Clinical Cases in Orofacial Pain

Expand your knowledge and put it into practice with this unique, case-based guide

Clinical Cases in Orofacial Painis a valuable resource for undergraduate dental students as well as residents working towards board certification. Individual cases cover temporomandibular joint disorders, masticatory muscle disorders, headache, neuropathic pain, dental pain, tooth wear, and dystonia. Following the popularClinical Cases series style, cases are presented with associated academic commentary, including background information, diagnostic criteria and fundamental points that might influence the diagnosis, treatment planning or management of the case.

Well-illustrated throughout, each chapter features self-assessment study questions to help foster independent learning.Clinical Cases in Orofacial Painis an excellent primer for undergraduate dental students and an invaluable study guide for postgraduate students and residents. Dental practitioners will also want to keep this unique, case-based guide as a ready reference in their working libraries.

About the Editors
Malin Ernberg is Professor and Head of the Section for Orofacial Pain and Jaw Function at the Department of Dental Medicine, Karolinska Institutet, Sweden.

Per Alstergren is Professor and Head of the Orofacial Pain Unit at the Faculty of Odontology, Malmö University, Sweden.

List of Contributors xi

Preface xv

Acknowledgments xvii

Abbreviations xix

1 Diagnostics of Orofacial Pain and Temporomandibular Disorders 1
Thomas List and Richard Ohrbach

2 Temporomandibular Joint Disorders 13

A Joint Pain 14

Case 2.1 Arthralgia 15
Per Alstergren

Case 2.2 Arthritis 19
Per Alstergren

B Disc Disorders 26

Case 2.3 Disc Displacement with Reduction 27
Bachar Reda and Daniele Manfredini

Case 2.4 Disc Displacement with Reduction with Intermittent Locking 33
Massimiliano Politi and Daniele Manfredini

Case 2.5 Disc Displacement without Reduction with Limited Opening 38
Stanimira I Kalaykova

Case 2.6 Disc Displacement without Reduction without Limited Opening 42
Stanimira I Kalaykova

C Hypomobility 45

Case 2.7 Fibrous Ankylosis 46
Tore Bjørnland

Case 2.8 Bony Ankylosis 51
Tore Bjørnland

Case 2.9 Hypomobility: Coroniod Process Hyperplasia 56
Tore Bjørnland and Fredrik Hallmer

D Degenerative Joint Diseases 60

Case 2.10 Degenerative Joint Disease 61
Per Alstergren

E Systemic Arthritides 66

Case 2.11 Rheumatoid Arthritis with Temporomandibular Joint

Involvement 67
Per Alstergren

Case 2.12 Juvenile Idiopathic Arthritis 73
Randy Cron and Britt Hedenberg-Magnusson

F Other Temporomandibular Joint Disorders 78

Case 2.13 Neoplasms of the Temporomandibular Joint: Benign Osteochondroma of the Coronoid Process 79
Eiro Kubota

Case 2.14 Neoplasms of the Temporomandibular Joint: Malign

Chondrosarcoma of the Condyle 83
Eiro Kubota

Case 2.15 Synovial Chondromatosis 87
Lars Eriksson and Peter Abrahamsson

Case 2.16 Mandibular Condylar Fracture 94
Peter Abrahamsson and Lars Eriksson

3 Masticatory Muscle Disorders 99

A Muscle Pain 100

Case 3.1 Myalgia with Limited Emotional Disturbance 101
Karina Bendixen and Peter Svensson

Case 3.2 Myalgia with Emotional Disturbance 105
Peter Svensson and Karina Bendixen

Case 3.3 Myalgia in Adolescents 109
Claudia Restrepo and Ambra Michelotti

Case 3.4 Myofascial Pain 115
Paulo César R Conti

Case 3.5 Temporalis Tendonitis 121
Ambra Michelotti

Case 3.6 Masticatory Muscle Myositis 127
Malin Ernberg

B Other Masticatory Muscle Disorders 133

Case 3.7 Contracture 134
Richard Ohrbach and Dorothy Foigelman-Holland

Case 3.8 Masticatory Muscle Hypertrophy 141
Malin Ernberg

C Masticatory Muscle Pain Attributed to Regional/Generalized Pain Disorders 147

Case 3.9 Jaw and Neck Pain 148
Annemiek Rollman

Case 3.10 Whiplash-Associated Disorders 154
Birgitta Häggman-Henrikson and Richard Ohrbach

Case 3.11 Fibromyalgia 160
Juliana Stuginski-Barbosa

4 Other Orofacial Pains 167

A Headache 168

Case 4.1 Headache Attributed to Temporomandibular Disorders 169
Daniela AG Gonçalves

B Neuropathic Pain 174

Case 4.2 Trigeminal Neuralgia 175
Joanna Zakrzewska

Case 4.3 Postherpetic Trigeminal Neuropathy 181
Gary M Heir

Case 4.4 Post-traumatic Trigeminal Neuropathy 188
Sowmya Ananthan, Junad Khan, Vincent B Ziccardi and Rafael Benoliel

Case 4.5 Atypical Odontalgia/Persistent Dentoalveolar Pain 195
Maria Pigg and Lene Baad-Hansen

Case 4.6 Clinical Case: Burning Mouth Syndrome 202
Jean-Paul Goulet and Christine Nadeau

C Dental Pain and Tooth Wear 210

Case 4.7 Pain Due to Pulpitis 211
Natasha M Flake

Case 4.8 Pain Due to Apical Periodontitis 218
Natasha M Flake

Case 4.9 Pain Due to Traumatic Occlusion 223
Natasha M Flake

Case 4.10 Extreme Tooth Wear 227
Peter Wetselaar

D Dystonia 235

Case 4.11 Oromandibular Dystonia 236
Merete Bakke and Eigild Møller

Index 243