Differential Diagnosis for Orofacial
Pain, Including Sinusitis, TMD,
Trigeminal Neuralgia
Abstract: Correct diagnosis is the key to managing facial pain of non-dental origin. Acute and chronic facial pain must be differentiated
and it is widely accepted that chronic pain refers to pain of 3 months or greater duration. Differentiating the many causes of facial pain can
be difficult for busy practitioners, but a logical approach can be beneficial and lead to more rapid diagnoses with effective management.
Confirming a diagnosis involves a process of history-taking, clinical examination, appropriate investigations and, at times, response to
various therapies.
Clinical Relevance: Although primary care clinicians would not be expected to diagnose rare pain conditions, such as trigeminal
autonomic cephalalgias, they should be able to assess the presenting pain complaint to such an extent that, if required, an appropriate
referral to secondary or tertiary care can be expedited. The underlying causes of pain of non-dental origin can be complex and
management of pain often requires a multidisciplinary approach.
Differential Diagnosis for Orofacial
Pain, Including Sinusitis, TMD,
Trigeminal Neuralgia
Abstract: Correct diagnosis is the key to managing facial pain of non-dental origin. Acute and chronic facial pain must be differentiated
and it is widely accepted that chronic pain refers to pain of 3 months or greater duration. Differentiating the many causes of facial pain can
be difficult for busy practitioners, but a logical approach can be beneficial and lead to more rapid diagnoses with effective management.
Confirming a diagnosis involves a process of history-taking, clinical examination, appropriate investigations and, at times, response to
various therapies.
Clinical Relevance: Although primary care clinicians would not be expected to diagnose rare pain conditions, such as trigeminal
autonomic cephalalgias, they should be able to assess the presenting pain complaint to such an extent that, if required, an appropriate
referral to secondary or tertiary care can be expedited. The underlying causes of pain of non-dental origin can be complex and
management of pain often requires a multidisciplinary approach.
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