Facial pain

1. University Of Aden
2012
Oral Medicine
Dr. Muhgat Abdo
Oral & Dentofacial Surgeon
muhgatabdo@hotmail.de
www.adendent-faculty.net

2. Facial Pain
 Pain is an unpleasant sensory and emotional
caused by actual or potential tissue damage,
or described in terms of such damage.
 There are typical and atypical facial pain.

3. Typical Facial Pain
Trigeminal Neuralgia:
 Most common Neurological cause of facial pain. It
is an excruciating condition affecting mainly
the > 50 years.
 Symptoms:
It presents as a shooting electric shock of pain of
rapid onset and short duration which is often
stimulated by touching a trigger point in the
distribution of the V Nerve.

4. Typical Facial Pain
 Trigeminal Neuralgia:
Patient under the age 50 years with cranial Nerve
Neuralgia require full neurological Examination
(Tumor)
 Treatment:
Local Anaesthesia is useful both therapeutically
and diagnostically. Injection of L.A.
(Carbamezine) can break pain cycles.
Tegretol tablets 200mg xBDx 10 days

5. Typical Facial Pain
 Glossopharyngeal Neuralgia:
A similar condition to trigeminal
Neuralgia but less common
 Symptoms:
Sharp shooting pain on swallowing
 Treatment:
Tegretol tablets 200mg x BD x 10 days
L.A.

7. Atypical Facial Pain
 Migraine:
Periodic Migrainous Neuralgia (cluster headache)
 Symptoms:
Periodic attacks of severe, unilateral paine, boring or
burning in character, lasting 30-60 min, located
around the eye, associated with Nausea, vomiting
and photophobia.
Treatment:
NSAID drugs, ergotamine and intranasal lidocaine

8. Atypical Facial Pain
 Temporal Arteritis: (Cranial Arteritis)
A condition affecting older age groups
 Symptoms:
Severe ache pain is localized to the temporal
and front regions. Major complication is
involvement of retinal arteries, with sudden
loss of vision.
 Treatment:
Aim is to relieve pian and prevent blindness
(Prednisolone)

9. Atypical Facial Pain
 Myocardia Infarction and Angina:
May on occasion radiate to the Jaws.
 Pain associated with Herpes Zoster:
 Glaucoma:
Severe unilat. Pain with tense, stonyhard globe
(referre to Ophthalmologist)
 Oral dysaesthesia:(Burning Mouth Symptom)
 Bell´s Palsy:
Pain around the Ear often radiating to the Jaw

10. Thank you for your
Attention