WEIRD, BURNING Facial & Dental PAIN DIAGNOSED: Piper Syndrome скачать в хорошем качестве

WEIRD, BURNING Facial & Dental PAIN DIAGNOSED: Piper Syndrome

A patient has the following problems: -severe pain and spasms in the left side of her face and her left top and bottom teeth -an electrical nerve-like pain that was followed by a burning pain -severe pain when drinking cold drinks or foods She had seen a physician, a general dentist, an endodontist, and a periodontist, none of which could find anything wrong with her. The latter specialist sent her to see Dr. Nick. Dr. Nick suspected sympathetically-maintained pain and tested that theory with a local anesthetic nerve block of her left greater auricular nerve (GAN). Many of the orofacial pain/TMD patients that Dr. Nick sees have undiagnosed sympathetically-maintained pain, and this GAN diagnostic neck block temporarily blocks those sympathetic inputs which feed the lateral side of the face, the lower molars, and often the masseter and temporalis muscles (closing muscles of mastication). This video was filmed a week later. Not only did the GAN block reduce her confounding pain in her left cheek the day of the injection, but a week later she divulged that her pain hadn't yet returned. She was elated! Typically, these blocks only relieve pain from the cervical and sympathetic inputs of the upper C-spine (ventral C2/C3) which present as orofacial/dental pains. In her case, her resolution was lasting, at least a week later... Dentists are not taught about these pathways, so Dr. Nick created his teaching org, the CNO, to disseminate clinical information such as this to his profession. Many people possess these sorts of sympathetic pain problems and wind up misdiagnosed and receive root canals, extractions, and other such treatments without a proper diagnosis. Dentists: it's not all about the trigeminal nerve, trust me!! Her diagnosis? Piper Syndrome. What is Piper Syndrome? Essentially sympathetically-maintained pain in the head and neck region. Who is it named after? Mark Piper DMD, MD, the TMJ surgeon who is one of Dr. Nick's greatest mentors. Piper Syndrome hit the scientific literature in July of this year courtesy of Dr. Nick's new chapter contribution to the 2nd edition Handbook of Computerized Research in Dental Medicine: Yiannios, N. (2020). The Occlusal, Neurological, and Orthopedic Origins and Implications of the Hypersensitive Dentition. In Handbook of Research on Clinical Applications of Computerized Occlusal Analysis in Dental Medicine (pp. 699-828). IGI Global. Doctors, to learn about this and much, much more at the Center for Neural Occlusion (CNO): CNOtmj.com [email protected] [email protected] #TMJ #TMD #dentist #dental #cno #centerforneuralocclusion #CRPS #Pipersyndrome