The OFP team are a well networked group of experts, all of whom have a significant contribution to make to this field.
Founder of OFP website | Professor Tara Renton
Tara Renton (Specialist in Oral Surgery) is a dentist with a particular interest in trigeminal nerve injuries and pain. After completing her Oral and Maxillofacial surgical training in Melbourne in 1991, Tara undertook a PhD in Trigeminal Nerve injury at KCL 1999-2003. She was later appointed Senior Lecturer at QMUL and then was awarded her chair in 2006 at Kings College London. Over the past 7 years Tara has lead the teaching of dental students modernising the Oral Surgical teaching with minimal access approach and modern LA techniques. She has established an academic training programme which now has taught 5 Academic Oral Surgery SpRs of which 3 are undertaking PhDs. In collaboration with IoP KCL and Imperial College Tara has established an international leading programme of trigeminal nerve injury and orofacial pain research.
A patient lead initiative resulted in the development of www.trigeminalnerve.org.uk; a website advising both patients and clinicians in preventing and managing iatrogenic nerve injury in relation to dentistry.
Tara co-edited the recently published BDA clinical manual for Oral Surgery Books I and II. She is editor of Dental Update Series of Pain papers and book and editor of ‘The Art of LA’ with Andrew Mason. She is Clinical Lead for Orofacial Pain at KCHFT and at INPuT (GSTT) a Nationally Recognised Pain management programme and leads the clinician and patient front facing website for patients with chronic trigeminal pain (www.orofacialpain.org.uk).
Tara is an elected member of the RCS England FDS Board, the RCS Eng National advisor for Oral Surgery, member of the Oral Surgery SAC, Dental Senate, Chair OS FSAP and FDS work force and International committees. She represents dentistry on the National Surgical Safety Board, she is London South CLRN, she is an elected council member for BAOS (President Elect).
Lead collaborator | Dr Justin Durham
Justin Durham is currently a Senior Lecturer in Oral Surgery and Orofacial Pain at Newcastle University and a Honorary Consultant Oral Surgeon at Newcastle-Upon-Tyne’s Hospitals NHS Foundation Trust. He currently also holds a NIHR Clinician Scientist award which was awarded to help examine the care pathways in chronic orofacial pain (http://research.ncl.ac.uk/deepstudy).
He was initially appointed at Newcastle University as a Clinical Fellow/Hon SpR and since his original appointment in 2003 he has completed specialist training in oral surgery, been awarded his PhD, and passed the American Board of Orofacial Pain.
He has previously received the outstanding post-doctoral award from the Behavioural, Epidemiology, and Health Services Research group of the International Association of Dental Research, for his research into Temporomandibular Disorders (TMD).
Neurology | Dr Giorgio Lambru
Consultant Neurologist, Department The Pain Management and Neuromodulation Centre, Division Pain Management. Guy’s and St. Thomas’ NHS Foundation Trust, London
Role in the project Consultant neurologist supporting KHP orofacial pain services
After obtaining his medical degree at the University of Milan, Dr Lambru undertook his training in neurology at the University of Parma.
During the last year of his training, he completed a headache fellowship at the National Hospital for Neurology and Neurosurgery, in London. He then undertook a PhD at the Institute of Neurology, University College London in the study of neuralgiform headache and facial pain disorders.
Dr Lambru has authored numerous scientific publications and presented at national international headache conferences.
He sees patients with complex headache and facial pain disorders, neuropathic pain and general neurology conditions.
Neurosurgery | Mr Sinan Barazi
Attended Winchester College before starting Medical School in London. He qualified from King’s College Hospital School of Medicine in 1996, and completed his internship/house jobs a year later. Before starting his Basic Surgical Training, he served with the 14th Parachute Regiment (a part of the French Rapid Reaction Force) in Toulouse, France.After completing the Membership of the Royal College of Surgeons in 2002, he started his Higher Surgical Training in Neurosurgery in London, working at King’s College Hospital, Atkinson Morley’s Hospital, St. George’s Hospital, and Hurstwood Park Neurological Centre. He completed the FRCS (Neurosurgery) in 2009. At the end of his training he completed a fellowship in endoscopic pituitary surgery in Bologna under the supervision of Dr Giorgio Frank.
Following completion of the FRCS, he trained under Andrew King and Scott Rutherford in Manchester as Neurosurgical Skull Base Fellow. He was then appointed as Consultant Neurosurgeon to King’s College Hospital in 2010, with sub-specialty interests in facial pain, endoscopic pituitary/anterior skull base surgery, and lateral skull base surgery.
