117 results match your criteria Persistent Idiopathic Facial Pain


Predictive role of gnathological techniques for the treatment of persistent idiopathic facial pain (PIFP).

Neurol Sci 2020 May 21. Epub 2020 May 21.

Igea Healthcare Institute, Milan, Italy.

Introduction/background: Persistent idiopathic craniofacial pain (PIFP) is a heterogeneous group of pain syndromes whose main characteristic is the daily presence of persistent pain for at least 3 months. The pathophysiology of PIFP is still not entirely known and probably related to biological and psychological factors. Although PIFP has been attributed to the central neuron activity, the importance of masticatory muscles as a possible pathogenic mechanism was recently demonstrated. Read More

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http://dx.doi.org/10.1007/s10072-020-04456-9DOI Listing

Facial Pain: A Comprehensive Review and Proposal for a Pragmatic Diagnostic Approach.

Eur Neurol 2020 27;83(1):5-16. Epub 2020 Mar 27.

Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Headache and Facial Pain Clinic, Brussels, Belgium,

Background: Facial pain, alone or combined with other symptoms, is a frequent complaint. Moreover, it is a symptom situated at, more than any other pain condition, a crosspoint where several disciplines meet, for example, dentists; manual therapists; ophthalmologists; psychologists; and ear-nose-throat, pain, and internal medicine physicians besides neurologists and neurosurgeons. Recently, a new version of the most widely used classification system among neurologists for headache and facial pain, the International Classification of Headache Disorders, has been published. Read More

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http://dx.doi.org/10.1159/000505727DOI Listing

A case of an elderly patient with persistent idiopathic facial pain related to dental implants successfully treated with mirtazapine.

Psychogeriatrics 2020 Mar 11. Epub 2020 Mar 11.

Department of Psychosomatic Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

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http://dx.doi.org/10.1111/psyg.12540DOI Listing

Differences in the Clinical Characteristics of Persistent Idiopathic Facial Pain (Atypical Odontalgia) Patients with or Without Neurovascular Compression of the Trigeminal Nerve.

Pain Med 2020 04;21(4):814-821

Department of Psychosomatic Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Background: Persistent idiopathic facial pain (PIFP) is the unexplained pain along the territory of the trigeminal nerve, including nonorganic tooth pain called atypical odontalgia (AO). Though PIFP is debilitating to patients' livelihood and well-being, its pathophysiology remains poorly understood. Although neurovascular compression (NVC) of the trigeminal nerve is known to be associated with trigeminal neuralgia (TN), the relationship between NVC and other orofacial pains has not been fully elucidated. Read More

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http://dx.doi.org/10.1093/pm/pnz300DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7139210PMC

Persistent dentoalveolar pain disorder: A putative intraoral chronic overlapping pain condition.

Oral Dis 2019 Dec 4. Epub 2019 Dec 4.

Division of TMD and Orofacial Pain, School of Dentistry, University of Minnesota, Minneapolis, MN, USA.

Chronic overlapping pain conditions (COPCs) are conditions that share several clinical characteristics and symptomatology, are usually considered idiopathic in nature, and are frequently comorbid. Currently, there are no established inclusion criteria to determine which conditions should be included under this umbrella term despite different systems proposed. Persistent dentoalveolar pain disorder (PDAP), also referred to as atypical odontalgia and thought to be a component of persistent idiopathic facial pain, is a chronic pain condition that manifests as a persistent tooth pain or pain over a dentoalveolar site formerly occupied by a tooth in the absence of detectable pathology during clinical or radiological examination. Read More

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http://dx.doi.org/10.1111/odi.13248DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7269821PMC
December 2019

Atypical Facial Pain.

Dent Clin North Am 2020 01 21;64(1):249-253. Epub 2019 Oct 21.

Department of Dentistry/Oral and Maxillofacial Surgery, Woodhull Medical Center, 2c320, Brooklyn, NY 11203, USA.

Atypical facial pain (AFP), or persistent idiopathic facial pain, is a chronic and diffuse distribution of facial pain along the territory of the trigeminal nerve. This condition occurs in the absence of any neurologic deficit or any other obvious etiology. AFP is one of the most challenging conditions to diagnose due to lack of clear diagnostic criteria. Read More

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http://dx.doi.org/10.1016/j.cden.2019.08.014DOI Listing
January 2020
4 Reads

Clinical Presentation, Management, and Outcomes of Idiopathic Pain in Percutaneous Bone-anchored Hearing Implants.

Otol Neurotol 2019 12;40(10):1292-1298

Department of Otorhinolaryngology, Donders Center for Neurosciences.

Objective: To identify clinical features and investigate treatment outcomes of patients with idiopathic pain related to a percutaneous bone-anchored hearing implant (BAHI) and to propose management recommendations.

Study Design: Retrospective chart analysis.

Setting: Tertiary referral center. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002382DOI Listing
December 2019

Differential Diagnosis of Chronic Neuropathic Orofacial Pain: Role of Clinical Neurophysiology.

