Abstract
Acute trigeminal pain is a common presentation in the dental surgery, with a reported 22% of the US adult population experiencing orofacial pain more than once during a 6-month period.
References
Lipton JA, Ship JA, Larach-Robinson D. Estimated prevalence and distribution of reported orofacial pain in the United States. J Am Dent Assoc. 1993; 124:(10)115-121
, 2nd edn. In: Sessle BJ, Lavigne G, Lund JP, Dubner R (eds). Hanover Park, IL, USA: Quintessence; 2008
Macfarlane TV, Blinkhorn AS, Davies RM. Oro-facial pain in the community: prevalence and associated impact. Community Dent Oral Epidemiol. 2002; 30:(1)52-60
Linde M, Gustavsson A, Stovner LJ The cost of headache disorders in Europe: the Eurolight project. Eur J Neurol. 2012; 19:(5)703-711 https://doi.org/10.1111/j.1468-1331.2011.03612.x
Vadivelu N, Mitra S, Narayan D. Recent advances in postoperative pain management. Yale J Biol Med. 2010; 83:(1)11-25
Carr DB, Goudas LC. Acute pain. The Lancet. 1999; 353:(9169)2051-2058
Hegarty AM, Zakrzewska JM. Differential diagnosis for orofacial pain, including sinusitis, TMD, trigeminal neuralgia. Dent Update. 2011; 38:(6)396-408
Summers S. Evidence-based practice part 2: reliability and validity of selected acute pain instruments. J Perianesth Nurs. 2001; 16:(1)35-40
Melzack R. The McGill Pain Questionnaire: major properties and scoring methods. Pain. 1975; 1:(3)277-299
Gottschalk A, Smith DS. New concepts in acute pain therapy: preemptive analgesia. Am Fam Physician. 2001; 63:(10)1979-1984
Meechan JG. Local anaesthesia. Oral Surgery. 2008; 1:(1)3-10
Meechan JG. How to overcome failed local anaesthesia. Br Dent J. 1999; 186:(1)15-20
Meechan J. Articaine and lignocaine. Evid-Based Dent. 2011; 12:21-22 https://doi.org/10.1038/sj.ebd.6400779
Meechan JG. Local anaesthesia: risks and controversies. Dent Update. 2009; 36:(5)278-283
Renton T, Adey-Viscuso D, Meechan JG Trigeminal nerve injuries in relation to the local anaesthesia in mandibular injections. Br Dent J. 2010; 209:(9)
Nayyar MS, Yates C. Bupivacaine as pre-emptive analgesia in third molar surgery: randomised controlled trial. Br J Oral Maxillofac Surg. 2006; 44:(6)501-503
Bouloux GF, Punnia-Moorthy A. Bupivacaine versus lidocaine for third molar surgery: a double-blind, randomized, crossover study. J Oral Maxillofac Surg. 1999; 57:(5)510-515
Moore PA, Dunsky JL. Bupivacaine anesthesia – a clinical trial for endodontic therapy. Oral Surg Oral Med Oral Pathol. 1983; 55:(2)176-179
Rood JP, Coulthard P, Snowdon AT, Gennery BA. Safety and efficacy of levobupivacaine for postoperative pain relief after the surgical removal of impacted third molars: a comparison with lignocaine and adrenaline. Br J Oral Maxillofacial Surg. 2002; 40:(6)491-496
Branco FP, Ranali J, Ambrosano GM, Volpato MC. A doubleblind comparison of 0.5% bupivacaine with 1:200,000 epinephrine and 0.5% levobupivacaine with 1:200,000 epinephrine for the inferior alveolar nerve block. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 101:(4)442-447
Khan RS, Ahmed K, Blakeway E Catastrophizing: a predictive factor for postoperative pain. Am J Surg. 2011; 201:(1)122-131
Coulthard P, Bridgman CM, Gough L Estimating the need for dental sedation. 1. The Indicator of Sedation Need (IOSN) – a novel assessment tool. Br Dent J. 2011; 211:(5) https://doi.org/10.1038/sj.bdj.2011.725
Simpson M, Drum M, Nusstein J Effect of combination of preoperative ibuprofen/acetaminophen on the success of the inferior alveolar nerve block in patients with symptomatic irreversible pulpitis. J Endod. 2011; 37:(5)593-597
Jackson DL, Moore PA, Hargreaves KM. Preoperative nonsteroidal anti-inflammatory medication for the prevention of postoperative dental pain. J Am Dent Assoc. 1989; 119:(5)641-647
Dahl JB, Kehlet H. Preventive analgesia. Curr Opin Anaesthesiol. 2011; 24:(3)331-338
Dahl JB, Moiniche S. Pre-emptive analgesia. Br Med Bull. 2004; 71:13-27
Zacharias M, Hunter KM, Baker AB. Effectiveness of preoperative analgesics on postoperative dental pain: a study. Anesth Prog. 1996; 43:(3)92-96
Moore RA, Derry S, McQuay HJ, Wiffen PJ. Single dose oral analgesics for acute postoperative pain in adults. Cochrane Database Syst Rev. 2011; 9
