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Article: Volume 42 Number 4 Page 336 - May 2015

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  Dent Update 2015; 42: 336-345

Oral surgery:  Pain Paper 2b: Classification of Orofacial Pain and an Update on Assessment and Diagnosis

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Abstract: The classification of chronic orofacial pain remains a contentious area. However, more recently, with the clarification of pain mechanisms and improved understanding of the underlying neurophysiology and modulation factors, there is more clarity of the possible division of pain conditions. Interestingly, the pathophysiology provides a basis for classification that has more clinical relevance. The principles of assessing and managing patients with pain have modified significantly, in line with recent improved understanding of the affective and emotional components in pain behaviour and suffering.

Clinical relevance: This paper aims to provide the dental and medical teams with a review of the classification of trigeminal pain with an overview of how to assess and diagnose patients with trigeminal pain.

Author notes: Obi Egbuniwe, BDS, MSc, PhD, AFHEA, Honorary Clinical Researcher, Department of Oral Surgery, Tara Renton, BDS, MDSc, PhD, FRACDS(OMS), FDS RCS FHEA, Professor, Department of Oral Surgery, King’s College London Dental Institute, King’s College Hospital London, Bessemer Road, London SE5 9RS, UK.

Objective: To provide an update on classification and differential diagnosis of chronic orofacial pain.