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Evaluation of a patient with orofacial pain

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khyber college of dentistry
khyber college of dentistry

The document outlines 12 questions to evaluate a patient experiencing orofacial pain, including questions about the quality, location, intensity, exacerbating/alleviating factors of the pain. A full medical and dental history is taken, and physical examination of the head, neck, myofascial areas, and dental evaluation is performed. Diagnostic tests such as laboratory tests, oral cancer screening, radiographs, and potentially intracranial imaging are undertaken to diagnose the condition and determine appropriate treatments. The patient's response to any past treatments is also considered.

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Evaluation of a patient with orofacial pain 12 questions Q 1) How wouldyoudescribe the pain?(descriptionof painquality) Sharp/stabbing,dull/throbbing,burning,shocklike,paroxysmal orsome combination (joshmarta hua dard) Q2) Where is the painmostsevere?(Pointtothe site of maximumintensity) Q 3) Where doesthe painspreadto? ( the patient shouldoutlinethe areawithfinger) Q4) How severe isthe pain(intensity)?scale of 0-10,respond to analgesic, preventing sleepor awakenat night Q5) Does the pain prevent you from going to sleep or wake you up at night? Q.6) When did the pain start? Date of onset Q.7) Is the pain continuous or does it come and go? Q.8) If it comes and goes, how long it last for each time? Q.9) Does anything cause the pain to start? (precipitating factor) Q.10) Does anything make the pain worse? (exacerbating factor) Q.11) Does anything make the pain better? (alleviating factor) Q.12) Are there any other problems? Diagnostic tests undertaken Diagnosis rendered What treatments were instituted in the past and response to those treatments? MEDICAL HISTORY , DENTAL HISTORY Physical examination: Head and neck exam, myofascial and TMJ examination, lymphnodes, temporal and carotid arteries, CN EXAM.normal dental evaluation including vital signs ,intraoral exam with oral cancer screening.
LA, OPG , PERIAPICAL RADIOGRAPH. FOR most neuropathic and headache disorders intracranial imaging imp to rule out CNS demyelinating process e.g multiple sclerosis, vascular malformation ,,tumor or other abnormality.

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Evaluation of a patient with orofacial pain

  • 1. Evaluation of a patient with orofacial pain 12 questions Q 1) How wouldyoudescribe the pain?(descriptionof painquality) Sharp/stabbing,dull/throbbing,burning,shocklike,paroxysmal orsome combination (joshmarta hua dard) Q2) Where is the painmostsevere?(Pointtothe site of maximumintensity) Q 3) Where doesthe painspreadto? ( the patient shouldoutlinethe areawithfinger) Q4) How severe isthe pain(intensity)?scale of 0-10,respond to analgesic, preventing sleepor awakenat night Q5) Does the pain prevent you from going to sleep or wake you up at night? Q.6) When did the pain start? Date of onset Q.7) Is the pain continuous or does it come and go? Q.8) If it comes and goes, how long it last for each time? Q.9) Does anything cause the pain to start? (precipitating factor) Q.10) Does anything make the pain worse? (exacerbating factor) Q.11) Does anything make the pain better? (alleviating factor) Q.12) Are there any other problems? Diagnostic tests undertaken Diagnosis rendered What treatments were instituted in the past and response to those treatments? MEDICAL HISTORY , DENTAL HISTORY Physical examination: Head and neck exam, myofascial and TMJ examination, lymphnodes, temporal and carotid arteries, CN EXAM.normal dental evaluation including vital signs ,intraoral exam with oral cancer screening.
  • 2. LA, OPG , PERIAPICAL RADIOGRAPH. FOR most neuropathic and headache disorders intracranial imaging imp to rule out CNS demyelinating process e.g multiple sclerosis, vascular malformation ,,tumor or other abnormality.