Orofacial Pain (OFP) is the specialty of dentistry that encompasses the diagnosis, management and treatment of pain disorders of the jaw, mouth, face and associated regions. The specialty of OFP is dedicated to the evidenced-based understanding of the underlying pathophysiology, etiology, prevention, and treatment of these disorders and improving access to interdisciplinary patient care.
These disorders as they relate to orofacial pain include but are not limited to temporomandibular muscle and joint (TMJ) disorders, jaw movement disorders, neuropathic and neurovascular pain disorders, headache, and sleep disorders.
AAOP Podcast # 13 with Dr. Marcela Romero Reyes: New Approaches in Headache Medicine
University of Maryland, School of Dentistry Assoc.Professor,Director Brotman FacialPain Clinic
1. Understand the role of orofacial pain practitioners in the management of headaches.
2. Review the red flags or warning signs in the evaluation of headaches complaints.
3. Describe the new therapeutic approaches in headache medicine.
AAOP Podcast #12 with Dr. Fernando Exposto: An Update on Referred Muscle Pain
In this new episode we will be discussing with Dr. Fernando Exposto, DDS, MSc, PhD about muscle pain and pain referral. Dr. Fernando Exposto is currently a Postdoctoral Fellow and Clinical Instructor at Aarhus University in Denmark. He obtained his PhD degree in Health Sciences at the same university in 2019. He graduate from dental school at ISCSEM in Lisbon (Portugal)in 2007. He completed a Master in Dental Sciences, Danube University (Austria) from 2007 to 2011. In 2015, he graduated from the 2 year CODA approved program in Orofacial Pain at the University of Kentucky (USA). From 2016 to 2018 he completed a Master in Headache Disorders at the Copenhagen University (Denmark). Dr. Exposto is a Diplomate by the American Board of Orofacial Pain since 2016.
Comparison of masseter muscle referred sensations after mechanical and glutamate stimulation: a randomized, double-blind, controlled, cross-over study. / Exposto, Fernando; Udagawa, Gen; Naganawa, Takuya; Svensson, Peter. In: Pain, Vol. 159, No. 12, 01.12.2018, p. 2649-2657.
Comparison of Pain-Generated Functional Outcomes in Experimental Models of Delayed-Onset Muscle Soreness and Nerve Growth Factor Injection of the Masticatory Muscles./ Zhang Y, Exposto FG, Grigoriadis A, Lobbezoo F, Koutris M, Zhang J, et al. Journal of oral & facial pain and headache [Internet]. 2020 Sep [cited 2021 Feb 13];34(4):311–22.
Further evidence for overlaps among chronic pain conditions : But no news about causal relationships. / Svensson, Peter; Exposto, Fernando.
In: Journal of Oral and Facial Pain and Headache, Vol. 34, No. Suppl., 2020, p. s6-s8.
AAOP Podcast #11 with Dr. Schiffman: TMD Research, Patient Care, and Diagnostic Criteria
Dr. Eric Schiffman, DDS, MS, is a Professor and the Director of Clinical Research at the University of Minnesota School of Dentistry, as well as a Diplomate of the American Board of Orofacial Pain. Dr. Schiffman has over 35 years of experience treating orofacial pain patients. He has received over $17 million in research funding from the National Institutes of Health (NIH) and has over 60 peer-reviewed publications, 12 book chapters and 3 patents – with another pending. He has lectured locally, nationally and internationally on topics pertaining to the prevalence, etiology, diagnosis, and management of patients with TMD and orofacial pain. Past research as a NIH study principal investigator includes developing and publishing validated Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for the most common TMD - for use in both the clinical and research settings. Past research in TMD management includes assessing the long-term effectiveness, in patients with symptomatic TMJ closed lock with limited mouth opening, of medical management compared to comprehensive rehabilitation with and without TMJ surgery. He has also researched the longitudinal impact of TMJ intra-articular disorders on jaw pain, function and disability. In addition, in the NIH-funded National Dental Practice-Based Research Network (PBRN), he assessed the management of TMD patients by dentists in their practices. He currently has a NIH Small Business Innovation Research (SBIR) grant to develop and test a new version of the Restful Jaw device – a device attached to the dental chair that is designed to support the jaw during dental procedures including the surgical removal of third molars. Finally, he is a co-owner of the inter-disciplinary Minnesota Head and Neck Pain Clinic where he manages TMD and orofacial pain patients in the Saint Paul location.
