CLINICAL CASES IN OROFACIAL PAIN

1 Diagnostics of Orofacial Pain and Temporomandibular Disorders 1

2 Temporomandibular Joint Disorders 13
A Joint Pain 14
Case 2.1 Arthralgia 15
Case 2.2 Arthritis 19

B Disc Disorders 26
Case 2.3 Disc Displacement with Reduction 27
Case 2.4 Disc Displacement with Reduction with Intermittent Locking 33
Case 2.5 Disc Displacement without Reduction with Limited Opening 38
Case 2.6 Disc Displacement without Reduction without Limited Opening 42

C Hypomobility 45
Case 2.7 Fibrous Ankylosis 46
Case 2.8 Bony Ankylosis 51
Case 2.9 Hypomobility: Coroniod Process Hyperplasia 56

D Degenerative Joint Diseases 60
Case 2.10 Degenerative Joint Disease 61

E Systemic Arthritides 66
Case 2.11 Rheumatoid Arthritis with Temporomandibular Joint Involvement 67
Case 2.12 Juvenile Idiopathic Arthritis 73

F Other Temporomandibular Joint Disorders 78
Case 2.13 Neoplasms of the Temporomandibular Joint: Benign Osteochondroma of the Coronoid Process 79
Case 2.14 Neoplasms of the Temporomandibular Joint: Malign Chondrosarcoma of the Condyle 83
Case 2.15 Synovial Chondromatosis 87
Case 2.16 Mandibular Condylar Fracture 94

3 Masticatory Muscle Disorders 99
A Muscle Pain 100
Case 3.1 Myalgia with Limited Emotional Disturbance 101
Case 3.2 Myalgia with Emotional Disturbance 105
Case 3.3 Myalgia in Adolescents 109
Case 3.4 Myofascial Pain 115
Case 3.5 Temporalis Tendonitis 121
Case 3.6 Masticatory Muscle Myositis 127

B Other Masticatory Muscle Disorders 133
Case 3.7 Contracture 134
Case 3.8 Masticatory Muscle Hypertrophy 141

C Masticatory Muscle Pain Attributed to Regional/Generalized Pain Disorders 147
Case 3.9 Jaw and Neck Pain 148
Case 3.10 Whiplash-Associated Disorders 154
Case 3.11 Fibromyalgia 160

4 Other Orofacial Pains 167
A Headache 168
Case 4.1 Headache Attributed to Temporomandibular Disorders 169

B Neuropathic Pain 174
Case 4.2 Trigeminal Neuralgia 175
Case 4.3 Postherpetic Trigeminal Neuropathy 181
Case 4.4 Post-traumatic Trigeminal Neuropathy 188
Case 4.5 Atypical Odontalgia/Persistent Dentoalveolar Pain 195
Case 4.6 Clinical Case: Burning Mouth Syndrome 202

C Dental Pain and Tooth Wear 210Case 4.7 Pain Due to Pulpitis 211
Case 4.8 Pain Due to Apical Periodontitis 218
Case 4.9 Pain Due to Traumatic Occlusion 223
Case 4.10 Extreme Tooth Wear 227

D Dystonia 235
Case 4.11 Oromandibular Dystonia 236

Expand your knowledge and put it into practice with this unique, case-based guide

Clinical Cases in Orofacial Pain is a valuable resource for undergraduate dental students as well as residents working towards board certification. Individual cases cover temporomandibular joint disorders, masticatory muscle disorders, headache, neuropathic pain, dental pain, tooth wear, and dystonia. Following the popular Clinical Cases series style, cases are presented with associated academic commentary, including background information, diagnostic criteria and fundamental points that might influence the diagnosis, treatment planning or management of the case.
Well-illustrated throughout, each chapter features self-assessment study questions to help foster independent learning. Clinical Cases in Orofacial Pain is an excellent primer for undergraduate dental students and an invaluable study guide for postgraduate students and residents. Dental practitioners will also want to keep this unique, case-based guide as a ready reference in their working libraries.

Authors
• Malin Ernberg is Professor and Head of the Section for Orofacial Pain and Jaw Function at the Department of Dental Medicine, Karolinska Institutet, Sweden.
• Per Alstergren is Professor and Head of the Orofacial Pain Unit at the Faculty of Odontology, Malmö University, Sweden.