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Official Pain Center Naval Postgraduate Dental School 8955 Wood Rd Bethesda, MD 208895628 Com (301) 2951495 DSN 2951495 FAX (301) 2952070Orofacial Pain Examination Form Jul 2018 Please complete pages
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How to fill out orofacial pain examination form

01
To fill out the orofacial pain examination form:
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Start by entering the patient's personal information, such as their name, age, and contact details.
03
Next, gather information about the patient's medical history, including any previous or current medical conditions, medications, and allergies.
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Ask the patient about their chief complaint or reason for seeking the orofacial pain examination. Document their symptoms, duration, and any triggers or aggravating factors.
05
Conduct a thorough examination of the patient's orofacial region. This may involve assessing the temporomandibular joint (TMJ), facial muscles, teeth, gums, and other relevant areas.
06
Record any findings or abnormalities observed during the examination.
07
If necessary, order additional diagnostic tests or imaging, such as X-rays, MRI, or CT scans.
08
Based on the collected information and examination results, formulate a diagnosis or differential diagnosis.
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Develop an appropriate treatment plan for the patient, considering their condition and any underlying factors.
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Lastly, review the completed form, ensure all sections are filled out accurately, and obtain the patient's signature if required.

Who needs orofacial pain examination form?

01
The orofacial pain examination form is needed for anyone experiencing orofacial pain or related symptoms.
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This may include individuals with temporomandibular joint disorders, dental pain, or facial pain of unknown origin.
03
Healthcare professionals, including dentists, oral and maxillofacial surgeons, and orofacial pain specialists, commonly use this form to gather necessary information for diagnosis and treatment planning.
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The orofacial pain examination form is a document used to assess and diagnose pain in the mouth, face, and jaw area.
Dentists, oral surgeons, and other healthcare professionals who specialize in orofacial pain are required to file the examination form.
The form typically requires information about the patient's medical history, symptoms, and results of any tests or examinations.
The purpose of the orofacial pain examination form is to help healthcare providers diagnose and treat patients with pain in the mouth, face, and jaw.
Information such as the patient's medical history, symptoms, results of tests or examinations, and any treatments or medications prescribed must be reported on the form.
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