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Neuroplasticity, Central Sensitization and Odontogenic Referred Orofacial Pain
| Xiuxin Liu* and Tallents Ross | |
| Department of Dentistry, Eastman Institute for Oral Health, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA | |
| Corresponding Author : | Xiuxin Liu, DDS,PHD Eastman Institute for Oral Health University of Rochester School of Medicine and Dentistry Rochester, New York, 14620, USA E-mail: Xiuxin_Liu@URMC.Rochester.edu |
| Received: August 21, 2015 Accepted: October 29, 2015 Published: October 31, 2015 | |
| Citation: Liu X, Ross T (2015) Neuroplasticity, Central Sensitization and Odontogenic Referred Orofacial Pain. J Pain Relief 4:206. doi:10.4172/21670846.1000206 | |
| Copyright: © 2015 Liu X, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | |
| Related article at Pubmed, Scholar Google | |
Abstract
Patients presenting with referred dental orofacial pain are not rare in dental clinics. The most common cause for referred dental craniofacial pain is of odontogenic origin. An accurate diagnosis will depend on a comprehensive clinical exam and dental history review. For differential diagnosis, it is critical to consider both the odontognic and nonodontogenic etiology. Once a correct diagnosis is established, a proper treatment can be administrated by elimination of the etiology. We describe the updated mechanism for referred pain with neuronal plasticity and central sensitization theory. Through clinical cases, we elucidate how the diagnosis of odontogenic referred dental craniofacial pain is achieved, and the etiology is established. Because of its complex nature, odontogenic referred dental craniofacial pain can be misdiagnosed and patients may receive unnecessary procedures. Proper knowledge and strategy would help to achieve success in the diagnosis and treatment of odontogenic referred dental orofacial pain.
