Orofacial Pain: A Guide to Medications and Management

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.

Contributors v Preface vii Chapter 1: The 30 most prevalent chronic painful diseases, disorders, and dysfunctions that occur in the orofacial region 3 Glenn T. Clark, DDS, MS Chapter 2: Top 60 most important medications used in an orofacial pain treatment center 29 Glenn T. Clark, DDS, MS Chapter 3: Nonopioid analgesics, salicylates, NSAIDs, and corticosteroids for chronic pain 47 Raymond A. Dionne, DDS, PhD and Glenn T. Clark, DDS, MS Chapter 4: Opioids for chronic orofacial pain with a focus on nonmalignant chronic pain 66 Glenn T. Clark, DDS, MS and Steven H. Richeimer, MD Chapter 5: Nocebo–responsive patients and topical pain control agents used for orofacial and mucosal pain 84 Glenn T. Clark, DDS, MS Chapter 6: Anticonvulsant agents used for neuropathic pain including trigeminal neuralgia 95 Glenn T. Clark, DDS, MS and Antonia Teruel, DDS, MS, PhD Chapter 7: Skeletal muscle relaxants and antispasticity drugs for orofacial pain disorders 115 Glenn T. Clark, DDS, MS and Soma Sahai–Srivastava, MD Chapter 8: 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 Chapter 9: Antibacterial agents as analgesics in chronic pain 145 Satish Kumar, DDS, MDSc, Glenn T. Clark, DDS, MS and Raymond A. Dionne, DDS, PhD Chapter 10: 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 Chapter 11: Interventional therapy and injected agents for orofacial pain and spasm (including botulinum toxin) 164 Glenn T. Clark, DDS, MS and Alan Stiles, DMD Chapter 12: 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 Chapter 13: 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 Chapter 14: Burning mouth syndrome: an update on diagnosis and treatment methods 232 Piedad Suarez Durall, DDS and Glenn T. Clark, DDS, MS Chapter 15: Headaches with a focus on chronic daily headache medications 248 Soma Sahai–Srivastava, MD and Glenn T. Clark, DDS, MS Chapter 16: Differential diagnosis and management of masticatory myogenous pain and dysfunction 271 Glenn T. Clark, DDS, MS Chapter 17: Diagnosing and managing chronic trigeminal neuropathy 295 Glenn T. Clark, DDS, MS Chapter 18: Temporomandibular joint arthritis: implications, diagnosis, and management 311 Antonia Teruel, DDS, MS, PhD, Jack S. Broussard, Jr., DDS and Glenn T. Clark, DDS, MS Chapter 19: Five oral motor disorders: habitual tooth clenching and other involuntary oral motor disorders 326 Glenn T. Clark, DDS, MS and Saravanan Ram, DDS, MS Chapter 20: Diagnosis and treatment of temporomandibular joint internal derangements 343 Glenn T. Clark, DDS, MS Appendix: Drug list 356 Index 363 Frequently asked questions and answers, recommendations for medication prescribing, and figures and tables are available for download at www.wiley.com/go/clarkdionne.

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.