International Journal of Clinical Pediatric Dentistry

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VOLUME 13 , ISSUE 2 ( March-April, 2020 ) > List of Articles

CASE REPORT

Multidisciplinary Management of Chronic Atypical Facial Pain of Psychogenic Origin: A Unique Case Report

Jaya Naidu, Pritha Bhattacharya, Joyce P Mendonsa, Manju M, Kirthana Satish

Keywords : Chronic atypical facial pain, Psychogenic pain, Psychosomatic disorder

Citation Information : Naidu J, Bhattacharya P, Mendonsa JP, M M, Satish K. Multidisciplinary Management of Chronic Atypical Facial Pain of Psychogenic Origin: A Unique Case Report. Int J Clin Pediatr Dent 2020; 13 (2):196-198.

DOI: 10.5005/jp-journals-10005-1729

License: CC BY-NC 4.0

Published Online: 27-07-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

Aim: The following case report discusses the diagnostic dilemma presented by and the multidisciplinary management of a patient with chronic atypical facial pain of psychogenic origin. Background: Though oral health care professionals are primarily concerned with the treatment of somatic disorders of the orofacial region, there remains a particularly challenging need to identify, diagnose and treat various psychological and psychosomatic symptoms. Case description: This case report describes the management of a 13-year-old male patient with the chief complaint of pain and discoloration of the skin over the right side of the face for the last 5 months, who also demonstrated symptoms of chronic anxiety and social withdrawal. As no associated soft or hard tissue abnormalities could be identified, a diagnosis of atypical/psychogenic facial pain was established. The skin discoloration was diagnosed as pityriasis versicolor and treatment for the same commenced. Following the complete resolution of the skin lesion the patient was asymptomatic, and no longer anxious. Conclusion: Our role as dentists is to mitigate the suffering of patients and to improve their quality of life in collaboration with specialists in psychosomatic medicine. Clinical significance: This case highlights that dentists must be trained to treat not only teeth, but also attend to patient's psychosomatic symptoms.


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  1. Wyke B. The neurology of low back pain. In: Jayson MIV. The Lumbar Spine and Back Pain, 2nd ed., Kent: Pitman Medical; 1980. p. 265.
  2. Ombregt L. A System of Orthopaedic Medicine, 3rd ed., Elsevier; 2013.
  3. Covington EC. Psychogenic pain—what it means, why it does not exist, and how to diagnose it. Pain Med 2000;1(4):287–294. DOI: 10.1046/j.1526-4637.2000.00049.x.
  4. Chhabria A. Psychogenic pain disorder-differential diagnosis and treatment. J Assoc Physicians India 2015;63(2):36–40.
  5. Toyofuku A. Psychosomatic problems in dentistry. Biopsychosoc Med 2016;10(14):1–5. DOI: 10.1186/s13030-016-0068-2.
  6. Bhatia NK, Bhatia MS, Grewal H, et al. Atypical facial pain and depression. Delhi Psychiatr J 2012;15(1):219–220.
  7. Treede RD. The international association for the study of pain definition of pain: as valid in 2018 as in 1979, but in need of regularly updated footnotes. Pain Rep 2018;3(2):e643. DOI: 10.1097/PR9.0000000000000643.
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