J Clin Neurophysiol 2019 Nov;36(6):422-429

Department of Clinical Neurophysiology, Turku University Hospital and University of Turku, Turku, Finland.

Orofacial pain syndromes encompass several clinically defined and classified entities. The focus here is on the role of clinical neurophysiologic and psychophysical tests in the diagnosis, differential diagnosis, and pathophysiological mechanisms of definite trigeminal neuropathic pain and other chronic orofacial pain conditions (excluding headache and temporomandibular disorders). The International Classification of Headache Disorders 2018 classifies these facial pain disorders under the heading Painful cranial neuropathies and other facial pains. Read More

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http://dx.doi.org/10.1097/WNP.0000000000000583DOI Listing
November 2019

Neuropathic Characteristics In Patients With Persistent Idiopathic Facial Pain.

J Pain Res 2019 27;12:2801-2805. Epub 2019 Sep 27.

Department of Anesthesiology and Pain Medicine, Hyogo College of Medicine, Hyogo, Japan.

Background: Persistent idiopathic facial pain (PIFP) is a subtype of painful cranial neuropathies and other facial pains. The involvement of neuropathic mechanisms in PIFP, however, remains controversial. Using the Douleur Neuropathique 4 (DN4) questionnaire, the present study examined neuropathic characteristics in patients with PIFP. Read More

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http://dx.doi.org/10.2147/JPR.S218332DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6776287PMC
September 2019
1 Read

Persistent Idiopathic Facial Pain Originating from Cervical Abnormalities.

Authors:
Yuan-Jie Zeng

World Neurosurg 2020 Jan 16;133:248-252. Epub 2019 Oct 16.

Joint Surgery and Sport Medicine Department, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, China. Electronic address:

Background: Persistent idiopathic facial pain is characterized by persistent facial or oral pain in the absence of a neurologic deficit. This underexplored pain may be conducted by various nerves, including cranial nerves and upper cervical spinal roots, and its etiology is unclear.

Case Description: A patient presented with persistent idiopathic facial pain associated with occipital muscle stiffness after an improper neck massage. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.10.056DOI Listing
January 2020

Suspected trigeminal nerve neuropathy causing persistent idiopathic facial pain: a report of four cases.

J Can Chiropr Assoc 2019 Aug;63(2):126-138

Canadian Memorial Chiropractic College.

Persistent idiopathic facial pain is often a disabling condition for patients. Due to a lack of agreed upon diagnostic criteria and varied symptomatology, the diagnosis of persistent idiopathic facial pain is elusive and remains one of exclusion. It is typically described as a unilateral, deep, poorly localized pain in the territory of the trigeminal nerve, however there are a number of case reports that describe bilateral symptoms. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6743650PMC
August 2019
2 Reads

The specialist management of non-temporomandibular orofacial pain: maxillofacial surgery's known unknown?

Br J Oral Maxillofac Surg 2019 10 12;57(8):749-754. Epub 2019 Jul 12.

Eastman Dental Institute, University College London Hospital; Department of Facial Pain and Oral Medicine, Eastman Dental Hospital, 256 Grays Inn Road, London, WC1X8LD.

The management of orofacial pain is considered to be within the remit of oral and maxillofacial surgery (OMFS). In this study we aimed to provide an overview of the healthcare "journey" of a group of patients referred to a specialist unit with "complex" non-temporomandibular orofacial pain. We retrospectively reviewed all those who were referred over a six-month period and followed for up to three years. Read More

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http://dx.doi.org/10.1016/j.bjoms.2019.06.024DOI Listing
October 2019
1 Read

Aids to management of headache disorders in primary care (2nd edition) : on behalf of the European Headache Federation and Lifting The Burden: the Global Campaign against Headache.

J Headache Pain 2019 May 21;20(1):57. Epub 2019 May 21.

Department of Clinical and Molecular Medicine, Sapienza University, Rome, Italy.

The Aids to Management are a product of the Global Campaign against Headache, a worldwide programme of action conducted in official relations with the World Health Organization. Developed in partnership with the European Headache Federation, they update the first edition published 11 years ago.The common headache disorders (migraine, tension-type headache and medication-overuse headache) are major causes of ill health. Read More

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http://dx.doi.org/10.1186/s10194-018-0899-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6734476PMC
May 2019
11 Reads

Diagnostic delay and suboptimal management in persistent idiopathic facial pain and persistent dentoalveolar pain; a cross-sectional study.

Oral Surg Oral Med Oral Pathol Oral Radiol 2019 Jun 22;127(6):498-503. Epub 2019 Feb 22.

School of Dentistry, The University of Jordan, Amman, Jordan.

Objectives: The aim of this study was to explore the diagnostic and therapeutic challenges encountered by patients with persistent idiopathic facial pain (PIFP) and to investigate factors influencing its delayed diagnosis.

