Journal article
Management of Chronic Idiopathic Pain in Patients With Dental Implant Without a Clear Pathological Lesion: A Retrospective Study
The Journal of oral implantology, Vol.48(4), pp.301-306
08/01/2022
DOI: 10.1563/aaid-joi-D-21-00094
PMID: 34522975
Abstract
Non-nociceptive, persistent idiopathic facial pain (PIFP) is a poorly localized, continuous dull pain that occurs even in the absence of apparent pathological lesions or clinical neurologic deficiency. This study aimed to investigate the disease characteristics of PIFP that developed after dental implant treatment. The clinical characteristics of pain as well as treatment method and outcomes were retrospectively analyzed in 20 patients diagnosed with PIFP. The patients developed pain either after implant fixation or prosthetic treatment. In most patients, the pain persisted not only around the implant region but also at a distant site from the related implant (13/ 20, 65%). Many patients desired removal of the implants to manage the pain although the pain was not considered to be related to the implant treatment. In 12 patients, the related implants were removed, but 67% (n = 8/12) of the patients still experienced chronic pain after implant removal. Medication helped decrease the pain in most patients (n =17). Pregabalin and clonazepam showed relatively higher efficiency than other medications for controlling the pain. The results showed that although the onset of PIFP was related to dental implant treatment, implant removal could not be considered a reliable option for the management of PIFP. Although medication controls the pain at least partially, complete pain control with medication should not be expected. These results demonstrate that an accurate diagnosis of PIFP is important for the selection of appropriate treatment.
Details
- Title: Subtitle
- Management of Chronic Idiopathic Pain in Patients With Dental Implant Without a Clear Pathological Lesion: A Retrospective Study
- Creators
- Young -Min ShinSo -Young Choi - Keimyung UniversityDu-Hyeong Lee - Kyungpook Natl Univ, Inst Translat Res Dent, Sch Dent, Dept Prosthodont, 2177 Dalgubeol Daero, Daegu 41940, South KoreaJae-Kwang Jung - Kyungpook Natl Univ, Sch Dent, Dept Oral Med, 2177 Dalgubeol Daero, Daegu 41940, South KoreaTae-Geon Kwon - Kyungpook Natl Univ, Inst Translat Res Dent, Sch Dent, Dept Oral & Maxillofacial Surg, 2177 Dalgubeol Daero, Daegu 41940, South Korea
- Resource Type
- Journal article
- Publication Details
- The Journal of oral implantology, Vol.48(4), pp.301-306
- DOI
- 10.1563/aaid-joi-D-21-00094
- PMID
- 34522975
- NLM abbreviation
- J Oral Implantol
- ISSN
- 0160-6972
- eISSN
- 1548-1336
- Publisher
- KnowledgeWorks Global Ltd-KGL
- Number of pages
- 6
- Language
- English
- Date published
- 08/01/2022
- Academic Unit
- Prosthodontics
- Record Identifier
- 9984914017902771
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