Oral Surgery | Dr Leigh Ann Morgan
As soon as you meet me, you will probably figure out from my accent that I am originally from South Africa. Isn’t there a saying going around, that at some point whilst living in the UK, you will either visit a South African dentist, be a South African dentist, or know a SA dentist!I qualified as a dentist just after turning 21 years old. My aim was to travel and see the world. Like many of my class mates, I headed to the UK, probably because English is my first language, the UK at the time was crying-out for dentists, and they recognised our university degree, also the UK was a great base from which to explore Europe and the world.
My first practice was in Scotland, Aberdeen which I enjoyed, I then proceeded to further my training at the Aberdeen Royal Infirmary in their Maxillo-Facial and Oral Surgery unit. I returned to general dental practice eventually moving down to Oxford and now London.
I believe that having a balance between private practice, academia and research and teaching, allows me to have a continuous wonderment of the dental profession. Although my training is primarily in oral surgery, I have always maintained a solid footing in general dental practice.
I love the variety that general dentistry allows, fillings, root canals, crowns and inlays, oral surgery, orthodontics and cosmetic and minimal invasive dentistry are all in a days work. Difficult surgical extractions, implant surgery, IV sedation all these skills make me better at routine dentistry, and routine dentistry makes me better at surgery.
Liaison Psychiatry | Dr Okon-Rocha
Dr Okon-Rocha is a consultant psychiatrist specialising in General Adult Psychiatry and has over 14 years’ experience in that field. She is a full time consultant on the NHS with the South London & Maudsley NHS Foundation Trust and works at King’s College Hospital London and Ladywell Unit, University Hospital Lewisham. Her special interests include the interface between physical and mental health and in particular Chronic Facial Pain Disorder and Chronic Fatigue Syndrome. She treats patients with wide range of disorders including Mood and Anxiety Disorders (depression, panic, obsessive compulsive disorder, bipolar disorder) and Addictions (alcohol and benzodiazepine dependence). She is a teacher and examiner of psychiatry trainees and medical students. She obtained a Postgraduate Certificate in Academic Practice (PGCAP), King’s College London, in September 2011 as a part of her teaching interests.
Clinical psychologist | Dr Sarah Barker
Dr. Sarah Barker is an experienced Consultant Clinical Psychologist, who has worked for over 19 years in the NHS and private practice. She is a registered Practitioner Psychologist with the Health Professions Council, and is an active member of the British Psychological Society, the Division of Clinical Psychology, the Faculty of Clinical Health Psychology and the British Pain Society. She holds NHS posts at Guys and St Thomas’ NHS Trust, and Kings College Hospital, working with pain patients and dental patients respectively.Within Oral Surgery, Sarah is developing cognitive behaviour therapy for facial pain patients, and is embarking on qualitative research to evaluate the impact of iatrogenic nerve injury in more depth. Her decade of clinical and managerial experience in outpatient and residential pain management has been utilised to develop a multidisciplinary day workshop for trigeminal nerve injury patients.
She has an integrative approach to psychological therapy, and has completed additional training in CBT and systemic therapy. She has undertaken Level I and II training in EMDR and finds this a useful tool in addressing the trauma that can be a factor in having a chronic condition. She has become increasingly interested in Mindfulness and Acceptance and Commitment Therapy and has published on narrative approaches, chronic pain and chronic illness.
Clinical psychology | Dr Kate le Maréchal
Dr Kate le Maréchal is Locum Consultant Clinical Psychologist with the Facial Pain Service
Dr Kate le Maréchal graduated from the University of Nottingham in 1996 with a first class honours degree (BA Hons) in Psychology. She obtained her Doctorate in Clinical Psychology (DClinPsy) in 2001 from University College London.
Clinical Psychologists aim to reduce psychological distress and enhance and promote psychological well-being and, with this in mind, since completing her clinical training, Dr le Maréchal has worked in a range of posts including Child and Adolescent Mental Health Services (CAMHS), National and Specialist CAMHS (in Autism and Related Disorders) and Adolescent Forensic Mental Health. Dr le Maréchal has also worked on major research studies including collecting complex neurodevelopmental data for the Tuberous Sclerosis 2000 project.
