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Oral pain Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Oral pain. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you had the oral pain?

    Why: to determine if acute or chronic.

  2. Where exactly is the pain?

    Why: e.g. lips, tongue, mucosa (lining of the oral cavity), tooth, gums, jaw.

  3. Dental health?

    Why: when last saw a dentist?, dental care routine? Known dental caries? - Poor oral hygiene may be associated with gingivitis, periodontitis, Vincent's infection, oral cancer and oral Candida infection.

  4. Do you have dentures?

    Why: Poorly fitting dentures may cause oral ulcers.

  5. Past history of cold sores (Herpes simples type 1 lesions) on the lips?
  6. Risk factors for oral cancer?

    Why: e.g. cigarette smoking, poor dental hygiene, spirits, recurrent mouth infections or syphilis.

  7. Risk factors for oral Candida infection (thrush)?

    Why: e.g. May be associated with poor oral hygiene, alcoholism, AIDS, leukemia, lymphoma, diabetes mellitus, iron deficiency, steroids, tumor chemotherapy or broad spectrum antibiotics.

  8. Medical history?

    Why: e.g. recurrent mouth ulcers may occur in people with leukemia, immunocompromise, malnutrition and diabetes mellitus; aphthous mouth ulcers may be associated with Behcet's disease, Crohn's disease, celiac disease, HIV disease; angular cheilitis may occur due to Candida infection in people with HIV disease, general debilitation or diabetes mellitus; Chronic mucocutaneous candidiasis is a distinct syndrome that may be associated with diseases such as hypoparathyroidism, hypothyroidism and Addison's disease.

  9. Medications?

    Why: some medications may cause aphthous ulceration such as gold and steroids; some medications increase the risk of oral Candida infection including steroids, broad spectrum antibiotics and tumor chemotherapy; some medications are associated with erythema multiforme including barbiturates, penicillin, sulphonamides, phenothiazines and phenytoin.

  10. Dietary history?

    Why: malnutrition can increase the risk of Acute ulcerative gingivitis (Vincent's infection); may indicate the risk of dietary deficiencies (such as Vitamin B6, B12, folate and iron) that may cause angular stomatitis or glossitis; recent ingestion of fish such as tuna, mackerel and skipjack, especially if fish is allowed to spoil may cause a poisoning with symptoms including burning mouth.

  11. Cigarette smoking?

    Why: increases risk of gingivitis, lip and oral cavity cancers.

  12. Sexual history

    Why: may indicate the risk of HIV which may be associated with angular cheilitis due to Candida infection or aphthous mouth ulceration.

  13. Possible poisoning?

    Why: e.g. scrombotoxic fish poisoning which can cause burning of the mouth.

  14. Tiredness, weight loss, fever, night sweats?

    Why: may suggest malignancy such as leukemia which may also be associated with swollen and bleeding gums and also recurrent mouth infections.

  15. Gum ulceration?

    Why: may suggest acute ulcerative gingivitis (Vincent's disease).

  16. Dry mouth (xerostomia)?

    Why: may be due to diabetes, certain drugs , Sjogren's syndrome, dehydration, anemia, HIV infection or irradiation - can increase the risk of dental caries and thus gingivitis.

  17. Lip ulceration?

    Why: would suggest herpes simplex labialis, syphilis and carcinoma.

  18. Tooth pain?

    Why: may suggest tooth socket (alveolar) abscess.

  19. Symptoms of gingivitis?

    Why: e.g. tender, red, swollen and bleeding gums - Gingivitis is an inflammatory process caused by failure to remove bacteria in the form of plaque from the tooth-gum junction.

  20. Symptoms of oral candidiasis?

    Why: e.g. creamy white curd-like patches in the mouth which are removed only with difficulty and leave a bleeding surface. If the infection spreads to the esophagus it may cause pain with swallowing.

  21. Symptoms of glossitis (inflammation of the tongue)?

    Why: e.g. smooth appearance of the tongue, tongue may be red. In later stages there may be shallow ulceration. May be due to nutritional deficiency in iron, folate or Vitamin B12.