Study Design: In this cross-sectional study, 34 patients with newly diagnosed PIFP were interviewed. Data about diagnostic delay, number and nature of previous consultations, and previous medical and surgical interventions were recorded. Read More

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http://dx.doi.org/10.1016/j.oooo.2019.02.013DOI Listing
June 2019
2 Reads

Percutaneous Trigeminal Nerve Stimulation for Persistent Idiopathic Facial Pain: A Case Series.

World Neurosurg 2019 Jun 20;126:e1379-e1386. Epub 2019 Mar 20.

Department of Neurosurgery, Emory University School of Medicine, Atlanta, Georgia, USA.

Background: Persistent idiopathic facial pain (PIFP) can be refractory to conventional management approaches. Neuromodulatory procedures such as percutaneous trigeminal nerve stimulation (TNS) have been sparsely reported as potential treatment options for amelioration of debilitating refractory pain associated with PIFP. The present study investigated the use of percutaneous TNS in a series of patients with PIFP to evaluate the potential efficacy of pain relief. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193077
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http://dx.doi.org/10.1016/j.wneu.2019.03.107DOI Listing
June 2019
15 Reads

Persistent Idiopathic Facial Pain Associated with Somatoform Disorder in an 11-Year-Old Boy.

Case Rep Psychiatry 2019 7;2019:4627850. Epub 2019 Feb 7.

Department of Psychosomatic Medicine, Matsubara Tokushukai Hospital, 7-13-26 Amami-higashi, Matsubara, Osaka 580-0032, Japan.

Persistent idiopathic facial pain (PIFP) is a poorly understood chronic disorder that rarely occurs in children. An 11-year-old boy initially presented with right cheek pain and a streptococcal infection 6 weeks previously. Facial cellulitis was suspected, which was resolved by antibiotic treatment. Read More

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http://dx.doi.org/10.1155/2019/4627850DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383399PMC
February 2019
8 Reads

Near-resolution of persistent idiopathic facial pain with low-dose lumbar intrathecal ziconotide: a case report.

J Pain Res 2019 8;12:945-949. Epub 2019 Mar 8.

University of Pittsburgh Physicians, Pittsburgh, PA, USA,

Purpose: Persistent idiopathic facial pain (PIFP) is a poorly defined and debilitating chronic pain state with a challenging and often inadequate treatment course. This is the first case report identifying the novel use of low-dose lumbar intrathecal ziconotide to successfully treat PIFP with nearly complete resolution of pain and minimal to no side effects.

Methods: The patient was a 37 year-old female whose PIFP was refractory to multimodal medication management and multiple neurovascular surgical interventions. Read More

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http://dx.doi.org/10.2147/JPR.S193746DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413753PMC
March 2019
7 Reads

The role of electrophysiological investigations of masticatory muscles in patients with persistent idiopathic facial pain.

Neurol Sci 2019 May;40(Suppl 1):169-173

Igea Healthcare Institute, Milan, Italy.

Introduction: The authors tried to establish whether there is any electrophysiological difference of masticatory muscle activity between patients with persistent idiopathic facial pain (PIFP) and healthy subjects.

Methods: Twenty-eight PIFP patients (6 men and 22 women, mean age 40 years) and 28 normal subjects (12 men and 16 women, mean age 40 years) underwent EMG of temporal and masseter muscles before and after transcutaneous electric nerve stimulation (TENS).

Results: After TENS stimulation, the mean amplitude difference was found to be smaller than the baseline before TENS in the PIFP patients compared with healthy subjects. Read More

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http://dx.doi.org/10.1007/s10072-019-03770-1DOI Listing
May 2019
5 Reads

Sphenopalatine Neuralgia: An Independent Neuralgia Entity. Pooled Analysis of a Case Series and Literature Review.

Headache 2019 03 11;59(3):358-370. Epub 2019 Jan 11.

Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Background: Structural damage or demyelization of the sphenopalatine ganglion may cause sphenopalatine neuralgia (SN). The current International Classification of Headache Disorders, third edition (ICHD-3) regards SN as a phenotype of cluster headache. Whether SN is an independent neuralgia entity has been debated for years. Read More

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http://dx.doi.org/10.1111/head.13469DOI Listing
March 2019
3 Reads

Oral medicine psychiatric liaison clinic: study of 1202 patients attending over an 18-year period.

Int J Oral Maxillofac Surg 2019 May 1;48(5):644-650. Epub 2019 Jan 1.

Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi Gakuin University, Nagoya, Aichi, Japan.

Patients with orofacial pain and discomfort often suffer from psychiatric disorders. However, few studies involving a large sample have examined the diagnostic results of patients with orofacial pain or discomfort in relation to psychiatric disorders. The purpose of this study was to summarize and clarify the characteristics and demographic data of 1202 patients attending the psychiatric liaison clinic at Aichi Gakuin University Hospital. Read More

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http://dx.doi.org/10.1016/j.ijom.2018.12.005DOI Listing
May 2019
6 Reads

[Neurophysiological assessment of persistent idiopathic facial pain].

