Bell's Orofacial Pains / Edition 5

Bell's Orofacial Pains / Edition 5

by Jeffrey Okeson, Welden E. Bell
     
 

ISBN-10: 0867152931

ISBN-13: 9780867152937

Pub. Date: 04/01/1995

Publisher: Quintessence

For dental clinicians and other clinical practitioners, but also for basic and clinical pain scientists, Okeson (oral health science, U. of Kentucky-Lexington) updates Welden E. Bell's venerable reference. He begins by setting out the normal neuroanatomy and function of the trigeminal system. Then he presents a classification of the various orofacial pain disorders

Overview

For dental clinicians and other clinical practitioners, but also for basic and clinical pain scientists, Okeson (oral health science, U. of Kentucky-Lexington) updates Welden E. Bell's venerable reference. He begins by setting out the normal neuroanatomy and function of the trigeminal system. Then he presents a classification of the various orofacial pain disorders and describes the history and examination procedures that can be used to differentiate them. The final section describes management considerations for each disorder. No dates are noted for earlier editions. Annotation ©2004 Book News, Inc., Portland, OR

Product Details

ISBN-13:
9780867152937
Publisher:
Quintessence
Publication date:
04/01/1995
Edition description:
Older Edition
Pages:
478

Table of Contents

Forewordxiii
Prefacexv
Section 1The Nature of Pain
1Defining the Problem3
Pain as a Clinical Complaint
The Dental Practitioner's Responsibility
Historical Note
Changing Concepts of Pain
The Emergency Nature of Pain
Levels of Pain Processing
Phylogenic Considerations
Anatomic Considerations of the Human
Neural Pathways of Pain
2The Neural Anatomy of Orofacial Pain13
Neural Structures
Functional Neuroanatomy
The Trigeminal System
The Autonomic Nervous System
Peripheral Nociceptive Pathways
General Considerations of Peripheral Nociceptive Pathways
3The Neurophysiology of Orofacial Pain45
Nerve Action Potential
The Synapse
The Ion Channels
Neurotransmitters
Elimination of the Transmitter from the Synapse
The Neurochemistry of Nociception
Neuronal Sensitization
The Axon Transport System
Transmission of Afferent Impulses to the Cortex
Summary
4The Processing of Pain at the Brainstem Level63
The Initiation of Nociception in the Peripheral Tissues
The Central Processing of Nociception
The Experience of Pain
The Modulation Concept
State-Dependent Sensory Processing
Summary
5The Processing of Pain at the Supraspinal Level95
Factors That Influence the Pain Experience
Psychologic Factors Influence All Pains
Acute Pain Versus Chronic Pain
Emotional Significance of Orofacial Pains
Psychologic Considerations of Orofacial Pains
Section 2Clinical Considerations of Orofacial Pain
6The Various Presentations of Pain107
Not All Pains Are Alike
Normal Neural Activities: Central and Peripheral Mechanisms
Inflammatory Pain
Noninflammatory Pain
Other Causes of Orofacial Pains
The Contribution of Neuroplasticity to Chronic Pain Conditions
Other Considerations
7Category Classification of Orofacial Pains129
Pain Diagnosis
Categories of Orofacial Pains
8Principles of Pain Diagnosis141
Evaluation of the Pain Condition
Preliminary Interview
History for Orofacial Pain
Clinical Examination for Orofacial Pain
Establishing the Pain Category
Choosing the Correct Pain Disorder
Confirmation of the Clinical Diagnosis
Multiple Categories of Pain
9General Considerations in Managing Orofacial Pains197
Cause-Related Therapy
Therapeutic Modalities
Considerations Related to Chronic Orofacial Pain
Section 3Clinical Pain Syndromes
10Cutaneous and Mucogingival Pains243
Behavior of Cutaneous and Mucogingival Pains
Types of Cutaneous and Mucogingival Pains
Differential Diagnosis
Therapeutic Options
11Pains of Dental Origin259
Behavior of Dental Pains
Types of Dental Pains
Differential Diagnosis
Therapeutic Options
12Pains of Muscle Origin287
Behavior of Muscular Pain
Types of Masticatory Muscle Pains
Masticatory Muscle Pain Model
Chronic Myalgic Pain Disorders
Muscular Toothache
Referred Pain Mistaken for Masticatory Pain
Differentiating Various Masticatory Muscle Pains
Differential Diagnosis
Therapeutic Options
13Temporomandibular Joint Pains329
Behavior of TMJ Pains
Normal Anatomy and Function of the TMJ
Types of TMJ Pains
Diagnostic Considerations
Differential Diagnosis
Therapeutic Options for Disc-Interference Disorders
Other Therapeutic Options
14Other Musculoskeletal Pains381
Osseous Pains
Periosteal Pains
Soft Connective Tissue Pains
Differential Diagnosis
Therapeutic Options
15Visceral Pains387
Behavior of Visceral Pains
Pains Emanating from Visceral Mucosa
Glandular Pains
Ocular Pains
Auricular Pains
Differential Diagnosis
Therapeutic Options
16Vascular and Neurovascular Pains401
Behavior of Vascular and Neurovascular Pain
Neurovascular Pains of the Mouth and Face
Vascular Pains of the Mouth and Face
Differential Diagnosis
17Neuropathic Pains449
Behavior of Neuropathic Pains
Episodic Neuropathic Pains: Paroxysmal Neuralgias
Continuous Neuropathic Pains
Summary
18Psychologic Factors and Orofacial Pain: Axis II519
Acute Pain Versus Chronic Pain and the Biopsychosocial Model
The Psychologic Significance of Orofacial Pains
Axis II: Classification of Mental Disorders
General Therapeutic Considerations
The Concept of Physical Self-Regulation
A Closing Note
Terminology545
Index549

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