Orofacial Pain and its Association with Various Disorders

Sonal GP Pillai, Lynn Johnson, Hiroj Bagde
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Abstract

Due to the complex innervation and function of the facial tissues, identifying and treating face pain may be a very difficult and frustrating procedure. Even if they have had a variety of medicines, patients who have experienced prolonged facial discomfort should routinely undergo thorough reevaluation and clinical reexamination. Myofascial pain syndromes, temporomandibular disorders (TMD), neuralgias, ENT illnesses, dental pain, tumors, neurovascular pain, and mental illnesses frequently have symptoms that overlap. Diagnosis is generally more difficult in cases of severe, acute, and referred pain. It is well known that dental pain can travel to other regions of the face and imitate pain from other sources because of the sensitivity of neurons in the central nervous system. The consequences of this include subsequent hyperactivity in the muscles nearby the afflicted location, among other things. Since this is the case, eliminating the primary source of the pain is essential; yet, in the case of chronic pain, this is not always sufficient to reduce the discomfort. An incorrect therapy that is also ineffective might result in persistent or chronic discomfort. It is essential to be aware of the secondary pain processes linked to craniofacial pain in order to make an accurate diagnosis.
口腔面部疼痛及其与各种疾病的关系
由于面部组织复杂的神经支配和功能,识别和治疗面部疼痛可能是一个非常困难和令人沮丧的过程。即使服用了多种药物,长期面部不适的患者也应定期进行彻底的重新评估和临床复查。肌筋膜疼痛综合征、颞下颌紊乱(TMD)、神经痛、耳鼻喉科疾病、牙痛、肿瘤、神经血管疼痛和精神疾病通常有重叠的症状。在严重、急性和牵涉性疼痛的病例中,诊断通常比较困难。众所周知,由于中枢神经系统中神经元的敏感性,牙痛可以传播到面部的其他区域,并模仿其他来源的疼痛。其后果包括随后疼痛部位附近肌肉的过度活跃。既然如此,消除疼痛的主要来源是必要的;然而,在慢性疼痛的情况下,这并不总是足以减少不适。不正确的治疗也可能导致持续的或慢性的不适。为了做出准确的诊断,必须了解与颅面疼痛相关的继发性疼痛过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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