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Management of chronic idiopathic pain in patients with dental implant without a clear pathological lesion: A retrospective study

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Author(s)
Young-Min ShinSo-Young ChoiDu-Hyeong LeeJae-Kwang JungTae-Geon Kwon
Keimyung Author(s)
Shin, Young Min
Department
Dept. of Dentistry (치과학)
Journal Title
J Oral Implantol
Issued Date
2022
Volume
48
Issue
4
Keyword
dental implantfacialidiopathicpainpersistent
Abstract
Non-nociceptive, persistent idiopathic facial pain (PIFP) is a poorly localized, continuous dull pain that occurs even in the absence of apparent pathological lesions or clinical neurologic deficiency. This study aimed to investigate the disease characteristics of PIFP that developed after dental implant treatments. The clinical characteristics of pain as well as treatment method and outcomes were retrospectively analyzed in 20 patients diagnosed with PIFP. The patients developed pain either after implant fixation or prosthetic treatment. In most of the patients, the pain persisted not only around the implant region but also at a distant site from the related implant (13/20, 65%). Many patients desired removal of the implants to manage the pain although the pain was not considered to be related to the implant treatment itself. In 12 patients, the related implants were removed but 67% (n = 8/12) of the patients still experienced chronic pain after implant removal. Medication helped decrease the pain in most patients (n = 17). Pregabalin and clonazepam showed relatively higher efficiency than other medications for controlling the pain. The results showed that although the onset of PIFP was related to dental implant treatment, implant removal could not be considered a reliable option for the management of PIFP. Although medication controls the pain at least partially, complete pain control with medication should not be expected. These results demonstrate that an accurate diagnosis of PIFP is important for the selection of appropriate treatment.
Keimyung Author(s)(Kor)
신영민
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
1548-1336
Source
https://meridian.allenpress.com/joi/article-abstract/doi/10.1563/aaid-joi-D-21-00094/470398/Management-of-chronic-idiopathic-pain-in-patients?redirectedFrom=fulltext
DOI
10.1563/aaid-joi-D-21-00094
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44426
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Dentistry (치과학)
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