Zh Nevrol Psikhiatr Im S S Korsakova 2018;118(8):66-71

Peoples Frendship University of Russia, Moscow, Russia.

Aim: To study neurophysiological characteristics of persistent idiopathic facial pain (PIFP) in comparison to trigeminal neuralgia.

Material And Methods: Forty-five patients with PIFP at the age from 25 to 74 years (42 women and 3 men), 25 patients with trigeminal neuralgia at the age from 25 to 84 (15 women and 10 men) and 20 healthy volunteers were examined. Multimodal evoked potentials (EP): brainstem auditory (BAEPs), trigeminal (TEPs) and sympathetic skin responses (SSRs) evoked potentials were recorded. Read More

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http://dx.doi.org/10.17116/jnevro201811808166DOI Listing
March 2019
12 Reads

OnabotulinumtoxinA injections for atypical odontalgia: an open-label study on nine patients.

J Pain Res 2018 23;11:1583-1588. Epub 2018 Aug 23.

Headache Unit, Department of Neurology, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain,

Background: Atypical odontalgia (AO) manifests as continuous pain in the region of one or several teeth, in the absence of signs of dental pathology. Currently, there is insufficient evidence to establish treatment guidelines for AO. The aim of this study was to describe the effectiveness and safety of treatment with OnabotulinumtoxinA (OnabotA) on a series of patients with AO. Read More

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https://www.dovepress.com/onabotulinumtoxina-injections-for-
Publisher Site
http://dx.doi.org/10.2147/JPR.S169701DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112804PMC
August 2018
40 Reads

Temporomandibular joint involvement in children with juvenile idiopathic arthritis: a preliminary report.

Oral Surg Oral Med Oral Pathol Oral Radiol 2019 Jan 24;127(1):19-23. Epub 2018 Jul 24.

Department of Pediatrics, University of Cincinnati, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Objective: Children with juvenile idiopathic arthritis (JIA) are at risk for temporomandibular joint (TMJ) arthritis. This can lead to pain, limited mouth opening, facial asymmetry, and malocclusion. Our objective was to characterize patients with JIA and TMJ involvement in a single center. Read More

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http://dx.doi.org/10.1016/j.oooo.2018.07.008DOI Listing
January 2019
17 Reads

Orofacial symptoms and oral health-related quality of life in juvenile idiopathic arthritis: a two-year prospective observational study.

Pediatr Rheumatol Online J 2018 Jul 13;16(1):47. Epub 2018 Jul 13.

Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Vennelyst Boulevard 9-11, 8000, Aarhus C, Denmark.

Background: Little is known about the chronicity of orofacial symptoms and how this influences the oral health-related quality of life in juvenile idiopathic arthritis (JIA). Therefore, our objectives were to study the long-term changes in self-reported orofacial symptoms, and to define the impact of orofacial symptoms on oral health-related quality of life in JIA.

Methods: At baseline (T0), 157 consecutive JIA patients ≤20 years completed a patient pain questionnaire that incorporates domains related to the orofacial area. Read More

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https://ped-rheum.biomedcentral.com/articles/10.1186/s12969-
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http://dx.doi.org/10.1186/s12969-018-0259-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6043998PMC
July 2018
8 Reads

Psychiatric (axis I) and personality (axis II) disorders in patients with burning mouth syndrome or atypical facial pain.

Scand J Pain 2011 Oct 1;2(4):155-160. Epub 2011 Oct 1.

Department of Clinical Neurophysiology, Turku University Hospital, Turku, Finland.

Background and aims Burning mouth syndrome (BMS) and atypical facial pain (AFP) are often persistent idiopathic pain conditions that mainly affect middle-aged and elderly women. They have both been associated with various psychiatric disorders. This study examined current and lifetime prevalence of psychiatric axis I (symptom-based) and II (personality) disorders in patients with chronic idiopathic orofacial pain, and investigated the temporal relationship of psychiatric disorders and the onset of orofacial pain. Read More

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http://dx.doi.org/10.1016/j.sjpain.2011.06.004DOI Listing
October 2011
17 Reads

Cervical Sympathetic Chain Schwannoma Masquerading as a Vagus Nerve Schwannoma Complicated by Postoperative Horner's Syndrome and Facial Pain: A Case Report.

Int J Surg Case Rep 2018 9;49:4-7. Epub 2018 Jun 9.

Mountain View Hospital 2325 Coronado St, Idaho Falls, ID 83404, USA; Idaho Falls ENT, 3200 Channing Way Ste A105, Idaho Falls, ID 83404, USA. Electronic address:

Introduction: Cervical Sympathetic Chain Schwannomas (CSCS) of the carotid sheath are rare neoplasms that can be misdiagnosed on imaging. The following case documents a rare incident of a misdiagnosed CSCS with unusual outcomes of permanent Horner's syndrome and facial pain.

Presentation Of Case: A 36-year-old female presented with a slow-growing neck mass. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.06.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6008290PMC
June 2018
25 Reads

Altered cortical excitability in persistent idiopathic facial pain.

