Pain in facial area may be due to neurologic or vascularcauses as well as can be due to dental origin. The main causes can be Temporomandibular joint disorders or trigeminal neuralgia. Trigeminal neuralgia can cause abrupt,searing pain due to nerve irritation or damage. It causes pain along the course of the nerve all over the face and will mostly be on one side of the face.It is treated with anti convulsant medicines or a series of surgeries. TMJ pain can be due to tenderness in the temporo mandibular joint.It can be unilateral or bilateral.IT can cause difficulty in chewing and even in speaking.It can also lead to difficulty in opening of mouth due soreness of joint.It is usually surgically treated. Dr Sachdeva's Dental clinic and Facial aesthetic centre is one of the leading clinics offering treatment for facial pain in Delhi. So hurry up and come book an appointment with us at Dr.Sachdeva’s Dental Institute, Ashok Vihar, Delhi which has state of the art clinic and all the latest and advanced equipments. To book an appointment contact: Dr. Rajat Sachdeva Director & Mentor Dr Sachdeva’s Dental Aesthetic And Implant Institute I 101, Ashok Vihar Phase 1, Delhi- 110052 Contact us at Phone : +919818894041,01142464041 Our Websites: www.sachdevadentalcare.com www.dentalimplantindia.co.in www.dentalclinicindelhi.com www.dentalcoursesdelhi.com Facebook- dentalcoursesdelhi Youtube- drrajatsachdeva Linkedin- drrajatsachdeva Slideshare- Dr Rajat Sachdeva Twitter Page- drrajatsachdeva Instagram page- surgicalmasterrajat

1. FACIAL PAIN

2. Facial pain is a common
symptom that can be
associated with a host of
medical conditions.
While some causes are
trivial and benign, some
may need immediate
medical attention.

3. Facial pain is pain felt in any part of the face, including
the mouth and eyes.
Although it’s normally due to an injury or a headache,
facial pain may also be the result of a serious medical
condition.
Most causes of facial pain are harmless.

4. The character of pain in face may be dull, sharp,
constant or intermittent and may vary depending
on the cause.
As the possible causes are spread over a wide
spectrum, proper medical history, clinical
examination and thorough assessment can help
in detecting the precise cause.

5. CAUSES OF FACIAL
PAIN

6. CHRONIC OROFACIAL PAIN
NEUROVASCULAR AND
TENSION TYPE
NEURALGIA
PERSISTENT IDIOPATHIC
OROFACIAL PAIN
POST
TRAUMATIC
NEURALGIA
(CAUSALGIA)
TYPICAL &
ATYPICAL
TRIGEMINAL
NEURALGIA
POSTHERPETIC
NEURALGIA
CLUSTER
HEADACHE
MIGRANETENSION
TYPE
HEADACHE
BURNING
MOUTH
SYNDROME
TMJ PAIN
OR
ATYPICAL
FACIAL
PAIN

7. TRIGEMINAL
NEURALGIA

8. The
TRIGEMINAL
NERVES are
among the 12 PAIR
OF CRANIAL
NERVES that let
you feel sensations
in your face.
One nerve runs
down each side of
your head.

9. What is trigeminal neuralgia?
Trigeminal neuralgia may be caused by an artery
or blood vessel pressing on the trigeminal nerve –
the largest cranial nerve located at the base of the
brain.
The trigeminal nerve controls sensations in the
face and the muscles used in chewing, eating and
talking.

10. Each trigeminal nerve splits into three branches,
controlling the feeling for different parts of your face.
The ophthalmic branch- It controls your eye, upper
eyelid, and forehead.
The maxillary branch- This affects your lower eyelid,
cheek, nostril, upper lip, and upper gum.
The mandibular branch- It runs your jaw, lower lip,
lower gum, and some muscles you use for chewing.

11. Ophthalmic
Branch
Maxillary
Branch
Mandibular
Branch

12. The disorder can affect any of the three nerve branches,
meaning you could feel pain from your forehead to your
jaw.
Usually, you’ll feel pain on only one side of your face.
Some people feel it on both sides.
When that happens, it’s called bilateral trigeminal
neuralgia.

13. What causes trigeminal
neuralgia?
The exact cause remains unknown.
However, certain conditions such as multiple
sclerosis or a tumour pressing on the trigeminal
nerve can trigger the electric shock-like pain
associated with trigeminal neuralgia.

14. You may feel as though your pain came out of
nowhere.
Some people with this condition start out thinking they
have an abscessed tooth and go to a dentist.
You may have these symptoms:
You have brief periods of stabbing or shooting pain.
The pain is triggered by things such as brushing
your teeth, washing your face, shaving, or putting
on makeup.
Even a light breeze against your face might set off
your pain.

16. It lasts a few seconds to several minutes.
The attacks happen several times a day or a week,
followed by periods during which you have none at all.
These pain-free periods are known as remission.
The pain usually affects only one side of the face.
BRANCHES OF TRIGEMINAL
NERVE
FIRST BRANCH
TRIGEMINAL NERVE
SECOND BRANCH
THIRD BRANCH

17. The attacks happen more
often over time, and the pain
can worsen.
You feel the pain mostly in
your cheek, jaw, teeth, gums,
and lips. The eyes and
forehead are affected less
often.

