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In 2003 I initiated a service to manage patients with chronic orofacial pain. The service is now well established and receives referrals from a wide geographic area, including many tertiary referrals. The rarer causes of facial pain are frequently seen within the clinic making it a valuable teaching clinic for both medical and dental higher surgical trainees and dental undergraduate students. In the development of the facial pain service, links have been made with colleagues in neurosurgery, neuromedicine and palliative care. Weekly clinics, held with neurosurgery, review patients with trigeminal neuralgia requiring surgical treatment. This clinical interest in facial pain forms the basis for some of the research projects that are currently being undertaken.
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