PubMed HealthSearch

Biomedical subjects

D G Austin

Publications and source records attributed to D G Austin.

4 recordsLinked to original sources

Special considerations in orofacial pain and headache.

The dental profession faces educational, scientific, and ethical challenges in orofacial pain and headache. Past educational deficiencies are being addressed with guidance and recommendations from the AADS, the ADA, and the AAOP. With education and further research, many dental ethical questions in TMD will be resolved. The educational process must continue with a solid foundation in scientific basis provided in university settings. The appropriate use of TMD diagnostic machines, treatment modalities, and management of perpetuating factors such as sleep will evolve with the new knowledge of scientific discovery. These are some of the many challenges of orofacial pain and headache disorders that warrant special consideration.

Cervical Vertebrae

Special considerations in orofacial pain.

A pathologic dental condition is by far the most common cause of orofacial pain. There are, however, certain patients who possess and exhibit myriad signs and symptoms that mimic pathologic dental conditions but do not have a dental cause. These patients pose a diagnostic dilemma for the dental practitioner. Unfortunately, there are many documented cases of misdiagnosis and mismanagement in patients with deafferentiation pain, neuropathic pain, trigeminal neuralgia, and temporal arteritis. These orofacial pain disorders warrant special consideration for the dental practitioner and are reviewed in this article.

Afferent Pathways

Temporal arteritis.

Temporal arteritis, a vasculitis, affects the large- and medium-sized arteries. This disorder has a largely unknown etiology and mainly occurs in older patients. Headache is the predominant symptom with diplopia usually appearing shortly after. Clinicians must be aware of temporal arteritis because blindness occurs in up to 50% of untreated or misdiagnosed patients.

Aged