Like headache, the etiology of orofacial pain is often an enigma. Orofacial pain resulting from invasive dental procedure may cause a patient to present to a neurologist for diagnosis and treatment. The cases presented here were personally seen by the first author, a consulting neurologist; they illustrate the diversity in clinical presentation and the differences between a musculoskeletal and neuropathic origin of pain. Treatment is touched upon, but is neither exhaustive nor evidence based.
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Front Comput Neurosci
December 2024
Department of Information and Communication Engineering, Yeungnam University, Gyeongsan, Republic of Korea.
Facial emotion recognition (FER) can serve as a valuable tool for assessing emotional states, which are often linked to mental health. However, mental health encompasses a broad range of factors that go beyond facial expressions. While FER provides insights into certain aspects of emotional well-being, it can be used in conjunction with other assessments to form a more comprehensive understanding of an individual's mental health.
View Article and Find Full Text PDFJ Endod
December 2024
Department of Endodontics, Nihon University School of Dentistry, 1-8-13, Kanda-surugadai, Chiyoda-ku, Tokyo, 101-8310, Japan; Division of Advanced Dental Treatment, Dental Research Center, Nihon University School of Dentistry, Tokyo, Japan.
Introduction: We have recently reported the clinical efficacy of mirogabalin for occlusal pain due to post-traumatic trigeminal neuropathic pain (PTTN-occlusal pain) after endodontic treatment according to the International Classification of Orofacial Pain criteria. This study aimed to determine the mirogabalin administration period and timing of dose reduction and suspension for treating this condition based on managing a certain number of cases.
Methods: Patients diagnosed with PTTN-occlusal pain after or during endodontic treatment were included in the study.
Case Rep Neurol Med
December 2024
Department of Neurosurgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
This study reports a rare case of referred pain in the trigeminal nerve distribution caused by entrapment of the greater occipital nerve (GON). Notably, the pain extended to the ipsilateral tongue, an unusual intraoral involvement. GON entrapment can lead to sensitization in secondary nociceptive neurons within the trigeminocervical complex (TCC), which receives signals from both trigeminal and occipital nerves, causing referred facial pain.
View Article and Find Full Text PDFCureus
November 2024
Department of Oral Surgery, Medical University of Varna, Varna, BGR.
Third molar extraction is one of the most common interventions in oral surgery. It is usually associated with postoperative pain, edema, and trismus. The severity of these sequelae can be related to the amount of surgical trauma and the duration of the extraction.
View Article and Find Full Text PDFCureus
November 2024
Anesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, New Delhi, IND.
Managing the airway in maxillofacial trauma poses significant challenges. The distorted anatomy often complicates face mask ventilation and intubation, necessitating specialized skills in emergency settings. Successful management hinges on prompt planning and patient cooperation.
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