Dr. Deepa Jayashankar Podcast

When we  say chronic orofacial pain,  most of these  patient   will be suffering  for   a long term and they do not where  to go and  what is the  remedy because  when we  say orofacial pain, it is the pain in  the oral and the facial  region, sometimes  extending  to  the  back ,  also the back of the  neck and the upper  trapezius muscles  and  also sometimes  the migraine  associated  with them. So when   we  say orofacial pain,  as it  goes chronic  it  is going to be  chronic, atleast more  than  3 months of time,  and  many  a  cases  it is a non dental  association of pain, that means the patient  comes  to us   and the   patient is  relating the pain to the tooth and  when we  see  the tooth  infection in any of the  tooth  area  either  in the  upper  or  the  lower  jaw,  the patient  still  experiences  and  elicits  pain. It can be a very agonizing situation for any patient  suffering  from this pain . So when  we  say  different kinds  of orofacial pain,  it goes  along the muscle   and the bon, we  call it as a musculoskeletal pain, it can be  along the  course  of the nerve, then w e call it as a  neuropathic  pain, it can  go  along the  vascular  bundles and we  call it as  a neurovascular  pain , or  it can  be any   other inflammatory pain associated  with that structure. So when w e  say orofacial pain,   it can be some pain  behind  the eyes,  most  of  the time  with patient s  with migraine  where they have associated headache, and  they  will be experiencing  pain  either in the temporomandibular  joint  or they  will be eliciting pain  in one  of the  teeth  but  when  we  see the  oral cavity looks  healthy  or  it can also be  assorted  with ringing in the  ear or it can be   pain in the  throat  or  neck or the back of the neck  and most of the  times  the patient  has  a  sensation of  a  lump in the neck. So many  at  time s  they don’t know   whom to go to  because  the  physicians  don’t understand    and they refer   to the  dentist because  most  of  the  time they are eliciting pain in the  tooth. So in Tooth Firm we  diagnose  many of  such  cases  and  try  to give  remedy for such  patients suffering from  chronic orofacial pain,  and I would like to  emphasize  most of the times  it is  a non dental  origin pain.