The impact of chronic orofacial pain on daily life: the vulnerable patient and disruptive pain.

摘要: Objective To identify patient and pain characteristics associated with negative impacts on daily life among patients chronic orofacial (COFP). Study Design Medical records of 200 COFP were analyzed. Results Diagnostic categories included temporomandibular disorders (85; 42.7%), headaches (47; 23.6%), neuropathic (37; 18.5%), trigeminal neuralgia (16; 8.0%), painful posttraumatic neuropathy (PTTN) (14; 7.0%). Of these, 47 (23.7%) had medical 13 (6.5%) psychiatric comorbidities 71 (35.7%) experienced physical trauma. Seven (5%) stopped working, mean days absent from work was 3.3 ± 19.3. Patients previously treated by 2.7 ± 1.4 caregivers. Mean scores a 0-10 scale as follows: (7.13 ± 2.3), sleep quality (6.6 ± 2.4), (5.58 ± 3.1). PTTN more likely to quit ( P  = .009) (mean 24.3;  = .009). We identified profiles that predict these poor outcomes. The “vulnerable patient” profile includes health trauma history, particularly PTTN. “disruptive pain” severe, continuous, burning, electrical accompanied systemic signs. These intersect in complex manner, creating feedback loop. Conclusions A multidisciplinary team approach is recommended manage patients, order improve treatment outcomes avert serious consequences.