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Comprehensive Guide to Orofacial Pain Differential Diagnosis

Understand the various origins and diagnostic methods for orofacial pain with this detailed guide covering intraoral, non-vascular, and vascular causes. Learn about history taking, examination techniques, and clinical assessments to pinpoint the source of the pain accurately.

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Comprehensive Guide to Orofacial Pain Differential Diagnosis

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  1. Differential Diagnosisof Orofacial Pain By Dr.bahram Azizi

  2. Pain for Intraoral Origin • Pain from Dentine • Pain from Pulp • Pain from Gingiva • Pain from Periodontatitis • Pain from Periapical periodontitis • Pain from oral mucosa

  3. Non Vascular Origin Orofacial Pain • Pain from Teeth (pulp) • Pain from TM muscle • Pain from TMJ • Sinusitis • Salivary gland • Trigeminal Neuralgia • Atypical Neuralgia

  4. Vascular Origin Orofacial Pain • Migraine Headache • Cluster Headache • Peroxymal hemicrania • Vascular Headache

  5. History Examination ofOrofacial Pain

  6. History Ex. of Orofacial Pain • C. Characteristics of pain • Quality of pain • Behaviour of pain • Temporal • Frequency • Duration • Intensity • Concomitant symptoms • Flow of pain 1. Chief complaints A. Location of pain B. Onset of pain • Association with other factors • Progression

  7. History Ex. of Orofacial Pain • E. Past consultation and/or treatment • F. Relationship to other complaints • 2. Past medical history • 3. Review of systems • 4. Psychological assessment 1. Chief complaints (cont.) D. Aggravating and alleviating factors • Physical modalities • Function and parafunction • Sleep disturbances • Medications • Emotional stress

  8. Clinical Examination of Orofacial Pain

  9. Clinical Examination • E. Cervical evaluation • F. Balance and co-ordination • 2. Muscle examination • A. Pulpation • Pain and tenderness • Trigger points and pain referal 1. General examination A. Vital signs • Blood pressure • Pulse rate • Respiratory rate • Temperature B. Cranial nerve evaluation C. Eye evaluation D. Ear evaluation

  10. Clinical Examination • C. Oral structures • Mucogingival tissues • Teeth • Periodontium • Occlusion • 4. Other diagnostic tests • A. Imaging • B. Laboratory tests • C. Psychologic provocation tests 3. Masticatory evaluation A. Range of mandibular movement • Measurement • Pain B. Temoromandibular joint evaluation • Pain • Dysfunction

  11. Pain from Intraoral Origin

  12. Pain for Intraoral Origin • Pain from Dentine • Pain from Pulp • Pain from Gingiva • Pain from Periodontatitis • Pain from Periapical periodontitis • Pain from oral mucosa

  13. Pain for Intraoral Origin • Pain from Dentine • Pain from Pulp • Pain from Gingiva • Pain from Periodontatitis • Pain from Periapical periodontitis • Pain from oral mucosa

  14. Pain for Intraoral Origin • Pain from Dentine • Pain from Pulp • Pain from Gingiva • Pain from Periodontatitis • Pain from Periapical periodontitis • Pain from oral mucosa

  15. Pain for Intraoral Origin • Pain from Dentine • Pain from Pulp • Pain from Gingiva • Pain from Periodontatitis • Pain from Periapical periodontitis • Pain from oral mucosa

  16. Pain for Intraoral Origin • Pain from Dentine • Pain from Pulp • Pain from Gingiva • Pain from Periodontatitis • Pain from Periapical periodontitis • Pain from oral mucosa

  17. Pain for Intraoral Origin • Pain from Dentine • Pain from Pulp • Pain from Gingiva • Pain from Periodontatitis • Pain from Periapical periodontitis • Pain from oral mucosa

  18. Pain for Intraoral Origin • Pain from Dentine • Pain from Pulp • Pain from Gingiva • Pain from Periodontatitis • Pain from Periapical periodontitis • Pain from oral mucosa

  19. Non Vascular OriginOrofacial Pain

  20. Non Vascular Origin Orofacial Pain • Pain from Teeth (pulp) • Pain from TM muscle • Pain from TMJ • Sinusitis • Salivary gland • Trigeminal Neuralgia • Atypical Neuralgia

  21. Non Vascular Origin Orofacial Pain • Pain from Teeth (pulp) • Pain from TM muscle • Pain from TMJ • Sinusitis • Salivary gland • Trigeminal Neuralgia • Atypical Neuralgia

  22. Non Vascular Origin Orofacial Pain • Pain from Teeth (pulp) • Pain fromTM muscle • Pain from TMJ • Sinusitis • Salivary gland • Trigeminal Neuralgia • Atypical Neuralgia

  23. Non Vascular Origin Orofacial Pain • Pain from Teeth (pulp) • Pain from TM muscle • Pain fromTMJ • Sinusitis • Salivary gland • Trieminal Neuralgia • Atypicgal Neuralgia

  24. Non Vascular Origin Orofacial Pain • Pain from Teeth (pulp) • Pain from TM muscle • Pain from TMJ • Sinusitis • Salivary gland • Trigeminal Neuralgia • Atypical Neuralgia

  25. Non Vascular Origin Orofacial Pain • Pain from Teeth (pulp) • Pain from TM muscle • Pain from TMJ • Sinusitis • Salivary gland • Trigeminal Neuralgia • Atypical Neuralgia

  26. Non Vascular Origin Orofacial Pain • Pain from Teeth (pulp) • Pain from TM muscle • Pain from TMJ • Sinusitis • Salivary gland • Trigeminal Neuralgia • Atypical Neuralgia

  27. Non Vascular Origin Orofacial Pain • Pain from Teeth (pulp) • Pain from TM muscle • Pain from TMJ • Sinusitis • Salivary gland • Trigeminal Neuralgia • Atypical Neuralgia

  28. Vascular OriginOrofacial Pain

  29. Vascular Origin Orofacial Pain • Migraine Headache • Cluster Headache • Peroxymal hemicrania • Vascular Headache

  30. Vascular Origin Orofacial Pain • Migraine Headache • Cluster Headache • Peroxymal hemicrania • Vascular Headache

  31. Vascular Origin Orofacial Pain • Migraine Headache • Cluster Headache • Peroxymal hemicrania • Vascular Headache

  32. Vascular Origin Orofacial Pain • Migraine Headache • Cluster Headache • Peroxymal hemicrania • Vascular Headache

  33. Vascular Origin Orofacial Pain • Migraine Headache • Cluster Headache • Peroxymal hemicrania • Vascular Headache

  34. Pain for Intraoral Origin • Pain from Dentine • Pain from Pulp • Pain from Gingiva • Pain from Periodontatitis • Pain from Periapical periodontitis

  35. Non Vascular Origin Orofacial Pain • Pain from Teeth (pulp) • Pain from TM muscle • Pain from TMJ • Sinusitis • Salivary gland • Trigeminal Neuralgia • Atypical Neuralgia

  36. Vascular Origin Orofacial Pain • Migraine Headache • Cluster Headache • Peroxymal hemicrania • Vascular Headache

  37. Thank You

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