Monday, March 25, 2013

Differential Diagnosis of Oro Maxillofacial pain-Chart

Oro facial pain is one common cause patients seek dental treatments. It could be simply a local cause like dental caries or any other pathology involving adjacent structures. Other way it could be a psychogenic pain.
Causes for Oro-Facial pain

Local Causes
  • Dental caries (Reersible pulpitis, Irreversible pulpitis, Periapical periodontitis)
  • Periodontal disease
Neurological Disorders
  • Trigeminal neuralgia
  • Glosopharyngeal  neuralgia
  • Malignant neoplasams in volving trigeminal nerve
  • Herpes Zoster
Psychogenic causes
  • Atypical facial pain 
Vascular Disorders
  • Migraine
  • Migranous neuralgia
  • Giant cell arteritis
Referred pain
  • Angina
  • Nasopharyngeal
  • Occular
  • Aural
  • Maxillary sinus
  • Chest disease ( Very rare)
This chart will help you to diagnose Oro Facial pain.

Diagnostic hierarchy for chronic headache and oro facial pain

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