Pathophysiology

This remains largely unknown but several proposals have been put forward:

• an orofacial form of migraine

• medically unexplained symptoms

• psychogenic origin.

Psychologic factors are implicated in all pain conditions, irrespective of etiology or duration, and this group of patients are probably no different from other chronic pain sufferers. It is probable that some of these patients do have neuropathic pain related to previous trauma, infection or dental treatment.

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