  22. Symptoms of aphthous mouth ulcers (cancer sores)?

    Why: e.g. lesions occurring on the inside of the lips or mouth which begin as a small painful vesicle which later breaks down to form the painful shallow ulcer. The ulcers heal without scarring. Cause is unknown, but may occur in Crohn's disease, Celiac disease or AIDS.

  23. Symptoms of Vincent's disease (acute ulcerative gingivitis)?

    Why: e.g. tender, red, swollen, bleeding and ulcerated gums - occurs in the malnourished person with poor dentition and also in the immunocompromised person.

  24. Symptoms of hand, foot and mouth disease?

    Why: e.g. fever, headache, sore mouth, shallow ulcers on the lining of the mouth, gums and tongue, blisters on hands, palms and soles.

  25. Symptoms of herpes simplex labialis (cold sores)?

    Why: e.g. prodrome of tingling, itching or burning sensation on the lips which usually precede any visible skin changes by 24 hrs. Prodrome is followed by development of fluid filled vesicles which erode to become ulcers on the lips.

  26. Symptoms of angular stomatitis?

    Why: e.g. cracks at the corners of the mouth. Possible causes may include Vitamin B6, B12, folate and iron deficiency.

  27. Symptoms of Behcet's syndrome?

    Why: e.g. recurrent oral aphthous ulcers, recurrent genital aphthous ulcers, features of posterior uveitis (blurred vision and floaters), erythema nodosum (painful nodules on the arms and legs).

  28. Symptoms of erythema multiforme?

    Why: e.g. acute eruption involving the skin and mouth mainly in children, adolescents and young adults. Lesions are raised patches of concentric rings (iris or target lesions). The mouth lesions are tender and painful. It may be associated with herpes simplex type 1, systemic lupus erythematosus, Hodgkin's disease, myeloma, tuberculosis and some medications.

  29. Symptoms of diabetes

    Why: e.g. frequent urination, excessive thirst, weight loss, fatigue - can cause recurrent mouth infections, dry mouth and lips.

  30. Symptoms of menopause?

    Why: Hormonal changes occurring during menopause may be associated with burning mouth.

  31. Symptoms of riboflavin (Vitamin B2) deficiency?

    Why: e.g. fissuring at the corners of the mouth, red inflamed tongue, seborrheic dermatitis on face, scrotum or vagina.

  32. Symptoms of Primary Sjogren's syndrome?

    Why: e.g. dry eyes, dryness of the mouth, skin or vagina. Dry mouth can predispose to recurrent mouth infections including oral candidiasis. This syndrome may be associated with many systemic conditions such as Raynaud's phenomenon, difficulty in swallowing (as seen in systemic sclerosis), painful joints (like that seen with systemic lupus erythematosus), thyroid disease, myasthenia gravis, primary biliary cirrhosis, chronic active hepatitis, renal diabetes insipidus, renal tubular acidosis and vasculitis.

  33. Symptoms of Chronic mucocutaneous candidiasis?

    Why: a distinct syndrome usually occurring in children comprising of recurrent or persistent oral thrush, finger or toe bed infection and skin infection.

  34. Symptoms of temporomandibular joint dysfunction?

    Why: e.g. pain felt over the jaw joint and localized to the region of the ear but may radiate forwards to the cheek and even the neck; pain and limitation of jaw movements especially on opening the mouth, clicking and crackling in the jaw joint with movement.

  35. Symptoms of Scrombotoxic fish poisoning?

    Why: e.g. 2-3 hours after ingestion may experience flushing, burning of the mouth, itchiness, headache, hives, nausea, vomiting and difficulty with breathing.

  36. Symptoms of depression, anxiety and stress?

    Why: the cause of most cases of burning and painful mouth is unknown. There is a high prevalence of anxiety, depression and reactions to stress suggesting a psychological basis but a causal link has not been clearly established.

Conditions listing medical symptoms: Oral pain:

The following list of conditions have 'Oral pain' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Oral pain or choose View All.

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