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<p>Patients with chronic idiopathic facial pain syndromes pose a&#xa0;differential diagnostic challenge. Since the symptoms usually indicate “common” secondary dental pain (e.g., pulpitis), these patients initially consult a&#xa0;dentist or oral and maxillofacial surgeon. Given the presumably low prevalence of non-dental facial pain syndromes and nearly identical pain characteristics to those of dental pathologies, these syndromes are difficult to recognize and differentiate in the dental practice. In contrast to secondary toothache, however, interventional treatment is not justified for primary facial pain and may even worsen the patient’s clinical condition. The following article provides a&#xa0;clinical presentation of persistent idiopathic facial pain and discusses possible therapies. Treatment should be multidisciplinary, as dental treatment alone is insufficient for these patients.</p>

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Anhaltender idiopathischer Gesichtsschmerz und zentraler Gesichtsschmerz

  • 期刊论文

  • 发表日期：

    2026年2月12日

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  • Arne May,
  • Mara Kilbert,
  • Jakob C. Röhl

摘要

Patients with chronic idiopathic facial pain syndromes pose a differential diagnostic challenge. Since the symptoms usually indicate “common” secondary dental pain (e.g., pulpitis), these patients initially consult a dentist or oral and maxillofacial surgeon. Given the presumably low prevalence of non-dental facial pain syndromes and nearly identical pain characteristics to those of dental pathologies, these syndromes are difficult to recognize and differentiate in the dental practice. In contrast to secondary toothache, however, interventional treatment is not justified for primary facial pain and may even worsen the patient’s clinical condition. The following article provides a clinical presentation of persistent idiopathic facial pain and discusses possible therapies. Treatment should be multidisciplinary, as dental treatment alone is insufficient for these patients.