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Quintessence Publishing: Journals: OFPH
Journal of Oral & Facial Pain and Headache

Edited by Barry J. Sessle, BDS, MDS, BSc, PhD, FRSC

Official Journal of the American Academy of Orofacial Pain,
the European, Asian, and Ibero-Latin Academies of Craniomandibular
Disorders, and the Australian Academy of Orofacial Pain

ISSN 2333-0384 (print) • ISSN 2333-0376 (online)

Publication:
Winter 2013
Volume 27 , Issue 1

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Persistent Dentoalveolar Pain: The Patientís Experience

Justin Durham, BDS, MFDS, RCS (Ed), FDS RCS (OS), FHEA/Catherine Exley, BSc, MA, PhD/Mike T. John, DMD, MPH, PhD/Donald R. Nixdorf, DDS, MS

Pages: 6-13
PMID: 23424715
DOI: 10.11607/jop.1022

Aims: To build an understanding of the patientís experience and from this identify recurring themes that could form part of an item pool for further testing of persistent dentoalveolar pain disorder (PDAP). Methods: Proven cases of PDAP were identified from a clinical database, and a purposive maximum variation sample was drawn. Semi-structured interviews were conducted with the sample by a single trained interviewer. Interviews were digitally recorded and transcribed verbatim. Data collection and analysis occurred until data saturation (n = 20), with no new themes emerging. Analysis of the data was an iterative and inductive process broadly following the principles of the constant comparative method. Results: Recurrent themes emerging from the data were: difficulty in responding to history taking; duration and magnitude of pain; complex and confounding descriptors; common exacerbating factor; well-localized pain; deep pain; pressurized or pressure feeling. Conclusion: Several common experiences that can be considered items were identified in the data. These items will add to the limited pre-existing item pool in the literature and allow testing of this item pool to determine those items best suited to form an adjunctive self-report diagnostic instrument for PDAP. J OROFAC PAIN 2013;27:6Ė13. doi: 10.11607/jop.1022

Key words: atypical odontalgia, diagnosis, diagnostic instrument, persistent dentoalveolar pain, phantom tooth pain, qualitative

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