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Book ChapterDOI

Orofacial Pain

01 Mar 2023-pp 105-110
TL;DR: In this paper , a young woman suffered from chronic orofacial pain, which appeared after left mandibular third molar avulsion, described as hot/burning and aching, without pain paroxysms and involving the whole hemiface.
Abstract: Abstract This chapter presents a case of a young woman who suffers from chronic orofacial pain, which appeared after left mandibular third molar avulsion. Pain is continuous, described as hot/burning and aching, without pain paroxysms and involving the whole hemiface. Clinical examination is normal. This case is compatible with persistent idiopathic orofacial pain (formerly atypical facial pain), which may be triggered by minor trauma or surgery particularly involving the dental nerves. There is a continuum between idiopathic orofacial pain and post-traumatic trigeminal neuropathic pain. The management is similar to that of peripheral neuropathic pain and includes psychological therapy because this pain is often associated with psychological or psychiatric comorbidities.