The incidence and pattern of non-odontogenic orofacial pain conditions at a tertiary hospital in Tanzania

Authors

  • Vanisha Aroon Hirani Department of Oral and Maxillofacial Surgery, Kenyatta National Hospital, Nairobi, Kenya
  • Sira Stanslaus Owibingire Department of Oral and Maxillofacial Surgery, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania https://orcid.org/0000-0002-0608-0318
  • Jeremiah Robert Moshy Department of Oral and Maxillofacial Surgery, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania https://orcid.org/0000-0001-8912-1332
  • Karpal Singh Sohal Department of Oral and Maxillofacial Surgery, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania https://orcid.org/0000-0001-9456-981X

DOI:

https://doi.org/10.15584/ejcem.2022.1.7

Keywords:

incidence, inflammation, non-odontogenic pain, pattern, Tanzania

Abstract

Introduction and aim. Non-odontogenic orofacial pain (NOFP) is a result of pathology, or injury to the structures in the orofacial region including the muscles, temporomandibular joint, neurovascular structures, and glands. This multi-diverse aetiopathogenesis poses a challenge in the diagnosis and management of NOPF. To determine the incidence and trend of various non-odontogenic orofacial pain conditions at a tertiary hospital in Tanzania.

Material and methods. This cross-sectional study was conducted at the Muhimbili National Hospital (MNH) for 6 months. The information gathered included socio-demographic characteristics of participants, characteristics of pain, and cause of pain. Pain intensity was assessed using the Visual Analogue Scale (VAS).

Results. The incidence of NOFP was 3.3%. The male to female ratio was 1.7:1 and the mean age of patients was 44.2 ± 17.4 years. The mean intensity of the pain using the VAS was 47.27 ± 5.66. Most (36.7%) patients experienced sharp pain. The common causes of NOFP were trauma (43.3%) and malignant lesions (38.3%). A statistically significant association between the age and sex of the patients and the causes of non-odontogenic pain was observed (p < 0.05).

Conclusion. The incidence of non-odontogenic orofacial pain is low. Trauma and malignant conditions were the leading causes of NOFP.

Downloads

Download data is not yet available.

References

Renton T. Introduction to Pain. Prim Dent J. 2019;7(4):17-21.

Gbadebo O, Kolude B. Pattern and trend of non-odontogenic orofacial pain at a tertiary health facility in Sub Saharan West Africa. J Stomatol. 2015;68(1):59-73.

Ravikumar KK, Ramakrishnan K. Pain in the face: An overview of pain of nonodontogenic origin. Int J Soc Rehabil. 2018;3(1):1-5.

Renton T. Dental (Odontogenic) Pain. Rev Pain. 2011;5(1):2-7.

Kim S-Y, Kim Y, Yun P, Bae J. Treatment of non-odontogenic orofacial pain using botulinum toxin-A: a retrospective case series study. Maxillofac Plast Reconstr Surg. 2018;40(1):21.

Oyetola E, Agbelusi G, Dayo A. Pattern of Presentations of Non-odontogenic Pain in oral Medicine Clinic of Lagos University Teaching Hospital (Luth). Br J Med Med Res. 2014;4(23):4117-4126.

Romero-reyes M, Uyanik JM. Orofacial pain management : current perspectives. J Pain Res. 2014;7:99-115.

Sajjanhar I, Goel A, Tikku AP, Chandra A. Odontogenic pain of non-odontogenic origin : A review. Int J Appl Dent Sci. 2017;3(3):1-4.

Shaikh S. Management of Odontogenic and Nonodontogenic Oral Pain. In: From Conventional to Innovative Approaches for Pain Treatment. IntechOpen; 2019:13.

Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale SF. Arthritis Care Res (Hoboken). 2011;63(S11):S240-52.

Renton T. Chronic Pain and Overview or Differential Diagnoses of Non-odontogenic Orofacial Pain. Prim Dent J. 2019;7(4):71-86.

Gbenga Omitola O, Olabisi Arigbede A. Prevalence and Pattern of Pain Presentation among Patients Attending a Tertiary Dental Center in a Southern Region of Nigeria. J Dent Res Dent Clin Dent Prospects. 2010;4(2):42-46.

Horst O V, Cunha-Cruz J, Zhou L, Manning W, Mancl L, DeRouen TA. Prevalence of pain in the orofacial regions in patients visiting general dentists in the Northwest Practice-based Research Collaborative in Evidence-based Dentistry research network. J Am Dent Assoc. 2015;146(10):721-728.

Oberoi SS, Hiremath SS, Yashoda R, Marya C, Rekhi A. Prevalence of Various Orofacial Pain Symptoms and Their Overall Impact on Quality of Life in a Tertiary Care Hospital in India. J Maxillofac Oral Surg. 2014;13(4):533-538.

