Management of orofacial pain starts with careful differentiation of odontogenic and non-odontogenic pain

The diagnosis and management of orofacial pain can be challenging, especially when pain of non-odontogenic origin mimics dental pain or is localised intraorally. There is a risk of misdiagnosis as well as unnecessary dental procedures of the supposedly affected tooth or area. Therefore, orofacial pain management should start with referral to an orofacial pain specialist trained to recognise and manage the vast array of disorders that fall under the umbrella of orofacial pain. The choice of pharmacological treatment (e.g. analgesics, anticonvulsants, antidepressants) can vary widely depending on the specific type of orofacial pain.