Psychological intervention in acute dental pain: review

Jerjes, Waseem; Hopper, Colin; Kumar, Mukesh; Upile, Tahwinder; Madland, G; Newman, Stanton; Feinmann, C

doi:10.1038/bdj.2007.227

Cited by 18 publications

(12 citation statements)

References 26 publications

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“…The fusiform gyrus is situated at the basal surface of the temporal and occipital lobes and is concerned with multisensory integration and cognitive processing 32. It has been reported that the experience of pain correlated not only with increasingly painful sensations but also with increasing fear or anxiety 33,34. Glass et al35 detected hyperactivation in the right fusiform gyrus and the inferior temporal gyrus in fibromyalgia patients.…”

Section: Discussionmentioning

confidence: 99%

<p>Altered intrinsic brain activity in patients with toothaches using the amplitude of low-frequency fluctuations: a resting-state fMRI study</p>

Yang

et al. 2019

NDT

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BackgroundThe results of previous studies have indicated that pain-associated diseases can result in marked functional and anatomical alterations in the brain. However, differences in spontaneous brain activity occurring in toothache (TA) patients remain unclear.ObjectiveThis study investigated intrinsic brain activity changes in TA subjects using the amplitude of low-frequency fluctuation (ALFF) technique.MethodsA total of 18 patients with TA (eight males, and 10 females) and 18 healthy controls (HCs) who were matched for gender, age, and educational status were enrolled. Resting-state functional MRI was used to examine the participants. Spontaneous cerebral activity variations were investigated using the ALFF technique. The mean ALFF values of the TA patients and the HCs were classified using receiver operating characteristic (ROC) curves. The correlations between ALFF signals of distinct regions of the cerebrum and the clinical manifestations of the TA patients were evaluated using Pearson’s correlation analysis.ResultsCompared with HCs, TA patients showed notably higher ALFF in the left postcentral gyrus, right paracentral lobule, right lingual gyrus, right inferior occipital gyrus, left fusiform gyrus, and right superior occipital gyrus. ROC curve analysis of each brain region showed that the accuracy area under the curve was excellent. In the TA group, the visual analog scale of the left side was positively correlated with the ALFF signal values of the right paracentral lobule (r=0.639, P=0.025).ConclusionMultiple brain regions, including pain- and vision-related areas, exhibited aberrant intrinsic brain activity patterns, which may help to explain the underlying neural mechanisms in TA.

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Section: Discussionmentioning

confidence: 99%

<p>Altered intrinsic brain activity in patients with toothaches using the amplitude of low-frequency fluctuations: a resting-state fMRI study</p>

Yang

et al. 2019

NDT

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“…The trigger point, a localized hyperexcitable nodule within the muscle, is theorized to be a result of microscopic neuromuscular dysfunction at the motor endplate [12]. As it cannot be identified histologically or by imaging, there is controversy as to the true existence of the trigger point [12,13]. Clinically, palpating a firm, tender nodule within a sufficiently irritable muscle may reproduce referred pain to distant regions upon sustained pressure [12,14].…”

Section: Myofascial Toothachementioning

confidence: 99%

Non-odontogenic toothache revisited

Balasubramaniam¹,

Turner²,

Fischer³

et al. 2011

OJST

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Although pain of dental origin is the most common orofacial pain, other non-odontogenic pains can af-fect the orofacial region and occasionally mimic den-tal pain. These non-odontogenic pains may pose a diagnostic dilemma for the dental practitioner who routinely diagnoses and treats dental pain. Knowledge of the various non-odontogenic pains will ultimately prevent misdiagnosis and the delivery of incorrect and sometimes irreversible and invasive procedures to patients. The purpose of this article is to review the clinical presentations of the various types of non-odontogenic pains which may be mistaken as dental pain: myofascial, cardiac, sinus, neurovascular, neuropathic, neoplastic and psychogenic pain

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“…Anxiety and stress can be significant when training of an undergraduate or junior surgeon takes place in a clinic where the patient retains consciousness and can hear the conversation. Several studies have showed that psychological interventions in such circumstances can elevate the patient's pain threshold and be associated with a lower complication rate [ 5 ].…”

Section: Impact On the Patients Professionals And Future Healthcare mentioning

confidence: 99%