Cephalalgia 2019 02 13;39(2):219-228. Epub 2018 Jun 13.

1 Pain Center, Department of Neurology, School of Medicine, University of São Paulo, São Paulo, Brazil.

Introduction: Persistent idiopathic facial pain is a refractory and disabling condition of unknown mechanism and etiology. It has been suggested that persistent idiopathic facial pain patients have not only peripheral generators of pain, but also central nervous system changes that would contribute to the persistence of symptoms. We hypothesized that persistent idiopathic facial pain would have changes in brain cortical excitability as measured by transcranial magnetic stimulation compared to healthy controls. Read More

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http://dx.doi.org/10.1177/0333102418780426DOI Listing
February 2019
53 Reads

Treatment of Facial Pain with I Ching Balance Acupuncture.

Authors:
Arkady Kotlyar

Med Acupunct 2017 Dec;29(6):405-410

Outpatient Pain Clinic, Kaplan Medical Center, Rehovot, Israel.

Trigeminal neuralgia (TN) is the most common cranial neuralgia in adults, with a slightly higher incidence in women than in men. This chronic pain condition affects the trigeminal nerve, also known as the 5th cranial nerve. It is one of the most deeply distributed nerves in the head. Read More

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http://dx.doi.org/10.1089/acu.2017.1251DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5733656PMC
December 2017
7 Reads

Psychiatric comorbidities in patients with Atypical Odontalgia.

J Psychosom Res 2018 01 7;104:35-40. Epub 2017 Nov 7.

Department of Psychosomatic Dentistry, Graduate school of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Objective: Atypical Odontalgia (AO) is a condition characterized by tooth pain with no apparent cause. Although psychiatric comorbidity seems to be very common, it has rarely been studied. To clarify the influence of psychiatric comorbidity on the clinical features in patients with AO, we retrospectively evaluated their examination records. Read More

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http://dx.doi.org/10.1016/j.jpsychores.2017.11.001DOI Listing
January 2018
34 Reads

Persistent Dentoalveolar Pain Disorder: A Comprehensive Review.

J Endod 2018 Feb 23;44(2):206-211. Epub 2017 Nov 23.

Division of Craniofacial Pain, Headache and Sleep, Department of Diagnostic Sciences, Tufts University School of Dental Medicine, Boston, Massachusetts.

Introduction: Persistent dentoalveolar pain of idiopathic origin represents a diagnostic challenge for the dentist and physician alike. Disagreement on taxonomy and diagnostic criteria presents a significant limit to the advancement of research in the field. Patients struggle with a lack of knowledge by dental and medical professionals, diagnostic delays, and unnecessary treatments. Read More

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http://dx.doi.org/10.1016/j.joen.2017.09.009DOI Listing
February 2018
36 Reads

Acupuncture and Kinesio Taping for the acute management of Bell's palsy: A case report.

Complement Ther Med 2017 Dec 25;35:1-5. Epub 2017 Aug 25.

Ankara Koru Hospital Physical Medicine and Rehabilitation, Acupuncture Outpatient Clinic Kızılırmak mah., 1450 Sokak No: 13, Çankaya, Ankara, 06510, Turkey. Electronic address:

Background: Bell's palsy is an idiopathic, acute peripheral palsy of the facial nerve that supplies the muscles of facial expression. Despite an expected 70% full recovery rate, up to 30% of patients are left with potentially disfiguring facial weakness, involuntary movements, or persistent lacrimation. The most frequently used treatment options are corticosteroids and antiviral drugs. Read More

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http://dx.doi.org/10.1016/j.ctim.2017.08.013DOI Listing
December 2017
8 Reads

Orofacial pain - an update on diagnosis and management.

Authors:
S Ghurye R McMillan

Br Dent J 2017 Dec 27;223(9):639-647. Epub 2017 Oct 27.

Oral Medicine and Facial Pain, Eastman Dental Hospital, 256 Gray's Inn Road, London, WC1X 8LD, UK.

The diagnosis and management of orofacial pain may be challenging due to complex histories, pathophysiology and associated psychosocial co-morbidities such as depression and anxiety. Neuropathic facial pain conditions such as burning mouth syndrome (BMS), persistent idiopathic facial pain (PIFP), atypical odontalgia (AO) and trigeminal neuralgia (TN) require early recognition by primary care clinicians and referral to secondary care. Acute pain-related temporomandibular disorder (TMD) may be managed in the primary care setting, with identification of those at risk of developing chronic TMD receiving an early referral to secondary care. Read More

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http://dx.doi.org/10.1038/sj.bdj.2017.879DOI Listing
December 2017
11 Reads

Usefulness of an occlusal device in the treatment of medication overuse headache and persistent idiopathic facial pain: preliminary results.

Neurol Sci 2017 May;38(Suppl 1):57-61

Igea Healthcare Institute, Milan, Italy.

