Psychogenic facial pain

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Atypical facial pain AFP is a type of chronic facial pain which does not fulfill any other diagnosis. AFP is usually burning and continuous in nature, and may last for many years. Depression and anxiety are often associated with AFP, which are either described as a contributing cause of the pain, or the emotional consequences of suffering with unrelieved, chronic pain. For unknown reasons, AFP is significantly more common in middle aged or elderly people, and in females.
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Psychogenic facial pain: presentation and treatment

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Psychogenic facial pain: presentation and treatment.

Try out PMC Labs and tell us what you think. Learn More. Ninety three patients took part in a two centre double blind controlled clinical trial designed to assess the efficacy of dothiepin Prothiaden as compared with placebo and a soft biteguard in the treatment of psychogenic facial pain. The biteguard conferred no benefit and compliance in its use was poor. An adverse life event before development of pain, minimal previous surgical treatment, and freedom from pain at nine weeks were strong prognostic indicators for successful treatment.
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Psychogenic facial pain: presentation and treatment.

These terms are used to describe oro-facial pain which cannot be explained by any organic or physical cause. It is a diagnosis arrived at by exclusion and patients will often have undergone extensive dental investigations or interventions which have provided no relief. The group of patients who most commonly present are middle-aged and older women and the key features are:.
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