18. Sudden and intense bouts of pain are signs of
“classic” trigeminal neuralgia. If your pain is less
intense but constant -- more of an aching, burning
sensation -- you might have what’s known as
“atypical” trigeminal neuralgia.
Some people with this condition also
have anxiety because they are uncertain when the
pain will return.

19. Treatments
You have options to deal with this condition,
including medication and surgery.
Medication:
You will be prescribed medicines that keep the nerves
from reacting to irritation. These drugs are called
anticonvulsants.
You also may take muscle relaxants -- alone or along
with anticonvulsants.
Typical pain medications don’t work well for people
with trigeminal neuralgia, so a tricyclic is prescribed.

20. Surgery: Over time, your medication may help you less
and less. That’s common among people with trigeminal
neuralgia. If that happens, you have several surgical
options.
PROCEDURES INCLUDE
Microvascular decompression, which moves or takes
out blood vessels that are affecting the nerve.
Gamma knife radiosurgery, which
uses radiation focused on your trigeminal nerve.
Rhizotomy, which destroys nerve fibers. There are
several ways to do this

22. TEMPORO-
MANDIBULAR
JOINT PAIN

23. The
temporomandibular
joint (TMJ) acts like
a sliding hinge,
connecting your
jawbone to your
skull.

24. The temporomandibular joint is located at the base of
the skull.
Commonly referred to as the TMJ, it allows for the
movement required for chewing and talking.
The joint connects the mandible, which is the lower
jaw, and the temporal bone, which is on the side of the
skull.
WHAT IS TEMPORO
MANDIBULAR JOINT?

25. Since the TMJ allows for movement both up and down
as well as from side to side, it is one of the most complex
joints in the body.
This can make severe TMJ disorders difficult to treat
effectively.

26. CAUSES

27. There are many possible causes of TMJ
disorders.
Some known causes include:
physical injury
arthritis
grinding or clenching the teeth during sleep
autoimmune diseases
dental surgery
infections

28. POSSIBLE CAUSES OF TMJ PAIN

29. Other causes may be genetic, hormonal, or
environmental.
For instance, violinists have been noted to
experience TMJ disorders at a higher rate than
the general population, since their work involves
holding an instrument under the jaw.
This can cause strain, which leads to TMJ
disorders

30. SYMPTOMS
Pain
One of the most obvious symptoms of a TMJ disorder is
pain that is felt when moving the jaw. However, other
symptoms that may occur with a TMJ disorder includes
headaches or migrain, neckache and backache, and
earaches or pain around the ear that spreads to the cheeks.
If the pain is not located near to the jaw, we will often
look for other symptoms before diagnosing a TMJ
disorder.

31. SOUNDS
A common but often painless
symptom is an unusual
popping, clicking, or even
grinding noise that can occur
while eating, talking, or simply
opening the mouth.
Noises that occur when
moving the jaw are not always
a symptom of TMJ disorders.
In fact, jaw noises are quite
common.

32. It is only when the sounds
occur alongside pain or limited
movement of the jaw that
medical advice may be needed.
Buzzing, ringing, or numbness
in the ears can occur alongside
earaches, and these symptoms
can also be associated with
TMJ disorders.

34. Restricted movement
Limited movement that prevents the mouth from
being opened fully or the jaw from being moved in
certain directions can cause severe discomfort in
everyday life.

35. TREATMENTS
If the TMJ disorder is caused by tooth grinding or
clenching during sleep, a mouth guard may help to ease
the symptoms. A dentist can provide a mouth guard where
appropriate.
In cases where TMJ disorders are caused by
degenerative conditions, such as osteoarthritis, steroid
injections may be a recommended treatment option.

36. The steroid, which is injected into the joint itself, will
help to ease swelling, reducing pain and other symptoms.
In many cases, a reduction of pain is experienced within a
week.
In some cases, an injection may resolve the symptoms of
TMJ disorders permanently, and in others, it may be a
temporary fix.
Short-term over-the-counter pain medications can reduce
discomfort.

37. SURGERY
In more extreme cases of
TMJ disorder, surgery may be
the most efficient treatment
for pain and restricted
movement.
A TMJ disorder can be caused
by damage to the joint itself,
to the muscles surrounding
the jaw, or by another
condition.

38. Surgery is only recommended when the actual joint has
something wrong with it.
In very severe cases of TMJ disorders, where movement
of the jaw is extremely restricted, and symptoms are long-
lasting, the joint may need to be replaced. This treatment
is rarely required, however.

39. CONNECT WITH US AT
@surgicalmasterrajat
@dentalcoursesdelhi
drrajatsachdeva
drrajatsachdeva
drrajatsachdeva

40. To book an appmt.
contact :
Dr.Rajat Sachdeva
Dr Sachdeva’s Dental
Aesthetic & Implant Institute
I 101, Ashok Vihar Phase 1,
Delhi- 110052

41. THANK YOU