Journal of oral & facial pain and headache
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J Oral Facial Pain Headache · Jan 2014
Comparative StudyQuantitative sensory testing in patients with or without ongoing pain one year after orthognathic surgery.
To (1) quantitatively investigate the possible long-term surgical impact of orthognathic surgery on the patients' trigeminal somatosensory functions and (2) investigate the influence of ongoing pain on the trigeminal somatosensory functions of the patients. ⋯ The pattern of sensory alteration in orthognathic surgical patients with or without pain was characterized by sensory loss in thermal parameters and non-nociceptive mechanosensory parameters and sensory gain in nociceptive mechanosensory parameters. The elevated VDT might be a potential indicator of the impact of postoperative pain on trigeminal somatosensory functions.
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J Oral Facial Pain Headache · Jan 2014
Fatigue mediates the relationship between pain interference and distress in patients with persistent orofacial pain.
To test the role of fatigue and its subtypes (general, physical, emotional, mental, and vigor) in mediating the relationship between psychological distress and pain interference. ⋯ These results suggest that interventions targeted specifically at fatigue symptoms may be helpful for reducing interference and improving quality of life in patients with persistent orofacial pain.
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J Oral Facial Pain Headache · Jan 2014
Beliefs and distress about orofacial pain: patient journey through a specialist pain consultation.
To explore patients' understanding of their orofacial pain, as this is an under-researched area despite emerging as a common aim of consultation. ⋯ Patients' fears and beliefs about chronic orofacial pain are dominated by worrying and searching for meaning before consultation. Information about their chronic pain condition counters feelings of helplessness and supports sense-making around pain when explanations are clear, are delivered sensitively from a trusted source, and take into account the patient's existing health beliefs; this promotes self-management. These findings underline the important functions of specialist consultation in achieving a shared accurate understanding of pain and options for treatment.
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J Oral Facial Pain Headache · Jan 2014
Comparative StudyPregabalin reduces acute inflammatory and persistent pain associated with nerve injury and cancer in rat models of orofacial pain.
To assess the analgesic effect of pregabalin in orofacial models of acute inflammatory pain and of persistent pain associated with nerve injury and cancer, and so determine its effectiveness in controlling orofacial pains having different underlying mechanisms. ⋯ Pregabalin produced a marked antinociceptive effect in rat models of facial inflammatory pain as well as in facial neuropathic and cancer pain models, suggesting that it may represent an important agent for the clinical control of orofacial pain.
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J Oral Facial Pain Headache · Jan 2014
Review Retracted PublicationTopical review: the enigma of fibromyalgia.
Fibromyalgia is a syndrome characterized by chronic widespread pain, stiffness, nonrestorative sleep, fatigue, and comorbid conditions. Recognition of the condition and its associated medications and challenges, along with knowledge of treatment modifications and precautions in drug prescription, can ensure safe and effective delivery of oral health care in fibromyalgia patients. ⋯ This article reviews the epidemiology, etiology, pathophysiology, and clinical presentation of fibromyalgia, as well as therapeutic advances. Also highlighted are issues that are important to the oral health care provider, including orofacial manifestations and oral health care considerations for patients with fibromyalgia.