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Tapering chronic opioid therapy in neuropathic facial pain: An interdisciplinary approach

Brijesh P. Chandwani, BDS, FOP, Ronald J. Kulich, PhD, Lainie Andrew, PhD, Steven Scrivani, DDS, DMedSc


This case report presents a patient with chronic orofacial pain who was considered to be an appropriate candidate for chronic opioid therapy, a treatment uncommonly considered at most facial pain centers. Her opioid treatment proved ineffectual, and conservative approaches were addressed. She was successfully tapered off the use of a long-acting opioid within a relatively short time, using an interdisciplinary approach involving an aggressive biobehavioral approach.


neuropathic face pain, opioid therapy, behavioral therapy, psychological treatment, opioid taper, appliance therapy

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