facial pain University of Palestine非典型面部疼痛的巴勒斯坦大学课件.ppt

atypical facial pain SYMPTOMSFacial pain, often described as burning, aching or cramping, pulling, occurs on one side of the face, often in the region of the trigeminal nerve and can extend into the upper neck or back of the scalp. Although rarely as severe as trigeminal neuralgia, facial pain is continuous for ATFP patients, with few, if any periods of remission. Atypical odontalgia Atypical odontalgia describes atypical facial pain in apparently normal teeth. Unfortunately, dentists usually consider this diagnosis only after the failure of invasive treatment. Atypical odontalgia patients are typified by women in their mid-40s who complain of persistent pain in one or more premolar or molar teeth. They associate pain with dental procedures or trauma to the region, While the cause of atypical odontalgia is uncertain. What is Atypical Odontalgia? Atypical Odontalgia (AO) is a condition in which a tooth is very painful but nothing can be found wrong with the tooth. ?The pain is continuous, usually burning, aching and sometimes throbbing and most often occurs in upper premolars (bicuspids) or molars.Since symptoms are very similar to those caused by a toothache, often numerous dental procedures are done.To complicate matters, these treatments (such as pulp extirpation, root-tip surgery or tooth extraction) may offer temporary relief from pain, only to have the pain return. What are the Signs Symptoms of Atypical Odontalgia? The typical clinical presentation of AO involves pain in a tooth in the absence of any sign of pathology; the pain may spread to areas of the face, neck, and shoulder.Symptoms include a continuous burning, aching pain in a tooth or in the bone / gum surrounding a tooth.Often there in increased sensitivity to pressure over the painful region. ?Often nothing shows up on diagnostic tests, no abnormalities are found on X-rays and no obvious cause for the “tooth pain” can be found.Patients often have difficulty localising t