Search PubMed⌕ Search

Biomedical subjects

R A Pertes

Publications and source records attributed to R A Pertes.

12 recordsLinked to original sources
PubMed1994

Topical capsaicin-pharmacology and potential role in the treatment of temporomandibular pain.

Capsaicin is an over-the-counter topical analgesic marketed at 0.025% and 0.075% concentrations. It is currently approved by the United States Food and Drug Administration for the topical relief of pain due to rheumatoid arthritis, osteoarthritis and various neuralgias. This paper will review the basic and clinical pharmacology of capsaicin, and discuss its potential role in the management of pain in the temporomandibular joint region.

Animals↗
PubMed1991

Chronic orofacial pain. A practical approach to differential diagnosis.

Successful diagnosis of chronic orofacial pain is a difficult task. This article attempted to simplify diagnosis by first classifying the orofacial pain on the basis of clinical characteristics into three basic pain categories: somatic, neurogenous, and psychogenic, and then according to the tissue system affected. An accurate and thorough history is essential, along with a detailed physical examination. In addition, an awareness of the local, systemic, and psychological causes of orofacial pain is necessary. The adage "what you don't know, you don't diagnose" is especially apt in regard to orofacial pain.

Chronic Disease↗
PubMedDate not supplied

Occlusal splint therapy in MPD and internal derangements of the TMJ.

Although occlusal splints are useful in the treatment of MPD and internal derangements, they must be used in a rational manner. Two basic appliances are employed in Phase I palliative therapy: a maxillary full coverage (MAR) and a mandibular orthopedic repositioning appliance (MORA). The MAR is used in MPD patients primarily to disengage the occlusion and reduce parafunctional activity. In many cases of internal derangement, protrusive mandibular repositioning is indicated. By using the MORA during the day and the MAR at night, the disadvantages of each appliance are minimized.

Humans↗
PubMedDate not supplied

Differential diagnosis of orofacial pain.

Orofacial pain, especially if the problem is chronic, presents a diagnostic and management challenge to all health practitioners. This paper suggests how clinicians might simplify the diagnosis of orofacial pain. First, the pain is classified into one of the three basic pain categories: somatic, neuropathic, or psychogenic pain. Somatic pain results from noxious stimulation of normal neural structures. Neuropathic pain is caused by a structural abnormality in the nervous system. Psychogenic pain arises from psychic causes; there is no apparent physiologic or organic basis for the pain. The next step is to determine the tissue system from which the pain arises: intracranial, extracranial, musculoskeletal, neurovascular, neurogenous, or psychological. Finally, some of the more common orofacial pain syndromes within each category are discussed.

Diagnosis, Differential↗