Facial pain

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Questions and Answers

Which cranial nerve is affected in trigeminal neuralgia?

  • Facial nerve
  • Vagus nerve
  • Trigeminal nerve (correct)
  • Glossopharyngeal nerve

At what age does trigeminal neuralgia usually begin?

  • Over 50 years old (correct)
  • Between 30 and 40 years old
  • Between 40 and 50 years old
  • Under 20 years old

Which nerve is affected by trigeminal neuralgia?

  • Facial nerve
  • Vagus nerve
  • Optic nerve
  • Trigeminal nerve (correct)

What are the two main types of trigeminal neuralgia?

<p>Typical and atypical (C)</p> Signup and view all the answers

Which cranial nerve is responsible for sensory data such as pressure, temperature, and pain originating from the face above the jawline?

<p>Trigeminal nerve (C)</p> Signup and view all the answers

What is the leading cause of trigeminal neuralgia?

<p>Compression of the trigeminal nerve by a blood vessel (C)</p> Signup and view all the answers

What is the initial treatment for trigeminal neuralgia?

<p>Carbamazepine (A)</p> Signup and view all the answers

What percentage of people with multiple sclerosis have trigeminal neuralgia?

<p>3-4% (B)</p> Signup and view all the answers

What is the purpose of the articular disc in the temporomandibular joint?

<p>To divide the joint into two compartments (D)</p> Signup and view all the answers

What type of joint is the temporomandibular joint?

<p>Gliding joint (C)</p> Signup and view all the answers

What is the term used to describe the joint between the condyle of the mandible and the temporal bone?

<p>Ginglymoarthrodial joint (A)</p> Signup and view all the answers

What type of growth allows the mandible to increase in length as an individual grows to maturity?

<p>Appositional growth (B)</p> Signup and view all the answers

Which ligament is actually the thickened lateral portion of the capsule in the temporomandibular joint?

<p>Temporomandibular ligament (B)</p> Signup and view all the answers

Which ligament runs from the spine of the sphenoid bone to the lingula of the mandible and overlaps the opening of the mandibular foramen?

<p>Sphenomandibular ligament (A)</p> Signup and view all the answers

Which nerve provides sensory innervation to the temporomandibular joint?

<p>Trigeminal nerve (A)</p> Signup and view all the answers

Which term has been adopted by both the International Headache Society and the International Association for the Study of Pain to replace Atypical Facial Pain (AFP)?

<p>Persistent Idiopathic Facial Pain (PIFP) (A)</p> Signup and view all the answers

What are the main features of Atypical Facial Pain (AFP)?

<p>No objective signs, negative results with all investigations/tests, no obvious explanation for the cause of the pain, and a poor response to attempted treatments. (A)</p> Signup and view all the answers

Which population group is Atypical Facial Pain (AFP) more common in?

<p>Middle-aged or elderly people (B)</p> Signup and view all the answers

According to the American Association of Endodontists, when should a NICO diagnosis be considered?

<p>When all possible local odontogenic causes for facial pain have been eliminated (C)</p> Signup and view all the answers

What is the recommended treatment for a suspected NICO lesion in relation to an endodontically treated tooth?

<p>Periradicular surgery and curettage (D)</p> Signup and view all the answers

What is the stance of the American Association of Endodontists on recommending the extraction of endodontically treated teeth for the prevention of NICO?

<p>It is unethical and should be reported to the appropriate state board of dentistry (B)</p> Signup and view all the answers

What is the most important part of the diagnosis of atypical facial pain (AFP)?

<p>Excluding an organic cause for the pain (D)</p> Signup and view all the answers

Which term is used to describe pain with no demonstrable cause that is perceived to be coming from a tooth or multiple teeth, and is not relieved by standard treatments to alleviate dental pain?

<p>Atypical odontalgia (AO) (B)</p> Signup and view all the answers

What is the term used to describe pain that involves other parts of the face and is not confined to the teeth or gums?

<p>Atypical facial pain (AFP) (C)</p> Signup and view all the answers

What is the term used to describe pain caused by ischemic osteonecrosis of the jaws, where degenerative extracellular cystic spaces (cavitations inside the bone) are said to develop as a result of ischemia and infarctions in the bone marrow?

<p>Neuralgia-inducing cavitational osteonecrosis (NICO) (D)</p> Signup and view all the answers

Which term is used to describe an umbrella term for a heterogenous group of misdiagnosed or not yet fully understood conditions, and is unlikely to represent a single, discrete condition?

<p>Trigeminal neuralgia (C)</p> Signup and view all the answers

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