34th Annual Orofacial Pain Symposium: Headache Diagnosis and Management in the Orofacial Pain Setting

The University of Kentucky Orofacial Pain Clinic was established in 1977. Since that time evidence-based dentistry has revealed significant data that has required major shifts in the management concepts of orofacial pain. At the same time, significant interest has arisen in the area of TMD. Over the years, the University of Kentucky’s orofacial pain faculty have been able to shift management philosophies to best reflect the current evidence. In some areas, the faculty have been able to make significant contributions to these management concepts. This program will discuss TMD for the General Practitioner.

Keynote Presentation Overview:

Headache Diagnosis and Management in the Orofacial Pain Setting

The head and orofacial region may present different disorders of different etiology and pathophysiology but mediate mainly by the same system: the trigeminal system. It will be intuitive to think that these disorders may be able to interact or influence each other. The understanding of neurovascular disorders and headache education for the orofacial pain practitioner is of fundamental importance. Sometimes, we may be the first practitioner that the headache patient might see and be able to deliver the correct diagnosis or appropriate referral.

Upon course completion, participants will be able to:

• Explain the present status of the ADA Orofacial Pain Specialty.
• Discuss the journey of establishing the specialty of Orofacial Pain.
• Discuss the interrelated anatomy and physiology of headache and orofacial pains.
• Describe the potential underlying mechanisms of the comorbidity between TMD and headache.
• Explain the importance of the role of the orofacial pain specialist in the management and triage of headache disorders.
• Assess the need to screen for red flags to determine if a headache is primary or secondary.
• Describe current migraine management.
• Define ‘Burning Mouth Syndrome (BMS).’
• List common conditions to rule out when diagnosing BMS.
• List the steps in completing a diagnostic investigation for a correct diagnosis for BMS.
• Review traditional treatment options for BMS.
• Implement novel approaches to BMS.
• Understand the association between obstructive sleep apnea and pain-related TMD.
• Describe the effects of mandibular advancement devices on temporomandibular disorders.
• Learn how to manage temporomandibular disorders secondary to the use of mandibular advancement devices.
• Discuss the differential diagnosis of non-dental tooth pain.
• Discuss clinical steps to manage refractory tooth pain.