot JE, McMahon RE. Ischemic alveolar osteonecrosis in 2.023 patients with chronic facial pain. J Orofacial Pain. 1997; 11: 180-88.

Gruppo R, Glueck CJ, McMahon RE, Buoquot J, Rabinovich BA, Becker A et al. The pathophysiology of osteonecrosis of the jaw: anticardiolipin antibodies, thrombophilia, and hypofibrinolyisis. J Lab Clin Med. 1996; 127(5): 481-8. DOI: https://doi.org/10.1016/s0022-2143(96)90065-7

Published

2020-09-18

How to Cite

Acosta-Ortiz, R. (2020). Differential diagnosis of orofacial pain III: associated with neuropathic disorders. Revista Facultad De Odontología Universidad De Antioquia, 13(1), 29–39. https://doi.org/10.17533/udea.rfo.343849

Most read articles by the same author(s)