Since 2009, Dr le Maréchal has been the Lead Clinical Psychologist within the South Thames Cleft Service (a regional lifespan health service for individuals affected by cleft lip and/or palate). She also works with individuals with other maxillofacial conditions which impact upon their emotional wellbeing. Within the Facial Pain Service at Kings College Dental Hospital, Dr le Maréchal provides psychological assessment and therapy for individuals affected by chronic pain or long-term altered sensation and helps them to consider the links between their physical and emotional experiences and to look at strategies for moving forward. Dr le Maréchal is able to employ a wide range of therapeutic models to suit the needs of the individual client. She predominantly works in a Cognitive Behavioural Therapy (CBT) framework but also draws on other techniques including Acceptance and Commitment Therapy (ACT), Solution Focused Brief Therapy (SFBT) and Narrative Therapy.
Since 2013, Dr le Maréchal has been on the council of the Craniofacial Society of Great Britain and Ireland and currently she is Joint President of this organisation. She is registered with the Health and Care Professions Council (HCPC) and holds chartered status with the British Psychological Society (BPS).
Oral Medicine | Dr Tim Poate
Dr Tim Poate is a consultant in Oral Medicine with a special interest in facial pain KCH
Tim Poate is a consultant in Oral Medicine at King's College Hospital.
Dr Poate completed dental training at Guy’s Hospital in 1990 and medical training at St Bartholomew’s Hospital in 1996. He was appointed as a consultant in Oral Medicine at King's College Hospital in 2007.
Dr Poate has particular expertise in the management of patients with burning mouth syndrome and runs an annual patient education day for patients with this condition. He also has considerable expertise in the management of patients with chronic facial pain, trigeminal neuralgia and TMJ disorders.
Dr Poate also has expertise in the full range of Oral Medicine including oral ulceration, lichen planus, oral mucosal lesions, lumps and bumps in the mouth, disorders of the tongue, premalignant conditions, white patches, red patches, dry mouth, taste disorders, orofacial granulomatosis and oral manifestations of systemic disease and drugs.
Ear nose and throat | Ms Claire Hopkins
Claire Hopkins is a Consultant Rhinologist at Guy’s Hospital, a large tertiary referral centre in London, UK, with a clinical practice covering the breadth of rhinology including sinusitis, anterior skull base work and facial plastics. She is a Reader in ENT at King’s College London. There is a significant overlap of symptoms in sinusitis and facial pain syndromes, resulting many patients receiving a many years of ineffective treatment for sinusitis before the correct diagnosis is reached.Her research includes work developing and utilising patient rated outcomes, with particular interest in chronic rhinosinusitis and its treatment. Using PROMs to both guide preference-sensitive care and to evaluate effectiveness of interventions will enhance patient outcomes.
She was the lead clinician in the UK Sinonasal Audit, and a co-author of the European Position Statement on Rhinosinusitis and Nasal Polyps. She is the Chair of the ENT-UK Clinical Audit Group, Chair of the UK Rhinosinusitis Commissioning Guidance Group and the Treasurer for the European Rhinologic Society.
Oral Surgery Trainee | ACF Maria Devine
Maria Devine BDS (Ncl), MFDS RCSEd is an Academic Clinical Fellow in Oral Surgery currently in her third year of Specialty training at King’s College Hospital. Her current research activity involves assessment and management of trigeminal nerve injuries and associated neuropathic pain caused by dental treatment such as dental implants, endodontic treatment and removal of mandibular wisdom teeth. She obtained her dental degree from Newcastle University and has since worked in a number of hospital dentistry and maxillofacial surgery posts prior to taking up her Specialty training in Oral Surgery.
Post Doctoral researcher | Dr Zehra Yilmaz
Dr Zehra Yilmaz is a biochemist and physiologist by background. Following on from her post-graduate studies in oral pathology at Queen Mary, University of London, Zehra continued at QMUL to read for her PhD which involved novel translational research on pain within the oral mucosa (namely burning mouth syndrome – BMS, and iatrogenic trigeminal nerve injuries). She has been working at King’s College London (KCL) since 2008 as a post-doctoral researcher within the field of acute dental pain and chronic orofacial pain conditions. Her key research interests include the underlying molecular pain mechanisms, cognitive effects of pain, and quantitative sensory testing of patients with acute dental pain, iatrogenic nerve injuries and chronic orofacial pain conditions.Within the remit of this project, Zehra has helped with the setting-up and design of the project, as well as the protocol and questionnaires that will be administered to the patients. She will be carrying out the quantitative thermal sensory tests of the patients involved in the study, as well as analysing the data collected, writing papers for publication and presenting the findings at conferences. She also supervises undergraduate and post-graduate projects, and has been involved in the recruitment of patients to portfolio studies and coordinating clinical trials within KCL Dental Institute.
