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Psychosocial factors and addiction in chronic orofacial neuropathic pain
Author(s) -
Braunsteiner Natasha E.,
Vickers E. Russell,
Toole Bradley M.,
Braunsteiner Jacob
Publication year - 2018
Publication title -
australian endodontic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.703
H-Index - 34
eISSN - 1747-4477
pISSN - 1329-1947
DOI - 10.1111/aej.12254
Subject(s) - orofacial pain , addiction , psychosocial , chronic pain , anxiety , psychological pain , neuropathic pain , depression (economics) , medicine , psychiatry , psychology , clinical psychology , physical therapy , anesthesia , economics , macroeconomics
Neuropathic trigeminal pain is a difficult condition to diagnose as the pain is an invisible non‐odontogenic phenomenon but typically presents as high intensity pain in the teeth and surrounding tissue. Persistent pain leads to psychological and behavioural issues. Medical conditions that consequently manifest include the co‐morbid psychological states of depression, anxiety and stress that can lead to suicide. Addiction plays a maladaptive role utilised by patients to escape their pain. Improved pain outcomes are achieved when instituting comprehensive psychological assessment and treatments with established medical and dental chronic pain protocols.