AAOP Podcast #10 - Behavior, Bruxism and Botulinum toxin: A conversation with Dr. Karen Raphael
In this episode Dr. Karen Raphael shares her research on the areas of psychological comorbidities in chronic pain, the relationship of sleep bruxism and temporomandibular disorders as well as the use of botulinum toxin in the management of orofacial pain conditions.
Dr. Karen Raphael is a PhD-level psychologist and epidemiologist whose work over the last 35 years has focused on the role of psychosocial and stress-related factors in medically unexplained pain. As she was completing postdoctoral training in psychiatric epidemiology at Columbia University, she met Dr. Joseph Marbach, an orofacial pain specialist and renowned clinical researcher. Most of their close collaboration for a dozen years until his passing in 2001 involved studying processes underlying chronic temporomandibular disorders.
After serving on faculty at Columbia University (in Public Health, Psychiatry and the Dental School), she continued research on orofacial pain and other forms of medically unexplained pain at Rutgers/Newark Medical and Dental Schools, where she was promoted to Professor. Her work broadened to encompass areas ranging from translational pain psychophysics to pain epidemiology. She continued methodologically-driven work on biases in both patient reporting and clinical observation. Since 2009, Dr. Raphael has held a primary appointment at New York University College of Dentistry, serving as Professor in the Department of Oral & Maxillofacial Pathology, Radiology and Medicine. Her research on stress and muscle activity expanded to include use of polysomnographic studies and awake stress-reactivity studies to examine the role of bruxism in temporomandibular disorders. Dr. Raphael’s writings inspired an international consensus committee of orofacial pain experts to reconsider whether bruxism is a disorder requiring treatment.
In addition to serving as Principal Investigator on a dozen grants funded primarily by the NIH, Dr. Raphael has published approximately 100 peer-reviewed manuscripts and has served on numerous editorial boards and grant review committees. Her most recent funded research has examined potential bone-related risk from use of Botulinum Toxin to treat temporomandibular disorders.
AAOP Podcast #9 with Dr. Charles Carlson - Growth and Change: Self-Regulation and Orofacial Pain
Dr. Carlson discusses the role of psychology in the management of orofacial pain conditions. Dr. Charles R. Carlson, Ph.D., ABPP, obtained his Ph.D. in clinical psychology from Vanderbilt University in 1983 and completed a clinical residency at the University of Mississippi Medical Center in 1984. Since 1988, he has been a member of the Department of Psychology at the University of Kentucky where he is the Robert H. and Anna B. Culton Professor of Psychology in collaboration with the Center for Research on Violence Against Women; he also holds a joint appointment as a professor in the College of Dentistry and is currently the Director of Behavioral Medicine and Research at the Orofacial Pain Center in the University’s College of Dentistry. Dr Carlson has been awarded the diplomate in clinical health psychology from the American Board of Professional Psychology. His research and clinical interests focus on self-regulation skills training for the management of pain in the head and neck regions. As an active scientist, he has published over 120 papers in journals including Pain, Journal of Oral & Facial Pain and Headache, Journal of Consulting and Clinical Psychology, and Psychophysiology.
AAOP Podcast #7 with Dr. Dennis Bailey - Sleep Medicine: Beyond Oral Appliances
Dr. Dennis Bailey discusses the role of dentists in sleep medicine. Dr. Bailey is a general dentist with a practice limited to the management of Sleep Related Breathing Disorders (Snoring and Sleep Apnea) utilizing oral appliances as well as Temporomandibular Disorders (TMD), Orofacial Pain and related headaches. He is a graduate of Indiana University School of Dentistry and completed a General Practice Residency at Miami Valley Hospital in Dayton, Ohio. He is a past president of the American Academy of Dental Sleep Medicine (1998-1999), is the founder and past-chair of the Oral Appliance Section and served on the Standards of Practice Committee for the American Academy of Sleep Medicine. He frequently lectures both in the US and internationally and has authored numerous texts, articles and chapters on the topic of Sleep Medicine and on the use of Oral Appliances by the dentist for the management of snoring and sleep apnea. He is currently a visiting lecturer in the Orofacial Pain and Sleep Medicine Program at UCLA School of Dentistry and is the Co-Director of the Mini-Residency in Sleep Medicine for the Dentist. Dr. Bailey is a Past-President (2013-2014) of the Colorado Sleep Society and is the chair for the Sleep Medicine Committee for the American Academy of Orofacial Pain from 2012 to the present. He has Diplomate status in the American Board of Orofacial Pain and in the American Board of Dental Sleep Medicine and is a Fellow in the Academy of General Dentistry, the American Academy of Orofacial Pain and the International College of Dentists.