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Journal of Oral & Facial Pain and Headache (OFPH) is published by MRE Press from Volume 38 lssue 1 (2024). Previous articles were published by another publisher on a subscription basis, and they are hosted by MRE Press on www.jofph.com as a courtesy and upon agreement with Journal of Oral & Facial Pain and Headache.
The Influence of Deep (Odontogenic) Pain Intensity, Quality, and Duration on the Incidence and Characteristics of Referred Orofacial Pain
1Oral Diagnosis and Medicine, Orofacial Pain Center, College of Dentistry, University of Kentucky, Lexington, Kentucky
2Orofacial Pain Center, College of Dentistry, University of Kentucky, Lexington, Kentucky
3Biostatistics Consulting Unit , Coliege of Medicine, University of Kentucky, Lexington, Kentucky
*Corresponding Author(s): Donaid A Faiace E-mail:
This study examined the effects of the intensity, quality, and duration of odotogenic pain on the incidence, pattern, and clinical characteristics of pain referral in the orofacial region. Four hundred consecutive patients reporting with posterior toothache to the dental emergency clinic were included. Patients completed a standardized clinical questionnaire consisting of a numerical rating scale for pain intensity and chose verbal descriptors from a list of adjectives describing the quality of their pain. In addition, patients indicated sites to which pain referred by drawing on a mannequin* of the head and neck. Pain intensity was found to significantly affect the presence of referred pain (P < .005). However, neither duration nor quality of pain influenced the incidence of referred pain. Finally, pain referral occurred in vertical laminations as indicated on mannequin drawings, but these were not found to be diagnostic because of extensive horizontal overlap. The association of intensity and referral is attributed to central nervous system hyperexitability causing expansion of receptive fields and spread and referral of pain.
toothache; odontogenic pain; referred pain; deep pain
Donaid A Faiace, Kevin Reid, Mary Kay Rayens. The Influence of Deep (Odontogenic) Pain Intensity, Quality, and Duration on the Incidence and Characteristics of Referred Orofacial Pain. Journal of Oral & Facial Pain and Headache. 1996. 10(3);232-239.
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