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CASE SERIES
Year : 2014  |  Volume : 2  |  Issue : 2  |  Page : 1-13

Facial pain - An enigma


1 Prof & Head, Dept of Prosthodontics, Dr Ziauddin Ahmad Dental College, A.M.U. Aligarh, India
2 Asst. Prof, Dept of Prosthodontics, Dr Ziauddin Ahmad Dental College, A.M.U. Aligarh, India
3 Reader, Dept of Oral and Maxillofacial Surgery, Index Institute of Dental Sciences, Index City., Indore. M.P, India
4 Intern, Dept of Prosthodontics, Dr Ziauddin Ahmad Dental College, A.M.U. Aligarh, India

Correspondence Address:
Sakshi Madhok
Asst. Prof, Dept. of Prosthodontics Dr Ziauddin Ahmad Dental College A.M.U. Aligarh
India
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Source of Support: None, Conflict of Interest: None


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It is well known, pain is the most common reason why people seek healthcare. Pain is a personal, unpleasant sensory experience reflecting the physiologic, biologic, genetic and psychosocial factors. Some orofacial pain conditions are very complex and perplexing. With regular diagnosis, misdiagnosis and medical interventions which unfortunately later prove to be deceptive, such atypical orofacial pains are seemingly untreatable and puts the physician in a fix. In this article various facets of orofacial pain, peripheral mechanism, central sensitization, the absurd referral patterns and altered peripheral receptive field of chronic odontogenic pain are discussed with ample clinical evidences implicating the fact that all trigeminal pains are not trigeminal neuralgic pains. Treatment by classic drugs for trigeminal neuralgia in such cases cause more harm than any benefit to the patients. This article depicts cases showing how unremitting pain in trigeminally mediated areas secondary to dental causes is a unique challenge for the doctor and patient alike.


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