Health Psychology | Dr Jared Smith
Dr Smith is a New Zealander with a PhD in Psychology from Victoria University of Wellington. A health psychologist by background, Jared specialises in health services research design and statistical analysis. His research interests concern the provision of evidence-based healthcare for clinical populations in the form of successful treatments and rehabilitation methods. Specific interests include psychosocial aspects of palliative care and rehabilitation for chronic conditions.Jared's previous work has concerned research investigating cognitive and motor rehabilitation in patients with Parkinson’s disease. More recently, he worked as a Research Fellow for the Pain Services in Guy’s and St Thomas' NHS Foundation Trust, investigating the benefits of pain management approaches for patients with chronic pain with respect to surgical outcome, mental health and quality of life. Presently, he works in the Section of Mental Health at St George’s, University of London. His role focuses on supporting the development of a focussed body of research on mental health and long term conditions, and he collaborates with staff in Pain clinics at both St George’s and St Thomas’ hospitals.
Jared has recently begun working with the Oral Surgery team at King's College London Dental Institute, helping to identify the psychosocial burden of orofacial pain, particularly trigeminal nerve injury, and the best ways of providing support for people suffering from orofacial pain. He is looking to extend this work with various clinicians at Kings’ College Hospital by preparing a multi-surgical specialty bid for risk factor evaluation for development of post-surgical chronic pain.
Development or artificial Neural Networks | Dr Andrew Philippides
I am a Reader in Department Informatics at the University of Sussex. My research involves the application of computational methods to problems in the Biological and Life sciences. My role in this project is to advise on the machine learning methods which will be used to analyse patient data and to supervise the development of an artificial intelligence system for diagnostics and statistical data analysis.
Clinical Fellow | Roland Comet
Once a full-time practitioner, Roland still has a significant presence in general dental practice in Kent, He has built his experience over many years gaining a multidisciplinary interest in dental care – focusing on prevention, implants and complex restorative problems – Roland is always on-hand to give advice and support to his fellow practitioners.With a postgraduate qualification in general dental practice, Roland also invests time in tutoring, heading a study group for local practitioners at the New Pembury Hospital, and is a tutor for one of the Royal College of Surgeons dental examinations.
Roland is facilitating the development of an Orofacial pain masters programme at KCL.
Clinical Fellow | Andrew Levy
Andrew Levy Dental Practitioner BChD Leeds 2006 is a general dentist with a particular interest in chronic facial pain, TMJ disorders, headaches and sleep breathing disorders. He completed dental training at Leeds University in 2006. He is a qualified medical hypnotherapist. In 2013 he undertook a Masters in Cognitive Neuroscience and will be later on in the year starting a PhD investigating the relationship between migraine, sleep and metabolism.
He works primarily in general practice as part of a multidisciplinary specialist team. Andrew is also active in neuroscience research at Birkbeck College, looking into body perception.
Additional UK clinicians with a interest in OFP:
London North | Joanna Zakrzewska
BDS, MB BChir, MD, FDSRCS, FFDRCSI, FFPM RCA, FHEA
Facial Pain lead consultant at EDH since April 2007, Hon. Professor at UCL.
North East |
Newcastle Dr Justin Durham- see Justin's profile above
York Jette Holbrook - President BSOS British Society of Occlusal Studies (http://www.bsos.org.uk/)
Professor Alison Loescher is Lead Orofacial Pain at the Charles Clifford Dental School Sheffield
In 2003 Tilly 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.
Liverpool | The Walton Centre Multidisciplinary Facial Pain Clinic
Professor Paul Eldridge MA MB MChir (Cantab) FRCS CCST is professor of Neurosurgery at the University of Liverpool and specialises in the treatment of trigeminal neuralgia, chronic pain, epilepsy, movement disorders, tumours and neurovascular surgery. He has developed the surgical neuromodulation team for pain at The Walton Centre and has introduced image guided surgical techniques, deep brain stimulation, stereotactic surgery and stereotactic radiosurgery.He is Editor in Chief of the British Journal of Neurosurgery.
