Four things to measure in a patient with centralized orofacial pain, and why the pain score alone will mislead you. A patient with chronic masticatory pain starts nortriptyline. Six weeks later you ask how the pain is. She says it is about the same. Do you add...
Managing the MS Patient in the Dental Office: Pearls from an Oral Medicine Specialist
https://open.spotify.com/episode/6VkIVE4Vjbq9vYei08xZOV?si=P8B1Tl0OSfWpm9fWXR_tvw Orofacial Pain and Oral Medicine Featuring Dr. Joel Epstein, Professor and Medical Director of Oral Oncology, City of Hope National Cancer Centre and Cedars-Sinai Health System Multiple...
The Great Mimic: Recognizing MS-Driven Facial Pain Before You Reach for the Handpiece
https://open.spotify.com/episode/68vJFf0UZ8FsjmwbW7kvmp?si=cM0qAy_vRqyJuIUTe6O6mQ Featuring Dr. Glenn Clark, Professor and Director of the Online Master of Science in Orofacial Pain and Oral Medicine Program, Herman Ostrow School of Dentistry of USC Multiple sclerosis...
When Trigeminal Neuralgia Is the First Sign of MS: A Neurologist’s Perspective
https://open.spotify.com/episode/5UocaZSZiRh9Np4XoBIO3d?si=Ixjuq_zZRmuEWuk-7RmNsA Featuring Dr. Jim Scott, Consultant Neurologist, in conversation with Jane Wrinch A patient in their late 30s arrives at the dental office with sharp, electric facial pain along the...
Can Climate Affect TMJ Symptoms?
https://open.spotify.com/episode/5j2P5Z9jmtB39YvEvXcXpA?si=k5IpvKjQTfKfh3K2z82a9A Temporomandibular disorders, or TMD, are a common cause of jaw pain, facial discomfort, and limited function. Many patients also report that their symptoms seem worse during certain...
The Stress-Jaw Connection: Is the Brain Actually Scripting the Pain?
https://open.spotify.com/episode/4qYU0X7RyotD9VLcc6exMA?si=swwfpI-yRO-qRrVB4piNfg A patient walks into your clinic, stressed and sleep-deprived, pointing to their jaw. “My bite just feels off,” they say. “If you could shave down that one tooth, the pain would stop.”...
Microbiome Influences on Oral Inflammation, Autoimmune Disease, and Orofacial Pain
https://open.spotify.com/episode/7j7zamfnm3ufZsVoNTd0Zy?si=18HD4fKGQxii8nCpBGeRlA Introduction The human microbiome plays an important role in maintaining physiologic balance throughout the body. In the oral cavity, diverse microbial species interact with...
Two Brakes, One Broken System: A Precision Medicine Framework for Bruxism and Psychogenic Jaw Clenching
https://open.spotify.com/episode/5h5FkoaUKDik8jsNdkFWo2?si=Mp7R_ysURH-0p_jzvixWoQ New iPSC-based genomic evidence has identified two converging neurobiological failures at the root of bruxism: a serotonin 2A receptor variant that amplifies stress-driven motor...
How Mouth Microbes May Shape Exercise Performance and Chronic Pain
https://open.spotify.com/episode/1sqJe13ScKhBML5Q1ayQIX?si=kNg6gjBPQiKwSMqRG-zlqQ Poor oral health has been linked with cardiovascular disease, diabetes, neurodegenerative diseases, and various cancers. This connection is rooted in the body’s complex microbial...
Why Mental Health Is Central to Orofacial Pain Care
https://open.spotify.com/episode/098pR9xzjmAOpU731klLXS?si=dBIdTZdcQByPINU3D1Fseg When a patient comes in describing persistent jaw pain, facial pressure, and limited mouth opening, the instinct is to reach for imaging and look for structural evidence. But in...
Data-Driven Precision Medicine in Orofacial Pain Care
https://open.spotify.com/episode/0fHNDLrrNlFBJtXbNhWzFO?si=wgiJ8WszSHSdDpUbhURzzw What is precision medicine? Precision medicine, also known as personalized medicine or systems medicine, is a data-driven approach to medical care that considers genetic, lifestyle, and...
Oral Fungal Infections in Diabetic Patients
https://open.spotify.com/episode/7mgqBJjGhA7kywLEaOjQRv?si=Y1_oYrsyRo-7DvAjaqMdpw Type 2 diabetes mellitus is a chronic metabolic disease characterized by persistent hyperglycemia, immune dysfunction, and microvascular compromise [1]. Although diabetes is typically...
