J Orofac Pain
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Nasopharyngeal cancer can occur in any age group and is often misdiagnosed. Cervicogenic headache (CEH) is a clinical condition, putatively originating from nociceptive structures in the neck. A patient with CEH-like symptoms occurring as a result of nasopharyngeal cancer invasion is reported. ⋯ Cervical computerized tomography revealed a solid tumor in the right parapharyngeal region, adjacent to the C2-C3 vertebrae. To the authors' knowledge, this is the first case in the literature of tumoral invasion of nasopharyngeal cancer presenting as CEH. Cervical neuroimaging is obligatory in patients with late-onset, severe CEH.
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Clinical Trial
Efficacy of moclobemide in burning mouth syndrome: a nonrandomized, open-label study.
To compare burning mouth syndrome (BMS) patients with age- and gender-matched controls for psychologic conditions, to analyze the effect of menstrual state on the intensity of burning, and to assess the efficacy of an antidepressant medication on the burning pain and psychologic status. ⋯ The study confirmed earlier reports that BMS patients have higher anxiety and depression levels than controls. An antidepressant medication may be effective in alleviating the burning pain, at least in the short-term.
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To provide a systematic description of clinical findings and psychosocial factors in patients suffering from atypical odontalgia (AO). ⋯ A majority of the AO patients reported persistent, moderately intense intraoral pain that in most cases had an onset in conjunction with dental treatment. AO patients had more comorbid pain conditions and higher scores for depression and somatization. Significant limitation in jaw function and significantly lower scores on quality of life measures were found for AO patients compared with controls.
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To determine intra- and interrater agreement of the pressure pain threshold (PPT) values for children reporting orofacial pain related to temporomadibular disorders and symptom-free subjects when the mean of 3 consecutive measurements or the mean of the last 2 consecutive measurements was considered. ⋯ The lower levels of reproducibility for the measurements obtained on different days in the children who reported pain may have been related to instability of their clinical signs and symptoms, and a PPT assessment based on the mean of 3 consecutive measurements or the procedure of discarding the first measure should be considered for such evaluations, especially when they are conducted by different raters. Algometry was shown to be a reliable tool for the evaluation of pain threshold in the masticatory structures of children.
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To characterize the level of impairment of oral health-related quality of life (OHRQoL) in a temporomandibular disorder (TMD) patient population. ⋯ OHRQoL was markedly impaired in TMD patients. The level of OHRQoL varied across diagnostic categories but more across Axis II, ie, the psychosocial axis; the variation was reflected especially in their level of graded chronic pain.