Oxford: Bandolier; 2007
Grace PM, Hutchinson MR, Maier SF, Watkins LR. Pathological pain and the neuroimmune interface. Nature Rev Immunol. 2014; 14:217-231
Becker DE. Pain management: Part 1: Managing acute and postoperative dental pain. Anesth Prog. 2010; 57:(2)67-80
Dionne RA Suppression of postoperative pain by preoperative administration of ibuprofen in comparison to placebo, acetaminophen, and acetaminophen plus codeine. J Clin Pharmacol. 1983; 23:(1)37-43
Bertolini A Paracetamol: new vistas of an old drug. CNS Drug Rev. 2006; 12:(3–4)250-275
Thomas MB Paracetamol overdose as a result of dental pain requiring medical treatment – two case reports. Br Dent J. 2007; 203:(1)25-28
Ong CK, Seymour RA, Lirk P, Merry AF. Combining paracetamol (acetaminophen) with nonsteroidal anti-inflammatory drugs: a qualitative systematic review of analgesic efficacy for acute postoperative pain. Anesth Analg. 2010; 110:(4)1170-1179
Andersson DA, Gentry C, Alenmyr L TRPA1 mediates spinal antinociception induced by acetaminophen and the cannabinoid Delta(9)-tetrahydrocannabiorcol. Nat Commun. 2011; 2 https://doi.org/10.1038/ncomms1559
Dodson T. Paracetamol is an effective drug to use for pain following oral surgery. Evid Based Dent. 2007; 8:(3)79-80
Vargas-Schaffer G. Is the WHO analgesic ladder still valid? Twenty-four years of experience. Can Fam Physician. 2010; 56:(6)514-7
Balakrishnan M, Simmonds RS, Tagg JR. Dental caries is a preventable infectious disease. Aust Dent J. 2000; 45:(4)235-245
Goes PS, Watt R, Hardy RG, Sheiham A. The prevalence and severity of dental pain in 14–15-year-old Brazilian schoolchildren. Community Dent Health. 2007; 24:(4)217-224
: SDCEP; 2011
Renton T What has been the United Kingdom's experience with retention of third molars?. J Oral Maxillofac Surg. 2012; 70:(1)S48-57
Bowe DC, Rogers S, Stassen LF. The management of dry socket/alveolar osteitis. J Ir Dent Assoc. 2011; 57:(6)305-310
Kolokythas A, Olech E, Miloro M. Alveolar osteitis: a comprehensive review of concepts and controversies. Int J Dent. 2010; 2010 https://doi.org/10.1155/2010/249073
Blum IR. Contemporary views on dry socket (alveolar osteitis): a clinical appraisal of standardization, aetiopathogenesis and management: a critical review. Int J Oral Maxillofac Surg. 2002; 31:(3)309-317
Ian Shaw CK, Dodds C.Oxford: Oxford University Press; 2010
Campbell CM, Stout BM, Deas DE. Necrotizing ulcerative gingivitis: a discussion of four dissimilar presentations. Tex Dent J. 2011; 128:(10)1041-1051
Minsk L. Diagnosis and treatment of acute periodontal conditions. Compend Contin Educ Dent. 2006; 27:(1)8-11
Hersh EV, Kane WT, O'Neil MG Prescribing recommendations for the treatment of acute pain in dentistry. Compend Contin Educ Dent. 2011; 32:(3)22-30
Bell GW, Joshi BB, Macleod RI. Maxillary sinus disease: diagnosis and treatment. Br Dent J. 2011; 210:(3)113-118
Pain part 3: acute orofacial pain
From Volume 42, Issue 5, June 2015 | Pages 442-462
Article
‘A toothache, or a violent passion, is not necessarily diminished by our knowledge of its causes, its character, its importance or insignificance’ wrote T S Eliot.
Acute pain management is integral to the provision of optimal dental care and supporting the well-being of patients. Any patient attending a dentist will be experiencing some degree of anxiety and stress. These emotions will lower the patient's pain tolerance and further compound pain management. Anyone in this field recognizes that pain is complex, particularly in the dental environment where fear, phobia and poor expectations compound the patient's pain experience. Dentists require an armamentarium of psychological, communication, medical and technical skills. Managing operative pain under local anaesthesia requires expertise, empathy and patience. Oral analgesics are commonly prescribed for a few days following oral surgery or other procedures, after which patients are typically pain-free or can switch to over-the-counter (OTC) medications (ie either lower doses of the same analgesics or different OTC drugs).
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