Objective: To describe clinical features of patients experiencing neuralgic pain that were suspected of having TMD pain. The purpose is to assess the features associated with these patients in an effort to identify clinical characteristics that may improve recognition of neuralgias within clinical practice. Methods: Records were reviewed to identify cases that were diagnosed with any type of neuralgia. Cases were included if they fit the International Headache Society diagnostic criteria for the neuralgia corresponding to the location of pain and were previously diagnosed with or received treatment for TMD pain. Cases were excluded if they experienced less than 50% reduction in pain intensity and frequency with initial pharmacotherapy, using either carbamazepine or oxcarbazepine. Results: Reviewing records from February 2003 to December 2007 revealed 9 cases fitting the criteria. Only cases of trigeminal, nervus intermedius and glossopharyngeal neuralgia were identified, with all reporting no significant pain reduction with TMD treatment when provided. Our sample was 78% female with an average age of 50.5 years old. Typically pain occurred daily, lasted seconds, had an average intensity of 8/10, and was sharp, stabbing and shooting in quality. The average time from pain onset to diagnosis was approximately 2 years with patients seeing between 1 to 4 clinicians before being referred. Conclusions: Within clinical orofacial pain practice, it is not rare for patients with various neuralgias to be referred with the presumption that pain is TMD-related. Patients in this small sample were younger in age but otherwise had typical pain characteristics for neuralgias. References: 1. Aguggia, M. (2005). "Typical facial neuralgias." Neurol Sci 26 Suppl 2: s68-70. 2. Bennett, G. J. (2004). "Neuropathic pain in the orofacial region: clinical and research challenges." J Orofac Pain 18(4): 281-6. 3. IHS (2004). "The International Classification of Headache Disorders: 2nd edition." Cephalalgia 24 Suppl 1: 9-160. 4. LeResche, L. (1997). "Epidemiology of temporomandibular disorders: implications for the investigation of etiologic factors." Crit Rev Oral Biol Med 8(3): 291-305. 5. Siccoli, M. M.; Bassetti, C. L.; Sandor, P. S. (2006). "Facial pain: clinical differential diagnosis." Lancet Neurol 5(3): 257-67.
|Original language||English (US)|
|Media of output||Poster|
|Place of Publication||Los Angeles, CA. USA.|
|State||Published - 2008|