Orofacial Pain: A Guide to Medications and Management brings together guidance and information on the rational use of medications for the treatment of chronic orofacial pain. Focusing on clinically relevant information throughout and aiming itself squarely at the needs of dentists and other clinicians working directly with orofacial pain, the book covers the use of oral, injectable and topical medications for managing neuropathic and musculoskeletal pain, headache, and uncommon orofacial pain disorders. Useful features, such as discussion of the top 60 medications prescribed for orofacial pain, are integrated with comprehensive coverage of drug types, pharmacolegal issues, and the interaction of medication management with other treatment strategies. Author Information Glenn T. Clark, DDS, MS is Director of the Orofacial Pain and Oral Medicine Center at the University of Southern California Herman Ostrow School of Dentistry. Raymond A. Dionne, DDS, PhD is Scientific Director of the Division of Intramural Research at the National Institute of Nursing Research in Washington, DC. Table of Contents - Contributors v
- Preface vii
- The 30 most prevalent chronic painful diseases, disorders, and dysfunctions that occur in the orofacial region 3
—Glenn T. Clark, DDS, MS - Top 60 most important medications used in an orofacial pain treatment center 29
—Glenn T. Clark, DDS, MS - Nonopioid analgesics, salicylates, NSAIDs, and corticosteroids for chronic pain 47
—Raymond A. Dionne, DDS, PhD and Glenn T. Clark, DDS, MS - Opioids for chronic orofacial pain with a focus on nonmalignant chronic pain 66
—Glenn T. Clark, DDS, MS and Steven H. Richeimer, MD - Nocebo-responsive patients and topical pain control agents used for orofacial and mucosal pain 84
—Glenn T. Clark, DDS, MS - Anticonvulsant agents used for neuropathic pain including trigeminal neuralgia 95
—Glenn T. Clark, DDS, MS and Antonia Teruel, DDS, MS, PhD - Skeletal muscle relaxants and antispasticity drugs for orofacial pain disorders 115
—Glenn T. Clark, DDS, MS and Soma Sahai-Srivastava, MD - Psychopharmacologic agents (antidepressants, antipsychotics, anxiolytics, and psychostimulants) used in chronic pain 129
—Glenn T. Clark, DDS, MS, Mary A. Gutierrez, PharmD, BCPP, Jaqueline S. Venturin, DDS and Steven H. Richeimer, MD - Antibacterial agents as analgesics in chronic pain 145
—Satish Kumar, DDS, MDSc, Glenn T. Clark, DDS, MS and Raymond A. Dionne, DDS, PhD - Using oral medications, infusions, and injections for differential diagnosis of orofacial pain 151
—Saravanan Ram, DDS, MS, Satish Kumar, DDS, MDSc and Glenn T. Clark, DDS, MS - Interventional therapy and injected agents for orofacial pain and spasm (including botulinum toxin) 164
—Glenn T. Clark, DDS, MS and Alan Stiles, DMD - Treatment for oral mucositis and noninfectious, non-neoplastic oral ulcerations 184
—Satish Kumar, DDS, MDSc, Antonia Teruel, DDS, MS, PhD and Glenn T. Clark, DDS, MS - Management of orofacial pain and other co-morbidities in oropharyngeal and nasopharyngeal cancer patients 212
—Saravanan Ram, DDS, MS and Glenn T. Clark, DDS, MS - Burning mouth syndrome: an update on diagnosis and treatment methods 232
—Piedad Suarez Durall, DDS and Glenn T. Clark, DDS, MS - Headaches with a focus on chronic daily headache medications 248
—Soma Sahai-Srivastava, MD and Glenn T. Clark, DDS, MS - Differential diagnosis and management of masticatory myogenous pain and dysfunction 271
—Glenn T. Clark, DDS, MS - Diagnosing and managing chronic trigeminal neuropathy 295
—Glenn T. Clark, DDS, MS - Temporomandibular joint arthritis: implications, diagnosis, and management 311
—Antonia Teruel, DDS, MS, PhD, Jack S. Broussard, Jr., DDS and Glenn T. Clark, DDS, MS - Five oral motor disorders: habitual tooth clenching and other involuntary oral motor disorders 326
—Glenn T. Clark, DDS, MS and Saravanan Ram, DDS, MS - Diagnosis and treatment of temporomandibular joint internal derangements 343
—Glenn T. Clark, DDS, MS
- Appendix: Drug list 356
- Index 363
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