Sohal KS, Moshy JR. Etiology, pattern and outcome of management of facial lacerations in Dar es Salaam, Tanzania. Tanzan J Health Res. 2019;21(2):1-10.

Khanbhai M. LBL. Motorcycle Accident injuries seen at Kakamega Provincial Hospital in Kenya. East Cent Afr J Surg. 2012;17(1):43-46.

Höfling I, Keinänen P, Kröger H. Injuries caused by motorcycle accidents – a 5-year survey of patients treated in Kuopio University Hospital. Suom Ortop ja Traumatol. 2006;29(3):243-247.

Lima SM, Santos SE, Kluppel LE, Asprino L, Moreira RWF, De Moraes M. A Comparison of motorcycle and bicycle accidents in oral and maxillofacial trauma. J Oral Maxillofac Surg. 2012;70(3):577-583.

Ramli R, Abdul Rahman R, Abdul Rahman N, et al. Pattern of maxillofacial injuries in motorcyclists in Malaysia. J Craniofac Surg. 2008;19(2):316-321.

Oginni FO, Ugboko VI, Ogundipe O, Adegbehingbe BO. Motorcycle-related maxillofacial injuries among nigerian intracity road users. J Oral Maxillofac Surg. 2006;64(1):56-62.

Owibingire SS, Sohal KS, Kalyanyama BM. Maxillofacial Fractures among Motorcycle Crash Victims Attended at a Tertiary Hospital in Tanzania. Panam J Trauma, Crit Care Emerg Surg. 2019;8(3):158-164.

Berege GZ, Vuhahula E, Sohal KS, Merkx MW, Simon ENM. Predisposing Factors and Clinico-Pathological Presentation of Malignant Lesions Of the Oro-Facial region in Dar es Salaam , Tanzania. Med J Zambia. 2019;46(4):286-296.

Sohal K, Moshy J. Six year review of malignant oral and maxillofacial neoplasms attended at Muhimbili National Hospital, Dar es Salaam, Tanzania. East Cent Afr Med J. 2017;3(1):35-38.

Bartley EJ, Fillingim RB. Sex differences in pain: A brief review of clinical and experimental findings. Br J Anaesth. 2013;111(1):52-58.

Hasturk H, Kantarci A, Van Dyke TE. Oral inflammatory diseases and systemic inflammation: Role of the macrophage. Front Immunol. 2012;3(MAY):1-17.

Sessle BJ. Peripheral and central mechanisms of orofacial inflammatory pain. In: International Review of Neurobiology. Vol 97. Elsevier Inc.; 2011:179-206.

Sessle BJ. Chronic orofacial pain: Models, mechanisms, and genetic and related environmental influences. Int J Mol Sci. 2021;22(13):7112.

Sherigar R, Amir KA, Bobba RK, Arsura EL, Srinivas N. Abdominal pain secondary to pylephlebitis: An uncommon disease of the portal venous system, treated with local thrombolytic therapy. Dig Dis Sci. 2005;50(5):983-987.

Kumar A, Dahiya A, Hooda A, Goel M, Kumar V. Trigeminal Neuralgia : The New Medicinal Treatment Modalities. J Oral Heal Comm Dent. 2015;9:149-152.

Dasilva AF, Dossantos MF. The role of sensory fiber demography in trigeminal and postherpetic neuralgias. J Dent Res. 2012;91(1):17-24.

Yam MF, Loh YC, Tan CS, Adam SK, Manan NA, Basir R. General pathways of pain sensation and the major neurotransmitters involved in pain regulation. Int J Mol Sci. 2018;19(8):2164.

Coussens LM, Werb Z. Inflammation and cancer. Nature. 2002;420(6917):860-867.

Pierce A, Pittet J. Inflammatory response to trauma: Implications for coagulation and resuscitation. Curr Opin Anaesthesiol. 2015;27(2):246-252.

Zajączkowska R, Kocot-Kępska M, Leppert W, Wordliczek J. Bone pain in cancer patients: Mechanisms and current treatment. Int J Mol Sci. 2019;20(23):65-75.

Dilunga GD, Sawe HR, Kulola IB, et al. Pain assessment and management of trauma patients in an emergency department of a tertiary hospital in Tanzania. Saf Heal. 2018;4(1):8-13.

Downloads

Published

2022-03-30

How to Cite

Hirani, V. A., Owibingire, S. S., Moshy, J. R., & Sohal, K. S. (2022). The incidence and pattern of non-odontogenic orofacial pain conditions at a tertiary hospital in Tanzania. European Journal of Clinical and Experimental Medicine, 20(1), 49–55. https://doi.org/10.15584/ejcem.2022.1.7

Issue

Section

ORIGINAL PAPERS