There is a debate in literature about the therapeutic usefulness of oral devices in patients suffering from Medication Overuse Headache (MOH) or in patients suffering from Persistent Idiopathic Facial Pain (PIFP). From the case histories of 3356 patients, referred to us with a diagnosis of chronic craniofacial pain for assessment of the eventual application of an occlusal device to correct an impaired neuromuscular relationship between the mandible and the maxilla, we selected, following the criteria of the International Classification of Headache Disorders (ICHD-3beta), two groups of patients suffering from MOH and PIFP. All patients of the two groups underwent a Kinesiographic exam and an EMG to evaluate the freeway space (FWS). Read More

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http://link.springer.com/10.1007/s10072-017-2863-3
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http://dx.doi.org/10.1007/s10072-017-2863-3DOI Listing
May 2017
13 Reads

Persistent idiopathic facial pain.

Cephalalgia 2017 Jun 20;37(7):680-691. Epub 2017 Apr 20.

2 Migraine and Headache Clinic Königstein, Königstein im Taunus, Germany.

Background Persistent idiopathic facial pain (PIFP) is a chronic disorder recurring daily for more than two hours per day over more than three months, in the absence of clinical neurological deficit. PIFP is the current terminology for Atypical Facial Pain and is characterized by daily or near daily pain that is initially confined but may subsequently spread. Pain cannot be attributed to any pathological process, although traumatic neuropathic mechanisms are suspected. Read More

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http://dx.doi.org/10.1177/0333102417706349DOI Listing
June 2017
16 Reads

Atypical Facial Pain: a Comprehensive, Evidence-Based Review.

Curr Pain Headache Rep 2017 Feb;21(2)

Pain Management Center, Anesthesiology Department, Ochsner Health System, New Orleans, LA, USA.

Purpose Of Review: The purpose of this article is to focus on an excruciating disorder of the face, named atypical facial pain or persistent idiopathic facial pain (PIFP). It is considered an underdiagnosed condition with limited treatment options. Facial pain can be a debilitating disorder that affects patients' quality of life. Read More

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http://dx.doi.org/10.1007/s11916-017-0609-9DOI Listing
February 2017
23 Reads

History of facial pain diagnosis.

Cephalalgia 2017 Jun 9;37(7):604-608. Epub 2017 Feb 9.

2 IDNC and DPRC Department of Neurology, Aarhus University Hospital, Aarhus, Denmark.

Premise Facial pain refers to a heterogeneous group of clinically and etiologically different conditions with the common clinical feature of pain in the facial area. Among these conditions, trigeminal neuralgia (TN), persistent idiopathic facial pain, temporomandibular joint pain, and trigeminal autonomic cephalalgias (TAC) are the most well described conditions. Conclusion TN has been known for centuries, and is recognised by its characteristic and almost pathognomonic clinical features. Read More

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http://journals.sagepub.com/doi/10.1177/0333102417691045
Publisher Site
http://dx.doi.org/10.1177/0333102417691045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5458869PMC
June 2017
32 Reads

Frequency and Morbidity of Temporomandibular Joint Involvement in Adult Patients With a History of Juvenile Idiopathic Arthritis.

J Oral Maxillofac Surg 2017 Jun 2;75(6):1191-1200. Epub 2016 Dec 2.

Walter C. Guralnick Distinguished Professor, Harvard School of Dental Medicine, Boston; Oral and Maxillofacial Surgeon, Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA.

Purpose: Most patients with juvenile idiopathic arthritis (JIA) have temporomandibular joint (TMJ) involvement, but little is known about the natural history of TMJ disease as these children enter adulthood. The purpose of this study was to evaluate adults with a history of JIA to document the frequency and severity of TMJ abnormalities and morbidity. The authors hypothesized that most would have persistent TMJ disease as adults. Read More

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http://dx.doi.org/10.1016/j.joms.2016.11.013DOI Listing
June 2017
12 Reads

Persistent idiopathic facial pain - a prospective systematic study of clinical characteristics and neuroanatomical findings at 3.0 Tesla MRI.

Cephalalgia 2017 Nov 27;37(13):1231-1240. Epub 2016 Oct 27.

1 Danish Headache Center, Department of Neurology, Rigshospitalet, Faculty of Health and Medical Sciences, University of Copenhagen, Nordre Ringvej 67, 2600 Glostrup, Denmark.

Introduction Persistent idiopathic facial pain (PIFP) is a poorly understood chronic orofacial pain disorder and a differential diagnosis to trigeminal neuralgia. To address the lack of systematic studies in PIFP we here report clinical characteristics and neuroimaging findings in PIFP. Methods Data collection was prospective and standardized in consecutive PIFP patients. Read More

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http://dx.doi.org/10.1177/0333102416675618DOI Listing
November 2017
32 Reads

Long-Term Therapeutic Effect of Microvascular Decompression for Trigeminal Neuralgia: Kaplan-Meier Analysis in a Consecutive Series of 425 Patients.

