Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management / Edition 5

by Reny de Leeuw

Overview

The AAOP Guidelines for Assessment, Diagnosis, and Management of Orofacial Pain is an invaluable resource for all health care professionals who evaluate and treat patients with orofacial pain and face the daunting task of "keeping up with the literature" in the rapidly emerging arena of pain management in clinical practice. This new edition continues to emphasize evidence-based knowledge and, for the first time, offers a summary of key points at the beginning of each chapter. Other important changes include an entirely new chapter on sleep and its relationship to pain and well-being; new imaging guidelines for the diagnosis of headache, TMD, and neuropathic pain; a new section on dysesthesias related to neuropathic pain; comprehensive descriptions of SUNCT/SUNA in the chapter devoted to primary headache disorders; and recommendations for quantitative sensory testing, narcotic agreement, and brief screening questionnaires used in patient assessment. Most important, the differential diagnosis and TMD chapters reflect the recommendations of the long-awaited RDC/TMD taxonomy, which will have a significant impact on clinical practice.

Product Details

ISBN-13:	9780867156102
Publisher:	Quintessence Publishing
Publication date:	05/01/2013
Edition description:	Older Edition
Pages:	301
Product dimensions:	6.70(w) x 9.40(h) x 0.70(d)

Table of Contents

Preface viii

Acknowledgments ix

1 Introduction to Orofacial Pain 1

Key Points 1

The Health Care Professional's Responsibility in Orofacial Pain 2

Epidemiology of Orofacial Pain 2

Pain Constructs 3

Anatomical and Physiologic Considerations of Orofacial Pain 3

Neurophysiology of Orofacial Pain 9

The Biopsychosocial Model: Allostasis and the Emotional Motor System 14

Suffering and Pain: Comorbid Conditions 16

Chronic Orofacial Pain Disorders: TMDs and Comorbid Conditions 17

Headache and Orofacial Pain Disorders 18

2 General Assessment of the Orofacial Pain Patient 25

Key Points 25

Screening Evaluation 26

Comprehensive Evaluation 27

3 Diagnostic Classification of Orofacial Pain 47

Key Points 47

Terminology 48

Diagnostic Classification Systems 48

Differential Diagnosis of Orofacial Pain 51

4 Vascular and Nonvascular Intracranial Causes of Orofacial Pain 59

Key Points 59

Preliminary Investigation 59

Headache Associated with Vascular Disorders 62

Headache Associated with Nonvascular Intracranial Disorders 66

7 Primary Headache Disorders 71

Key Points 71

Migraine 71

Tension-Type Headache 74

Cluster Headache 76

Paroxysmal Hemicrania 78

SUNCT 78

8 Episodic and Continuous Neuropathic Pain 83

Key Points 83

Episodic Neuropathic Pain 83

Continuous Neuropathic Pain 90

Dysesthesias 96

7 Intraoral Pain Disorders 105

Key Points 105

Odontogenic Pain 105

Nonodontogenic Pain 112

Oral Mucosal Pain 113

8 Diagnosis and Management of TMDs 127

Key Points 127

Anatomy of the Masticatory Structures 127

Defining TMDs 129

Epidemiology of TMDs 130

Etiology of TMDs 130

Diagnostic Classification of TMDs 137

Management of TMDs 151

Clinical Research 167

9 Cervicogenic Mechanisms of Orofacial Pain and Headaches 187

Key Points 187

Epidemiology of CSDs 188

Relationship Between Temporomandibular and Cervical Spine Structures 188

Screening of the Cervical Spine 190

Common CSDs 192

10 Extracranial Causes of Orofacial Pain and Headaches 203

Key Points 203

Pain Stemming from Tissues or Organs in the Head and Neck 203

Pain Stemming from Systemic Disease 207

11 Sleep and Orofacial Pain 217

Key Points 217

Sleep Overview 217

Pain and Sleep 219

Orofacial Pain and Sleep 221

12 Axis II: Biobehavioral Considerations 225

Key Points 225

Foundation of the Biobehavioral Model 225

Implementing a Biobehavioral Framework: Dual-Axis Coding 228

Screening for Biobehavioral Factors 229

Comprehensive Evaluation of Biobehavioral Factors 231

Psychiatric Disorders 232

Consultation and Referral Strategies 243

Comprehensive Axis II Evaluation 244

Biobehavioral Care: Integrated Care as the Standard of Care 245

Glossary 249

Index 291

Editorial Reviews

Reviewer: Janet H. Southerland, DDS, MPH, PhD (The University of Texas Medical Branch)
Description: The book represents the guidelines, developed by the American Academy of Orofacial Pain (AAOP), for assessment, diagnosis, and management of patients presenting with orofacial pain. The book provides illustrations and describes factors that are major contributors to TMD pain as well as key points for each chapter and assessment tools. The previous edition was published in 2013.
Purpose: The main purpose is to help alleviate orofacial pain and suffering by providing guidelines for assessment, diagnosis, and management. These are worthy objectives particularly in light of recent challenges with pain management and opioid addiction. The book does meet the objectives by providing a comprehensive overview and introducing this edition that provides updates and evidence-based information.
Audience: The intended audience is healthcare professionals who evaluate and treat patients with orofacial pain. The book also can be used by other health professionals who need guidance/information in managing patients presenting with orofacial pain. The authors are highly credentialed and demonstrate significant expertise in this area.
Features: The book covers all aspects of orofacial pain and focuses primarily on assessment, including physiology, assessment/evaluation, etiology/diagnosis, treatment, and biobehavioral considerations. The chapters are well organized and provide an outline of key points at the beginning of each one. The index and glossary also help readers with terminology.
Assessment: The book provides comprehensive and updated guidelines from the AAOP for assessing, diagnosing, and managing orofacial pain patients. It is easy to read and easy to understand. The book represents a collaborative effort by experts focused on pain and pain-related issues, specifically orofacial pain. It establishes guidelines for patient care in this area and serves as a foundational book. Building upon information that has been published, this edition is justified based on the rapidly emerging literature and challenges in the area of pain management.

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