Important Oral Manifestations of Diabetes
https://open.spotify.com/episode/7yiQTfKGSQcoZqHm2T82so?si=3dQpZ84dTn-vHlW0nxvMqw According to the CDC, diabetes affects 14.7% of U.S. adults and 29.2% of those over age 65, making it the 8th leading cause of death.[1] Its annual economic burden is estimated at $413...
Oral Hygiene and Oral Cancer
https://open.spotify.com/episode/5Bgm6XtPWcpnMDJaZMVHn9?si=Y1bO_tE9QN6ZerCdNyR39w A bright, healthy smile is often one of the first things people notice, and research shows it can even influence social and economic opportunities. Individuals with untreated dental...
What Dental Practitioners Should Know about Hypersensitivity Reactions to Medications
https://open.spotify.com/episode/0H2XCOtNS0NE4JY6Y0f5zC?si=Pi5Yo_i2Qsew2Jcq5uKl-g Introduction In today’s dental practice, clinicians frequently care for patients whose systemic health and medication use intersect with oral conditions. Among the most clinically...
The Role of Hepatitis Vaccines in Oral Health
https://open.spotify.com/episode/5fhz5RzweOjfe5sz03oMKS?si=5d1HOITxSzipmjstLNWvZw The liver is one of our body's most essential organs, performing over 500 vital functions,including metabolism, detoxification, and protein synthesis. When viral hepatitis threatens this...
Botulinum Toxin for Orofacial Pain and What the Research Really Shows
https://open.spotify.com/episode/2RAIfX6qNfPbvivwWOY39h?si=Tlyvw_kbRiudq79pY8iHsw Orofacial pain conditions, particularly those involving muscle hyperactivity such as bruxism and temporomandibular disorders, affect millions of individuals worldwide [1]. As researchers...
Expanding the Clinical Role of Dentists in the Evaluation of Headaches
https://open.spotify.com/episode/4l2sr39e42e0hR1D4Xg0Rt?si=_VIo7TyBSF-X_oLDDIBZSQ Introduction Headaches are among the most common neurological complaints worldwide, affecting more than half of the population at some point in their lives. In the United States, the...
Measuring Hybrid-Online Resident Competency using (EPAs)
https://open.spotify.com/episode/3mkryXlUvR1IfnyV8DjY5R?si=3KwtVOpwSQqT-50lDcpoSA Introduction: The Evolution Toward Competency-Based Assessment The landscape of medical education has undergone a profound transformation over the past two decades, shifting from...
Neuropathic Pain in Head and Neck Cancer Patients
https://open.spotify.com/episode/1EnSYwst7O7FRjbn47n73F?si=Td06HPfPQGS0ebals7GvBw Introduction Head and neck cancer is, depending on the study cited, either the 6th or 7th most common malignancy globally, with the majority (~90% of cases) presenting as oral squamous...
The Physical Examination Gap: Why Symptom Checkers Can’t Replace Doctors
https://open.spotify.com/episode/2ct68rWf5Vqpykvku7yppC?si=ywOMUlcsQqqiQysGTrinCA In today's digital age, we've seen healthcare evolve in numerous ways. One increasingly common tool is the online symptom checker—websites or apps where patients input their symptoms and...
Why Repeated Short-Acting Anesthetic Nerve Blocks Likely Don’t Reset Central Sensitization
https://open.spotify.com/episode/4cBBVc3BkpwbbXIizajPPj?si=szUqCv2EQ6WpcyXCKtFPPw Pain is complex and central sensitization is hard to reverse. Anyone who has experienced persistent pain knows this deeply, but even from a neurobiological perspective, the intricacies...
Sleep-Disordered Breathing in Children: Long-Term Health Impacts
https://open.spotify.com/episode/7vSGywDDJGUnKv9djcGesF?si=cZYYA2RCQ5Ki-hRpwhr4rA Introduction Sleep-disordered breathing (SDB) in children has been recognized and treated since the 1800s with adenotonsillectomy (AT surgery) [1]. What once might have been dismissed as...
The Adolescent TMJ: How Bruxism Leads to Disc Displacement
https://open.spotify.com/episode/45Wa02wLw3ZQPq6hZ1ndOY?si=2jfcL-k3Ss6fabhDW3ixmQ Temporomandibular joint (TMJ) disorders affect millions worldwide, with disc displacement causing clicking and locking being one of the most common pathologies. While these disorders can...
























