OBJECTIVES: The purpose of this seminar is to introduce the student to the principles of diagnosing and treating pain in the head and neck region that is of non-endodontic origin.

SPECIFIC LEARNING OBJECTIVES:  upon completion of this seminar the student will be able to:

• Differentiate between pain of endodontic and non-endodontic origin.
• Differentiate between vascular, neurologic, muscular, stress, psychiatric, oclussal, and neoplastic pain phenomenon.

TEXT RERFERENCE:
Seltzer and Bender’s Dental Pulp, ed 1; Hargreaves and Goodis eds. Quintessence Publishing Co inc., 2002. pgs. 449-468.

1972
Chasens AI. Facial Pain - Part 1. J Oral Med. 1972; 27:43-48. 

1975
Natkin E, Harrington GW, Mandel MA. Anginal pain referred to the teeth. Oral
Surg 1975:40:678-680.
           
1978
Rees RT, Harris M. Atypical odontalgia. Br J Oral Surg 1978;16:212-218. 
           
Marbach JJ.  Phantom tooth pain.  J Endodon. 1978; 4:362-371.
           
1979
Ratner EJ,  Person P, Kleinman DJ, Shklar G, Socransky SS. Jawbone cavities
and trigeminal and atypical facial neuralgia. Oral Surg 1979;48:3 -20.

1985
Remick RA,  Blasberg B.  Atypical facial pain.  J Canad Dent  Assoc
1985;12:913-916.    
           
Rihani A.  Maxillary sinusitus as a differential diagnosis in temporomandibular
joint pain-dysfunction. J Prosth Dent 1985;53:97-100.           

Rauch JW.  Barodontalgia - Dental pain related to ambient pressure change. 
Gen Dent.  1985;July/Aug:313 -315.

Laskin DM, Block S.  Diagnosis and treatment of myofacial pain-dysfunction
(MPD) syndrome.  J Pros Dent.  1986;56:75-84.           

1986
Sessle BJ.  Recent developments in pain research: Central mechanisms of
orofacial pain and its control.  J Endodon  1986;12:435-444.            
           
1987
Eversole LR, Stone CE. Vasogenic facial pain (Cluster Headache). Int J Oral
Maxillofac Surg 1987;16:25-35.

1988  
Fishbain DA, Goldberg M, Rosomoff RS, Rosomoff HL.  Munchausen syndrome
presenting with chronic pain: case report.  Pain  1988;35:91-94.      

Goon WWY,  Jacobsen PL.  Prodromal odontalgia and multiple devitalized teeth
caused by a herpes zoster infection of the trigeminal nerve:report of case. J Am
Dent Assoc 1988;116:500-504.

Burdette BH, Gale EN.  Pain as a learned response: a review of behavioral
factors in chronic pain.  J Am Dent Assoc 1988;116:881-885.
           
1989
Guttenberg SA, Emery RW, Milobsky SA, Geballa M.  Cranial arteritis mimicking
odontogenic pain:  report of case.  J Am Dent Assoc 1989;119:621-623.

Schnetler J, Hopper C.  Intracranial tumors presenting with facial pain. Br Dent J
1989; 166:80-83.
           
1994
Truelove E.  The chemotherapeutic management of chronic and persistent
orofacial pain. Dent Clin North Am 1994;38(4):669-688.
           
2000
Bouquot JE, McMahon RE. Neuropathic pain in maxillofacial osteonecrosis. J
Oral Maxillofac Surg 1995; 58:1003-1020.

2001
Melzack R. Pain and Nueromatrix in the Brain. J Dent Ed 2001;65(12):1378-82.

Stohler CS. Chronic orofacial pain:  is the puzzle unraveling? J Dent Ed
2001;65(12):1383-1392.

Dionne RA. Pharmacologic advances in orofacial pain:  from molecules to
medicine. J Dent Ed 2001;65(12):1393-1403.

2002
Sessle B. Recent insights into brainstem mechanisms underlying craniofacial
pain. J Dent Ed 2002;66(1):108-112.

Hargreaves KM. Development of new pain management strategies. J Dent Ed
2002;66(1):113-121.

2005
Scrivani SJ, Mathews ES, Maciewicz RJ. Trigeminal Neuralgia. OOOO&E
1000:527. November, 2005.

OPTIONAL
Das AK,  Laskin DM. Temporal arteritis of the facial artery. J Oral Surg 1966;24:226-       232.
           
*Melzack R. The McGill pain questionaire: Major properties and scoring methods. Pain 1975; 1:277-299.

Moore DS, Nally FF. Atypical facial pain:An analysis of 100 patient with discussion. J Canad Dent. Assoc 1975; 7:396-401.

Brooke RI, Stenn PG, Mothersill KJ. The diagnosis and conservative treatment of myofascial pain dysfunction syndrome. Oral Surg 1977; 44:844-852.
           
*Marbach JJ,  Lipton JA. Aspects of illness behavior in patients with facial pain. J Am Dent Assoc 1978; 96:630-638.

Brooke RI. Periodic Migrainous Neuralgia:A cause of dental pain. Oral       Surg 1978;46:511-516. 