Dr R Chawla MD FRCA FCARCSI FFPMRCA Consultant in Pain Medicine & Anaesthesia, The Walton Centre. Dr Chawla has been a consultant in Pain Medicine since 2010 and is a member of several specialist multidisciplinary pain clinics with interests in Facial pain and Pelvic pain. He is Medical Lead for the The Walton Centre Pain Management Programme has been instrumental in setting up a dedicated Specialist pain management programme for both Facial and Pelvic pain.
Dr Francis O’Neill PhD, BDS, MB ChB, MSc, M Oral Surg Senior Lecturer in Oral Surgery at the University of Liverpool. Dr O’Neill is a clinical academic with clinical interests in diagnosis and management of orofacial pain and research interests in the use of central and peripheral neuromodulation in the treatment of chronic pain and novel diagnostic tests.
Referrals can be addressed to
The Walton Centre Multidisciplinary Facial Pain Clinic,
The Walton Centre NHS Foundation Trust,
L9 7LJ, UK
Tel: 0151 525 3611
Fax: 0151 529 5500
Miss Anne Begley – Consultant Oral and Maxillofacial Surgeon Primary Medical Qualifications: MB BCh Date of registration: 1993 GMC number: 3678606
Manchester Dental School | Stephen Davies
Stephen is the Lead Clinician of the Temporomandibular Clinic at the Manchester Dental School. This is a busy clinic seeing in excess of 700 new patients every year. He is co-author of the British Dental Journal's book on Temporomandibular Disorders. He is the UK representative on the European Academy of Craniomandibular Disorders, where he sits on the Education Committee.
He is a Specialist in Restorative Dentistry and his other [and separate] interest is Occlusion in Restorative Dentistry
Charles Crawford - deputy lead on the Manchester TMD clinic and is presently studying for a MSc in Pain Management.
Thanasis Kalantzis is a consultant OMF surgeon who has taken over from Richard Lloyd on the TMD clinic.
Eastern Region and Midlands | Mr Andrew Dickenson
Mr Andrew Dickenson BChD(Hons), MBBS(Hons), FDSRCPS, FRCSEd, FRCS(OMFS) is Dean of Postgraduate Dental Education at Health Education East Midlands, while still maintaining a busy clinical practice as a Consultant Oral & Maxillofacial Surgeon with Derby Hospitals NHS Foundation Trust. Andrew has a broad experience within postgraduate medical and dental education, with a particular interest in the quality assurance of educational programmes. Currently a member of the ISFE Oral Surgery Board of Examiners, he regularly examines at undergraduate and postgraduate level. As a surgeon he has developed specialist interests in dentoalveolar surgery, orofacial pain, surgical management of sleep disordered breathing and Paediatric Maxillofacial surgery.
With Dr Emma Salt, Andrew is a member of a multidisciplinary facial pain clinic and research group based at Queens Hospital, Burton-on-Trent. As well as conventional medical management of chronic facial pain, there is an active Facial Pain Education Group (FPEG) which supports patients understand their symptoms. The team are currently researching the outcome of this intervention.
Eastern Region and Midlands | Dr Emma Salt
Dr Emma Salt PhD MSc MMACP MCSP is a Consultant Physiotherapist at Queen’s Hospital, Burton NHS Foundation Trust. Emma has an interest in the management of pain affecting the function of the neck, face, jaw and arm. Emma’s PhD evaluated the effectiveness of a physiotherapy manual therapy technique on pain. Emma is a member of the Musculoskeletal Association of Chartered Physiotherapists. She mentors and examines post graduate MSc students from Nottingham, Birmingham and Coventry Universities. She is actively involved in research on pain and presents her findings at conferences nationally and internationally.
Tom Smith - Anaesthetist Pain Management Consultant Melbourne
Don Nixdorf - Associate Professor Minnesota Dental Medical School
Tony Pogrel - Professor UCSF Oral and Maxillofacial Surgery
Rick Borquez - AAOP pain specialist Los Angeles
Zaid Noujeim - Editor in Chief JLDA - Journal of the Lebanese Dental Association, Beirut, Lebanon.
Antoon De Laat - Stomatology and Maxillofacial Surgery KU Leuven - Department of Oral Health Sciences and Dentistry - University Hospitals Leuven
Rob Delcanho - School of Medicine and Dentistry, University of Western Australia
Eamonn Murphy - Cork, Ireland
Dermot Canavan - Dublin Ireland http://drdermotcanavan.ie/
Dr Nischal Singh - Melbourne, Australia