Abstrakt: |
Background: Orofacial pain is related with neurogenic, vascular, collagenous and dental problems. As a syndrome, this type of pain is classified under 4 major categories: temporomandibular joint diseases, atypical facial pain (AFP), atypical odontalgia and burning mouth syndrome. Atypical facial pain, first described by Frazier and Russel, is a chronic pain syndrome on the trigeminal nerve trajectory. Objective: In this study, 18 cases of AFP are presented. Pain stimulating factors, localization, duration, severity, accompanying symptoms, orodental findings, treatment and response are evaluated. Results: A total of 18 cases, 11 female and 7 male were evaluated. Mean age was 41.3 years; duration of pain 1–35 years; frequency: everyday in 15 cases (83.3%); 3–4 times per week in 2 cases; and once a month in one case; localization: unilateral in 17 cases, bilateral in one case; severity: between 5 and 9 according to VAS in all cases (mean: 6.9). Neurologic, orodental and radiological examiantions revaled no positive findings of AFP. In 14 cases, mild or moderate depression was detected based on Hamilton depression scale. Antidepressants and antiepileptic agents were administered for treatment in all patients. Partial or complete recovery was observed. [ABSTRACT FROM AUTHOR] |