Review Article

Differential Diagnostics of Pain in the Course of Trigeminal Neuralgia and Temporomandibular Joint Dysfunction

Table 1

Differential characteristics of pain in the course of trigeminal neuralgia and temporomandibular joint dysfunction.

Common features of pain in trigeminal neuralgia and temporomandibular joint dysfunctions Differential characteristics of pain in the course of trigeminal neuralgia and temporomandibular joint dysfunction
Trigeminal neuralgiaTemporomandibular joint dysfunctions

Increase in pain as a result of activity of facial or masticatory musclesUnilateral location of pain (97%)Bilateral pain
Possibility of pain being located on one side of the faceCharacteristics of pain: acute and stabbingCharacteristics of pain: continuous and dull
Possibility of otolaryngological symptomsRemission of the neuralgic pain during nightsPain may still be present during the nights
Significant reduction in patients' quality of life and the development of depressive disordersThe duration of pain: very short, lasting several seconds to several minutes with long periods of remission during the dayThe duration of pain: long-lasting (several hours) with short intermissions
Pain being radiated into the neighboring regionsPain accompanied by facial muscle convulsions (tics), skin redness, lachrymationLack of such symptoms