The orofacial pain patient can present with difficult diagnostic and treatment challenges for dental clinicians and physicians. Often, patients have many overlapping symptoms suggestive of a variety of possible disorders and pain conditions associated with their particular illness. Effective diagnosis can be time consuming, stigmatizing, frustrating and elusive, resulting in the generation of many medical and dental referrals with minimal beneficial yield.
As a practitioner involved in the care of patients with painful maladies for over 30 years, I am prepared to help you. I have made it my professional and academic priority to develop a proprietary investigative protocol which I use to establish diagnostic markers and treatment choices in your care.
My exploratory probe consists of gathering detailed information in the form of patient symptoms, examination, personal and family medical histories, inflammatory, immune, autoimmune and infectious disease blood markers. Imaging studies are ordered when indicated. I utilize this investigatory instrument as a trafficking device to reach my diagnoses and therapeutic targets.
This disease-based platform is indispensable in the process of discovery. I help many patients discover their diagnoses. Demonstrable findings may include coagulopathies, like thrombophilia, complement abnormalities, infectious diseases (including sexually transmitted diseases), rheumatologic disorders, vasculitides, neuropathies, immunologic disorders, paraproteinemias, thyroid disorders and metabolic abnormalities to mention a few.
The types of problems within the facial pain category may include:
FIRST PRESENTATING SYMPTOM OF UNEXPLAINED PAIN IN TEETH
UNEXPLAINED FIRST TIME INTRACTABLE HEADACHE
LOSS OF PERIPHERAL VISION
DIFFICULTY MOVING YOUR JAW
PAIN IN YOUR JAWS (UPPER OR LOWER)
PAIN IN YOUR JAW JOINT
PAIN BEHIND YOUR JAW
TINNITUS (RINGING IN EARS)
PAIN IN YOUR GLANDS
PAIN IN THE FRONT OR BACK OF YOUR NECK
PAIN IN YOUR HEAD
UNEXPLAINED SCALP SENSITIVITY
BURNING, TINGLING OR NUMBNESS OF TONGUE, LIPS, GUMS OR CHEEKS
FEELING OF SWELLING IN THE TEETH, GUMS, TONGUE, LIPS OR CHEEKS
PAIN IN YOUR PALATE
UNEXPLAINED DRY COUGH
UNEXPLAINED SORE THROAT OR HOARSENESS
PHOTOPHOBIA (LIGHT SENSITIVITY)
PHONOPHOBIA (SOUND SENSITIVITY)
ABNORMAL SENSE OF SMELL
DRY MOUTH (XEROSTOMIA)
RECURRENT URINARY TRACT OR VAGINAL INFECTIONS
RECURRENT INFECTIONS IN GENERAL
ANGIOMAS (TINY RED MOLES ON YOUR BODY)
RECURRENT CANKER SORES
UNEXPLAINED BOWEL PROBLEMS
MEDICATIONS ASSOCIATED WITH OROFACIAL PAIN:
ANTIHYPERTENSIVES FOR HIGH BLOOD PRESSURE
ANGIOTENSIN RECEPTOR BLOCKERS
ANTICOAGULANTS (HEPARIN TYPE DERIVATIVES)
Your best interest is my primary concern. I help to coordinate your care and make appropriate referrals. While I am skilled at managing many disorders, I only attend those which are within the scope and limitations of my license. I advocate a “transdisciplinary” approach when necessary, ensuring each patient receives the best care possible.
There are many treatment options for patients who may have some of these symptoms. Many times I use non-prescription nutraceuticals to substantially reduce the painful symptoms. However, there is no such treatment as “one size fits all.” The treatment must be appropriate for the disease and symptom expression.