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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2020; 78(06): 321-320
DOI: 10.1590/0004-282X20200003
Article

The Orofacial Pain Clinic Questionnaire (EDOF-HC) in the evaluation and diagnosis of orofacial pain

Questionário da Equipe de Dor Orofacial (EDOF-HC) na avaliação e diagnóstico da dor orofacial
Silvia Regina Dowgan Tesseroli de SIQUEIRA 
1   Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurologia, Clínica de Dor Orofacial, São Paulo SP, Brazil.
2   Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurologia, Grupo Interdisciplinar de Dor, São Paulo SP, Brazil.
,
Manoel Jacobsen TEIXEIRA 
2   Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurologia, Grupo Interdisciplinar de Dor, São Paulo SP, Brazil.
,
José Tadeu Tesseroli de SIQUEIRA 
1   Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurologia, Clínica de Dor Orofacial, São Paulo SP, Brazil.
2   Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurologia, Grupo Interdisciplinar de Dor, São Paulo SP, Brazil.
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ABSTRACT

Background: Diagnostic tools are necessary for the anamnesis and examination of orofacial pain, in order to fulfill diagnostic criteria and to screen potential causes of pain. Objective: To evaluate the Orofacial Pain Clinic Questionnaire (EDOF-HC) in the assessment and diagnosis of orofacial pain. Methods: Overall, 142 patients were evaluated and classified according to the criteria of the International Headache Society and International Association for the Study of Pain. All of them were evaluated with the EDOF-HC questionnaire, which consists of the orofacial and medical history, as well as the orofacial examination. Data were statistically analyzed with chi-square test and Bonferroni correction, one-way ANOVA with Tukey post hoc test, the two-step cluster and decision tree methods. Results: There were diferences in pain descriptors, pain in maximum mouth opening, number of trigger points, and history of previous surgery between the groups, which were classified into trigeminal neuralgia, burning mouth syndrome, temporomandibular disorders and trigeminal posttraumatic neuropathic pain with classification analysis. Conclusions: The EDOF-HC is a clinical supportive tool for the assessment of orofacial pain. The instrument may be used to support data collection from anamnesis and examination of patients according to the diagnostic criteria of most common orofacial conditions. It is also useful in the investigation of local and systemic abnormalities and contributes for the diagnosis of conditions that depend on exclusion criteria.

RESUMO

Introdução: Instrumentos diagnósticos são necessários para a anamnese e exame da dor orofacial, auxiliando na identificação das causas potenciais de dor. Objetivo: Avaliar o Questionário da Equipe de Dor Orofacial (EDOF-HC) na abordagem e diagnóstico da dor orofacial. Métodos: Ao todo, 142 pacientes foram avaliados e classificados de acordo com os critérios da Sociedade Internacional de Cefaleias e da Associação Internacional para o Estudo da Dor. Todos foram avaliados com o questionário EDOF-HC, que consiste na anamnese orofacial e médica, além do exame físico orofacial. Os dados foram analisados estatisticamente com os testes qui-quadrado com correção de Bonferroni, ANOVA de um fator e post hoc de Tukey, além dos métodos de classificação em cluster e árvore decisória. Resultados: Houve diferenças entre os diagnósticos quanto aos descritores da dor, dor na abertura bucal máxima, número de pontos-gatilho mastigatórios e história prévia de cirurgia, o que esteve de acordo com a classificação nos diagnósticos de neuralgia do trigêmeo, síndrome da ardência bucal, disfunção temporomandibular e dor neuropática pós-traumática trigeminal. Conclusões: O Questionário da Equipe de Dor Orofacial (EDOF-HC) mostrou ser um instrumento de apoio para a avaliação da dor orofacial, útil na coleta de dados de anamnese e exame clínico dos pacientes, observando os principais sinais e sintomas relacionados aos critérios diagnósticos das condições orofaciais dolorosas mais comuns. Também é útil na avaliação de comorbidades locais e sistêmicas e contribui para o diagnóstico de condições que dependem em critérios de exclusão.

Keywords:

Neuropathic pain - Orofacial Pain - Trigeminal Neuralgia - Temporomandibular Disorders - Diagnosis - Questionnaire

Palavras-chave:

Neuralgia - Dor Facial - Neuralgia do Trigêmeo - Transtornos da Articulação Temporomandibular - Diagnóstico - Questionário


Publication History

Received: 27 November 2019

Accepted: 05 December 2019

Article published online:
13 June 2023

© 2020. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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