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Differential Diagnosis of Orofacial Pain

Differential Diagnosis of Orofacial Pain. By Dr.bahram Azizi. Pain for Intraoral Origin. Pain from Dentine Pain from Pulp Pain from Gingiva Pain from Periodontatitis Pain from Periapical periodontitis Pain from oral mucosa. Non Vascular Origin Orofacial Pain. Pain from Teeth (pulp)

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Differential Diagnosis of Orofacial Pain

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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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