کنفرانس ها و کنگره های علمی سازمان نظام پزشکی مشهد

صفحه اصلی / دومین کنگره علمی سازمان نظام پزشکی مشهد

Multidisciplinary approach of Persistent idiopathic facial pain

نویسندگان :

Leila Farhad Mollashahi¹

1- دانشگاه علوم پزشکی مشهد

کلمات کلیدی :

persistent idiopathic facial pain،atypical odontalgia،multidisciplinary approach

چکیده :

Persistent idiopathic facial pain (PIFP), formerly known as atypical facial pain (AFP) (1), is defined according to the latest International Classification of Headache Disorders (ICHD, 3rd edition 2018) as a persistent facial and/or oral pain with varying manifestations, lasting more than 2 hours per day longer than 3 months and without clinical neurologic defects (2). The pathophysiology of PIFP is still unclear .While some researchers consider PIFP to be a type of neuropathic pain, other researchers have proposed neurophysiological brain mechanisms to explain it. (1) The diagnosis of PIFP is challenging for clinicians due to weak diagnostic criteria, nonspecific clinical manifestations, and similarity to other chronic maxillofacial pain. A definitive diagnosis is often made after several consultations with specialists and with several diagnostic methods and therapeutic interventions that worsen the condition (3). A multidisciplinary and cognitive-behavioral approach is needed to treat chronic pain. This approach integrates and guarantees different treatment methods, ensuring optimal results .Patients receive individualized care that meets their specific needs. To achieve success, we use a personalized approach that uses medicines, talking therapies, psychotherapy, and other methods. Health professionals from different specialties can help patients choose between drug and non-drug treatments, which leads to more effective care. (4) Research indicates that simultaneous and early intervention is important. Addressing physiological, psychological, and social facets can reduce pain perception, enhance psychosocial well-being, and reduce costs for society. (4)These results have been confirmed in another study regarding patients with PIFP. (5)