Pearls of Pain

Discover an educational resource about the multiple causes of chronic facial pain, symptoms of damage, and advances in treatment.

Destructive parafunction

1) Causes most failure in dentistry 2) Movement disorder 3) Strong cause damage to law joint 4) Limited training dental schools

Orofacial Pain Specialty

1) Moderate-Severe Jaw Joint Damage 2) Blend medicine & dentistry 3) Destructive Parafunction 4) Protector Expensive Cr-Br & Implants 5) Diagonstic Clearinghouse 6) Chronic pain speciality 7) Save teeth from 3rd disease

Dentist role muscle or mild joint damage:

1) Conservaive therapies-soft doet, Advil, hot comp 2) Dental Appliance: soft Biteguards - Hybrids- hard Nightguards - NIT 3) Apply for month - if no better-refer orofacial speciality

Orthognathic surgery & braces

Orthognathic surgery & braces should expand arch in small airpipe-small arch patients instead of extract premolars and shrink arch

Grinding enlarges Medical Pterygoid

Grinding enlarges Medical Pterygoid which reduces pipe size on both sides of air pipe increasing chance of having Sleep Apnea

Assist neurologist w/ migraines

Assist neurologist w/ migraines by reducing inflammation in chewing system, adding orofacial specialty to headache team especially difficult cases

Comorbid conditions

1) Neck pain: is associated with muscle bracing, posturing, reciprocal contraction jaw system 2) Headaches: head pain is associated with muscle bracing, posturing, reciprocal contraction jaw system 3) Traumas: Falls, Blows head, blows jaw, MVA increase in jaw or neck pain

Poor health habits means poor healing

1) Food Inflammation perpetuates chronic pains 2) Requires improvement in cardiovascular system 3) Quality sleep: a) is required for healing b) no tool is as effective if sleep poor 4) Thoughts: negative habits thought continuously increase anxiety

Tearing Lateral Ligament

1). Parafunction is strongest risk factor 2) Tension muscles is slow insidious factor 3) Trauma is a powerful factor

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