Donaldson D, Kroening R. Recognition and treatment of patients with chronic orofacial pain. J Am Dent Assoc 1979; 99:961-966.

*Beck FM, Kaul TJ, Weaver II JM. Recognition and management of the depressed dental patient. J Am Dent Assoc 1979; 99:967-971.
           
Sist TC, Greene GW. Traumatic neuroma of the oral cavity. Oral Surg 1981;51:394-402.

Fricton JR, Kroening R.  Practical differential diagnosis of chronic craniofacial pain. Oral Surg. 1982;54:628-634. 

Blasberg B, Remick RA, Miles JE. The psychiatric referral in dentistry: Indications and mechanics. Oral Surg 1983; 56:368-371.         

Rosenblatt RM, Reich J, Dehring D. Tricyclic antidepressants in treatment of depression and chronic pain. Anesth Analg 1984; 63:1025-1032. 

Roberts AM, Person P, Chandran NB, Hori JM. Further observations on dental parameters of trigeminal and atypical facial neuralgia. Oral Surg 1984; 58:121-129.

Monsour PAJ,Young WG, Barnes PB. Styloid-stylohyoid syndrome:a clinical update. Austral Dent J 1985; 30:341-345.

Roistacher SL, Tanenbaum D. Myofascial pain associated with       oropharyngeal cancer. Oral Surg 1986; 61:459-462.

*Sweet WH. The treatment of trigeminal neuralgia (Tic Douloureux). N Engl J Med. 1986; 315:174-177. 

Graff-Radford SB,  Solberg WK. Atypical Odontalgia. Cal Dent Assoc J 1986;Dec. 27-32.                      

            Lundeen TF, Sturdevant JR, George JM. Stress as a factor in muscle and                         temporomandibular joint pain. J Oral Rehab. 1987; 14:447-456.      

Pertes RA. A practical approach to the diagnosis of chronic of chronic orofacial pain, Part I:Somatic pain. Compend Contin Ed Dent 1988; 9:554-560. 
           
            Francica F, Brickman J, LoMonaco CJ, Lin LM. Trigeminal neuralgia and              endodontically treated teeth. J Endodon 1988; 14:360-362.

            Grzesiak RC. Psychologic aspects of chronic orofacial pain, Part II:Patient            characteristics. Compend Cont Ed Dent. 1988; 9:282-291.

*Hampf G, Aalberg V, Ekholm A, Vikkula J. Sensibility threshald in depressive and nondepressive patients with chronic orofacial pain. Anesth Prog1988; 35:152-154.

Jerome A, Holroyd KA, Theofanous AG, Pingel JD, Lake AE, Saper JR. Cluster headache pain vs other vascular headache pain:differences revealed with two approaches to the McGill Pain Questionnaire. Pain 1988; 34:35-42.
           

Oakley ME, McCreary CP, Flack VF, Clark GT, Solberg WK, Pullinger AG. Dentist’s ability to detect psychological problems in patients with temporomandibular disorders and chronic pain. J Am Dent Assoc 1989; 118:727-730.

Salins PC, Bloxham GP. Bursitis:A factor in the differential diagnosis of orofacial neuralgias and myofacial pain dysfunction syndrome. Oral Surg. 1989; 68:154-157. 

Hammaren M, Hugoson A. Clinical psychiatric assessment of patients with burning mouth syndrome resisting oral treatment. Swed Dent J 1989; 13:77-88.

*Zakrzewska JM. Medical management of trigeminal neuralgia. Br Dent J. 1990;168:399-401.

*Zitman FG, Linssen ACG, Edelbroek PM, Stijnen T. Low dose amitriptyline in chronic pain:the gain is modest. Pain 1990; 42:35-42.

Campbell RL, Parks KW, Dodds RN. Chronic facial pain associated with endodontic therapy. Oral Surg. 1990; 69:287-290.

Segall R, del Rio C. Cavitational bone defect: A diagnostic challenge. J Endodn 1991; 17:396-400.

Aghabeigi B. The pathopysiology of pain. Br Dent J 173:91. August, 1992.

*Sigurdsson A, Jacoway  JR. Herpes zoster infection presenting as an acute pulpitis. Oral Surg 1995; 80:92-95.

Bouquot JE, Christian J. Long-term effects of jawbone curettage on the pain of facial neuralgia. J Oral Maxillofac Surg 1995; 53:387-397.

Turp JC, Gobetti JP. Trigeminal neuralgia versus atypical facial pain. Oral Surg Oral Med Oral Path 1996;81:424-432.

Korszun A, Ship JA. Diagnosing depression in patients with chronic facial pain. J Am Dent Assoc 1997; 128:1680-1686.

Shankland WE. Differential diagnosis of two disorders that produce common orofacial symptoms. Gen Dent 150. March/April, 2001.

Friedlander AH & Mahler ME. Major depressive disorder. J Am Dent Ass 132:629. May, 2001.

Mascia P, Brown BR, Friedman S. Toothache of Nonodontogeic origin: a case report. J Endodod 29:608. September, 2003.

Weintraub A & Barrett A. Is this dental diagnosis real? Business Week pg 34 January, 2006.

Clark GT. Diagnosis of neuropathic orodental pain. Annual Session AAE March 31, 2006.