Turk Neurosurg 2018 ;28(1):88-93

Shanghai JiaoTong University, School of Medicine, Rui Jin Hospital, Department of Neurosurgery, Shanghai, China.

Aim: To evaluate the long-term efficacy and safety of microvascular decompression (MVD) for treating trigeminal neuralgia (TN), and identify the predictors of pain relief.

Material And Methods: A total of 425 patients who underwent surgery between 1991 and 2011 for idiopathic TN were included in this study. Pain outcome was graded using the Barrow Neurological Institute pain scale and success was defined as complete pain relief without medication. Read More

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http://dx.doi.org/10.5137/1019-5149.JTN.18322-16.1DOI Listing
June 2018
5 Reads

Evaluation of sphenopalatine ganglion blockade via intra oral route for the management of atypical trigeminal neuralgia.

Springerplus 2016 27;5(1):906. Epub 2016 Jun 27.

Department of Oral and Maxillo-Facial Surgery, Faculty of Dentistry, Baskent University, Etimesgut/Ankara, Turkey.

Background: The sphenopalatine ganglion (SPG) may be involved in persistent idiopathic facial pain and unilateral headaches. The role of SPG blockade via intra oral route in the management of trigeminal neuralgia (TN) is worthy of study.

Methods: In this retrospective study, patient records included patients with atypical TN (type 2) that persisted in spite of conservative treatment for at least 2 years, and an average pain intensity from the craniofacial region visual analogue scale (VAS) before examination. Read More

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http://dx.doi.org/10.1186/s40064-016-2612-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4923019PMC
July 2016
10 Reads

Chronic/Persistent Idiopathic Facial Pain.

Neurosurg Clin N Am 2016 Jul;27(3):345-51

Division of Diagnostic, Surgical and Medical Sciences, Eastman Dental Hospital, UCLH NHS Foundation Trust, 256 Gray's Inn Road, London, WC1X 8LD, UK. Electronic address:

Persistent or chronic idiopathic facial pain, often called atypical facial pain, is often used as a diagnosis of exclusion. It is chronic pain in a nonanatomically distributed area of the face and mouth that can be episodic or continuous and described as a nagging dull pain that at times is severe. It is associated with other chronic pain conditions, psychological abnormalities, and significant life events. Read More

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http://dx.doi.org/10.1016/j.nec.2016.02.012DOI Listing
July 2016
7 Reads

Periodic persistent orofacial pain due to osteomyelitis of the mandible: A case report.

Quintessence Int 2016 ;47(7):609-15

Chronic osteomyelitis of the jaws presents a diagnostic and therapeutic challenge. A 45-year-old woman presented with episodic pain in the right mandible of two and a half years' duration. During active periods, lasting for 2 to 3 weeks, the pain woke the patient from sleep at a regular time, and had features mimicking a variant of cluster headache. Read More

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http://dx.doi.org/10.3290/j.qi.a36173DOI Listing
September 2017
18 Reads
0.730 Impact Factor

A Cross-Sectional Clinic-Based Study in Patients With Side-Locked Unilateral Headache and Facial Pain.

Headache 2016 Jul 3;56(7):1183-93. Epub 2016 Jun 3.

Department of Neurology, Smt. B. K. Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth University, Piperia, Baroda, Gujarat, 3901760, India.

Objective: To undertake the epidemiological evaluation of the patients presenting with side-locked headache and facial pain in a tertiary neurology outpatient clinic.

Background: Side-locked unilateral headache and facial pain include a large number of primary and secondary headaches and cranial neuropathies. A diagnostic approach for the patients presenting with strictly unilateral headaches is important as many of these headache disorders respond to a highly selective drug. Read More

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http://dx.doi.org/10.1111/head.12842DOI Listing
July 2016
33 Reads

Neuronavigated percutaneous approach to the sphenopalatine ganglion.

J Neurosurg 2017 Feb 22;126(2):375-378. Epub 2016 Apr 22.

Neurosurgical Department, Azienda Ospedaliero Universitaria Pisana-AOUP, Pisa, Italy.

The sphenopalatine ganglion (SPG) has been assumed to be involved in the genesis of several types of facial pain, including Sluder's neuralgia, trigeminal neuralgia, persistent idiopathic facial pain, cluster headache, and atypical facial pain. The gold standard treatments for SPG-related pain are percutaneous procedures performed with the aid of fluoroscopy or CT. In this technical note the authors present, for the first time, an SPG approach using the aid of a neuronavigator. Read More

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https://thejns.org/view/journals/j-neurosurg/126/2/article-p
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http://dx.doi.org/10.3171/2016.1.JNS152272DOI Listing
February 2017
12 Reads

Botulinum Neurotoxin Type-A for the Treatment of Atypical Odontalgia.

Pain Med 2016 09 12;17(9):1717-21. Epub 2016 Apr 12.

Neurology Department, Hospital Universitario Fundación Alcorcón, Madrid, Spain.

