Header

UZH-Logo

Maintenance Infos

Chronischer Gesichtsschmerz unterschiedlicher Genese. Ein Fallbericht


Rechenberg, D K; Kruse, A; Grätz, K W; Attin, T; Lübbers, H T (2011). Chronischer Gesichtsschmerz unterschiedlicher Genese. Ein Fallbericht. Schweizer Monatsschrift für Zahnmedizin SMfZ, 121(9):839-848.

Abstract

INTRODUCTION:

Therapy of chronic orofacial pain (OFP) is often a challenge since OFP can be triggered by numerous medical conditions. Pulpitis is frequently related to acute OFP, only in rare cases pulpitis elicits chronic OFP e. g. due to a cracked tooth. Hypertrophy of masticatory muscles can also cause pain. While this pathosis is easily diagnosed, hypertrophy of masticatory muscles is challenging to treat.
METHODS:

The presented case demonstrates a combination of a cracked tooth and a symtomatic hypertrophy of the masseteric muscle in a 19-year old patient. The patient suffered from diffuse chronic OFP for more than four month. After diagnosis an interdisciplinary step-by-step treatment plan was realized with re-evaluation and adjustment.
RESULTS:

After physiotherapy and medicamentous pain control intramuscular injection of Botolinum toxin type-A was performed with remission of the muscle hypertrophy but only partial success regarding pain control. After root canal treatment of a cracked tooth the patient was free of symptoms.
CONCLUSION:

The high degree of specialization in dental medicine requires a multidisciplinary approach for OFP not thoroughly responding to therapy. Stepwise diagnostics and treatments are recommended to clarify the pathology and to address multiple causes of disease.

Abstract

INTRODUCTION:

Therapy of chronic orofacial pain (OFP) is often a challenge since OFP can be triggered by numerous medical conditions. Pulpitis is frequently related to acute OFP, only in rare cases pulpitis elicits chronic OFP e. g. due to a cracked tooth. Hypertrophy of masticatory muscles can also cause pain. While this pathosis is easily diagnosed, hypertrophy of masticatory muscles is challenging to treat.
METHODS:

The presented case demonstrates a combination of a cracked tooth and a symtomatic hypertrophy of the masseteric muscle in a 19-year old patient. The patient suffered from diffuse chronic OFP for more than four month. After diagnosis an interdisciplinary step-by-step treatment plan was realized with re-evaluation and adjustment.
RESULTS:

After physiotherapy and medicamentous pain control intramuscular injection of Botolinum toxin type-A was performed with remission of the muscle hypertrophy but only partial success regarding pain control. After root canal treatment of a cracked tooth the patient was free of symptoms.
CONCLUSION:

The high degree of specialization in dental medicine requires a multidisciplinary approach for OFP not thoroughly responding to therapy. Stepwise diagnostics and treatments are recommended to clarify the pathology and to address multiple causes of disease.

Statistics

Citations

Altmetrics

Downloads

537 downloads since deposited on 15 Jan 2012
65 downloads since 12 months
Detailed statistics

Additional indexing

Other titles:Chronic orofacial pain (OFP) of different origin. A case report
Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic for Preventive Dentistry, Periodontology and Cariology
04 Faculty of Medicine > Center for Dental Medicine > Clinic for Cranio-Maxillofacial Surgery
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2011
Deposited On:15 Jan 2012 20:13
Last Modified:10 Dec 2017 20:53
Publisher:Schweizerische Zahnärzte-Gesellschft
ISSN:0256-2855
Related URLs:http://www.sso.ch/index.cfm?uuid=1BA2E085D9D9424C4EB6E4967D19F13B&&IRACER_AUTOLINK&& (Publisher)
PubMed ID:21987376

Download

Download PDF  'Chronischer Gesichtsschmerz unterschiedlicher Genese. Ein Fallbericht'.
Preview
Content: Accepted Version
Filetype: PDF
Size: 1MB
Download PDF  'Chronischer Gesichtsschmerz unterschiedlicher Genese. Ein Fallbericht'.
Preview
Content: Published Version
Filetype: PDF
Size: 174kB