2. What is a Case Management Failure ? A diagnostic error leading to an incorrect diagnosis Pulp pathology Neuralgia Diagnostic errors leading to inappropriate treatment Root canal therapy Temporal Arteritis, cardiac disease Treatment that is inappropriate to the diagnosis Reversible pulpitis Antibiotic without evidence of infection
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6. Gender differences in associations between trauma history and adjustment among chronic pain patients Spertus I, et al; Pain 82 (1999):97-102 N = 73 chronic pain patients (51% female, 60% lower back) Measures: questionnaires for trauma, stress, MPI, Beck depression, West Haven-Yale Multidimensional Pain Inventory Discussion: trauma history may effect men and women differently and men may experience a specific pattern of difficulties. Men experiencing trauma with higher levels of anxiety, symptoms of depression and general emotional distress than men without such history
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14. Dental pathology Neurophysiology / Pain mechanisms Systemic pathology Psychological Abnormality Behavioral Issues Peripheral Central Sympathetic Learning and memory Age and Gender Effects
Hinweis der Redaktion
Accumulating research suggests that chronic pain patients may have a higher prevalence of sexual and physical abuse than normal Few studies assessing correlation between abuse history, pain severity, and disability….those available with inconsistent findings. No studies looking specifically at orofacial pain with respect to the above parameters In this study pain intensity and disability was not apparently associated with abuse history in either men or women Limitations included small sample size, retrospective nature of history taking/ absence of corroborative evidence, etc