Orofacial Pain: A Guide to Medications and Management brings together guidance and information on the rational use of medications for the treatment of chronic orofacial pain. Focusing on clinically relevant information throughout and aiming itself squarely at the needs of dentists and other clinicians working directly with orofacial pain, the book covers the use of oral, injectable and topical medications for managing neuropathic and musculoskeletal pain, headache, and uncommon orofacial pain disorders.  Useful features, such as discussion of the top 60 medications prescribed for orofacial pain, are integrated with comprehensive coverage of drug types, pharmacolegal issues, and the interaction of medication management with other treatment strategies.

Glenn T. Clark, DDS, MS is Director of the Orofacial Pain and Oral Medicine Center at the University of Southern California Herman Ostrow School of Dentistry.

Raymond A. Dionne, DDS, PhD is Scientific Director of the Division of Intramural Research at the National Institute of Nursing Research in Washington, DC.

Contributors v

Preface vii

Chapter 1: The 30 most prevalent chronic painful diseases, disorders, and dysfunctions that occur in the orofacial region 3Glenn T. Clark, DDS, MS

Chapter 2: Top 60 most important medications used in an orofacial pain treatment center 29Glenn T. Clark, DDS, MS

Chapter 3: Nonopioid analgesics, salicylates, NSAIDs, and corticosteroids for chronic pain 47Raymond A. Dionne, DDS, PhD and Glenn T. Clark, DDS, MS

Chapter 4: Opioids for chronic orofacial pain with a focus on nonmalignant chronic pain 66Glenn T. Clark, DDS, MS and Steven H. Richeimer, MD

Chapter 5: Nocebo-responsive patients and topical pain control agents used for orofacial and mucosal pain 84Glenn T. Clark, DDS, MS

Chapter 6: Anticonvulsant agents used for neuropathic pain including trigeminal neuralgia 95Glenn T. Clark, DDS, MS and Antonia Teruel, DDS, MS, PhD

Chapter 7: Skeletal muscle relaxants and antispasticity drugs for orofacial pain disorders 115Glenn T. Clark, DDS, MS and Soma Sahai-Srivastava, MD

Chapter 8: Psychopharmacologic agents (antidepressants, antipsychotics, anxiolytics, and psychostimulants) used in chronic pain 129Glenn T. Clark, DDS, MS, Mary A. Gutierrez, PharmD, BCPP, Jaqueline S. Venturin, DDS and Steven H. Richeimer, MD

Chapter 9: Antibacterial agents as analgesics in chronic pain 145Satish Kumar, DDS, MDSc, Glenn T. Clark, DDS, MS and Raymond A. Dionne, DDS, PhD

Chapter 10: Using oral medications, infusions, and injections for differential diagnosis of orofacial pain 151Saravanan Ram, DDS, MS, Satish Kumar, DDS, MDSc and Glenn T. Clark, DDS, MS

Chapter 11: Interventional therapy and injected agents for orofacial pain and spasm (including botulinum toxin) 164Glenn T. Clark, DDS, MS and Alan Stiles, DMD

Chapter 12: Treatment for oral mucositis and noninfectious, non-neoplastic oral ulcerations 184Satish Kumar, DDS, MDSc, Antonia Teruel, DDS, MS, PhD and Glenn T. Clark, DDS, MS

Chapter 13: Management of orofacial pain and other co-morbidities in oropharyngeal and nasopharyngeal cancer patients 212Saravanan Ram, DDS, MS and Glenn T. Clark, DDS, MS

Chapter 14: Burning mouth syndrome: an update on diagnosis and treatment methods 232Piedad Suarez Durall, DDS and Glenn T. Clark, DDS, MS

Chapter 15: Headaches with a focus on chronic daily headache medications 248Soma Sahai-Srivastava, MD and Glenn T. Clark, DDS, MS

Chapter 16: Differential diagnosis and management of masticatory myogenous pain and dysfunction 271Glenn T. Clark, DDS, MS

Chapter 17: Diagnosing and managing chronic trigeminal neuropathy 295Glenn T. Clark, DDS, MS

Chapter 18: Temporomandibular joint arthritis: implications, diagnosis, and management 311Antonia Teruel, DDS, MS, PhD, Jack S. Broussard, Jr., DDS and Glenn T. Clark, DDS, MS

Chapter 19: Five oral motor disorders: habitual tooth clenching and other involuntary oral motor disorders 326Glenn T. Clark, DDS, MS and Saravanan Ram, DDS, MS

Chapter 20: Diagnosis and treatment of temporomandibular joint internal derangements 343Glenn T. Clark, DDS, MS

Appendix: Drug list 356

Index 363