Objective: Atypical odontalgia (AO), a subform of persistent idiopathic facial pain, is defined as a continuous toothache in which a thorough examination reveals no dental pathology. AO is believed to be a neuropathic condition, given that some cases are preceded by dental procedures. Different topical and systemic medications have been used for the treatment of AO, but their effect is often unsatisfactory. Read More

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http://dx.doi.org/10.1093/pm/pnw040DOI Listing
September 2016
7 Reads

Continuous neurophatic orofacial pain: A retrospective study of 23 cases.

J Clin Exp Dent 2016 Apr 1;8(2):e153-9. Epub 2016 Apr 1.

MD, DDS, MS, PhD, EBOS. Chairman and Full Professor of Oral and Maxillofacial Surgery. Director of the Master of Oral Surgery and Implantology, School of Dentistry, University of Barcelona; Researcher/Coordinator of the IDIBELL Institute; Head of Oral and Maxillofacial Surgery Department of the Teknon Medical Center. Barcelona, Spain.

Background: To determine the clinical characteristics of Continuous Neuropathic Orofacial Pain in patients that suffer Persistent Idiopathic Facial Pain (PIFP), Painful Post-Traumatic Trigeminal Neuropathy (PPTTN) or Burning Mouth Syndrome (BMS) and to describe their treatment.

Material And Methods: A retrospective observational study was made, reviewing the clinical history of the patients diagnosed with Continuous Neuropathic Orofacial Pain between 2004 and 2011 at the Orofacial Pain Unit of the Master of Oral Surgery and Implantology of the University of Barcelona and at the Orofacial Pain Unit of the Teknon Medical Center of Barcelona.

Results: The average age of the patients with Continuous Neuropathic Orofacial Pain was 54. Read More

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http://dx.doi.org/10.4317/jced.52560DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4808310PMC
April 2016
7 Reads

Facial Pain Update: Advances in Neurostimulation for the Treatment of Facial Pain.

Curr Pain Headache Rep 2016 Apr;20(4):24

Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Craniofacial pain, including trigeminal neuralgia, trigeminal neuropathic pain, and persistent idiopathic facial pain, is difficult to treat and can have severe implications for suffering in patients afflicted with these conditions. In recent years, clinicians have moved beyond treating solely with pharmacological therapies, which are generally not very effective, and focused on new interventional pain procedures. These procedures have evolved as technology has advanced, and thus far, early results have demonstrated efficacy in small patient cohorts with a variety of craniofacial pain states. Read More

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http://dx.doi.org/10.1007/s11916-016-0553-0DOI Listing
April 2016
6 Reads

Reports of perceptual distortion of the face are common in patients with different types of chronic oro-facial pain.

J Oral Rehabil 2016 Jun 30;43(6):409-16. Epub 2016 Jan 30.

Section of Orofacial Pain and Jaw Function, Department of Dentistry, Aarhus University, Aarhus, Denmark.

Anecdotally, chronic oro-facial pain patients may perceive the painful face area as 'swollen'. Because there are no clinical signs, these self-reported 'illusions' may represent perceptual distortions and can be speculated to contribute to the maintenance of oro-facial pain. This descriptive study investigated whether chronic oro-facial pain patients experience perceptual distortions - a kind of body image disruption. Read More

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http://dx.doi.org/10.1111/joor.12383DOI Listing
June 2016
11 Reads

Trigeminal and sphenopalatine ganglion stimulation for intractable craniofacial pain--case series and literature review.

Acta Neurochir (Wien) 2016 Mar 7;158(3):513-20. Epub 2016 Jan 7.

Department of Neurosurgery, Kaiser Permanente-The Permanente Medical Group (TPMG), 1150 Veterans Blvd., 3rd Floor Tower, Redwood City, 94063, CA, USA.

Introduction: Facial pain is often debilitating and can be characterized by a sharp, stabbing, burning, aching, and dysesthetic sensation. Specifically, trigeminal neuropathic pain (TNP), anesthesia dolorosa, and persistent idiopathic facial pain (PIFP) are difficult diseases to treat, can be quite debilitating and an effective, enduring treatment remains elusive.

Methods: We retrospectively reviewed our early experience with stimulation involving the trigeminal and sphenopalatine ganglion stimulation for TNP, anesthesia dolorosa, and PIFP between 2010-2014 to assess the feasibility of implanting at these ganglionic sites. Read More

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http://dx.doi.org/10.1007/s00701-015-2695-yDOI Listing
March 2016
44 Reads
1 Citation
1.790 Impact Factor

Pain Part 5a: Chronic (Neuropathic) Orofacial Pain.

Dent Update 2015 Oct;42(8):744-6, 749-50, 753-4 passim

Neuropathic pain is a significant social and economic burden. Back pain, joint pain and headaches affect over 30% of the population. Chronic orofacial pain is a common condition and is difficult to diagnose and manage. Read More

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http://www.magonlinelibrary.com/doi/10.12968/denu.2015.42.8.
Publisher Site
http://dx.doi.org/10.12968/denu.2015.42.8.744DOI Listing
October 2015
49 Reads