Received Jan 18; Accepted May This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This article has been cited by other articles in PMC. Abstract Patients with atypical odontalgia AO complain of medically unexplained toothache.
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What is Atypical Odontalgia? Atypical odontalgia is characterized by chronic pain in the tooth or tooth socket, after extraction, without any identifiable cause on clinical or radiological examination. A normal toothache gets aggravated with exposure to hot or cold food or drinks. Also chewing and biting bring in pain on the affected tooth in a typical toothache. Advertisement In atypical odontalgia, the pain is a constant throbbing or aching type.
The toothache in atypical odontalgia is persistent and unremitting and is not affected by exposure to cold or hot food and drinks like a typical toothache. The intensity of pain in atypical odontalgia can be mild to very severe. The pain in atypical odontalgia remains even after performing the treatment procedure, such as filling, root canal or even extraction, which frustrates the patient and as well as the dentist.
What Causes Atypical Odontalgia? Advertisement The cause of atypical odontalgia is not known, but it is often associated with a history of a dental procedure, such as root canal or tooth extraction. Some clinicians refer to it as idiopathic. Other factors which can lead to atypical odontalgia are: Hereditary.
Genetic predisposition. Atypical odontalgia is see more in middle-aged than older age group. Atypical odontalgia is found more commonly in women than men.
Other Conditions. Depression and anxiety are also found associated with atypical odontalgia. Advertisement The persisting pain of atypical odontalgia can be due to the molecular and biochemical changes in the pain signals processed by the brain. What is the Treatment of Atypical Odontalgia?
Though not seen occurring in many, still atypical odontalgia is not a rare problem. A proper diagnosis and appropriate treatment can be done by a dentist with advanced training and familiarity with Atypical Odontalgia. A specialist in oral medicine or oro-facial pain can be the best person to go for the treatment of Atypical Odontalgia. Most of the dental treatments prove ineffective in curing the pain in Atypical Odontalgia, but can temporarily lessen the severity of the pain.
This makes it important to recognize Atypical Odontalgia before going ahead with any treatment. Atypical odontalgia is a chronic pain and is treated by using different medications including. Other medications include chronic pain medicines, such as gabapentin, baclofen, and duloxetine to treat Atypical Odontalgia. The treatment is successful in reducing the pain, but is unable to cure Atypical Odontalgia completely.
As the exact cause of atypical odontalgia is not known, it is difficult to predict for how long the condition stays. In some individual the pain of Atypical Odontalgia goes away spontaneously; whereas, in some it disappears after prolonged treatment.
While in few, Atypical Odontalgia requires continuous medications to subside the pain. Was this article helpful?
The typical clinical presentation of AO involves pain in a tooth in the absence of any sign of pathology; the pain may spread to areas of the face, neck, and shoulder. Often there in increased sensitivity to pressure over the painful region. Patients often have difficulty localising the pain. All ages can be affected except for children. Diagnosis is based primarily on symptoms and on elimination of other possible disorders. If a nerve block does not result in pain reduction or if the results are ambiguous then a diagnosis of AO should be considered.
Atypical Odontalgia: Current Knowledge and Implications for Diagnosis and Management
These include increased temperature and tenderness of the mucosa in the affected area, which is otherwise normal in every regard. The pains location does not correlate to the anatomic distribution of trigeminal nerve , and may be located unilaterally more usually or bilaterally. Sometimes the pain may be seem to be located in a tooth that has been previously extracted, or associated with a previous surgical procedure. Over time the pain may migrate, spontaneously or as a response to interventions, to other sites, or slowly expand. Where the teeth are involved, usually a whole quadrant is affected. Onset Usually present continuously for months or years, with intermittent periods of increased pain, and an overall gradual increase in pain over time. Sometimes the onset may be mistakenly attributed by the individual to a dental procedure in the past.
Atypical facial pain
Posted by admin Atypical Odontalgia is a chronic facial pain related to tooth pain that can cause intense grievance and discomfort in its inhabitants. Most toothaches will resolve themselves after a few days, but atypical odontalgia will not resolve itself on its own and needs the help of a professional. Q: What will cause atypical odontalgia? A: It is often associated with patients who have a history of root canal, teeth extraction, or other invasive dental procedures, such as getting teeth removed for dentures. The known cause of this condition, however, is actually unknown. It is likely a result of many uncontrollable factors such as genetics, age, and gender, and is most often found with middle-aged and older age groups of adults.
FAQ: Atypical Odontalgia
The prevalence of chronic and persistent pain in the head and neck region is higher than in other parts of the body,1 therefore, many dentists encounter these conditions during their practice. However, case complexity may lead to improper diagnosis resulting in inadequate or indeed unnecessary dental treatment. To prevent this undesirable situation, a better understanding of the aetiology, diagnosis and management of these chronic pain conditions is desirable for a general dentist. In some cases a proper diagnosis and referral to a specialist may benefit both the patient and the dentist, as well as build up a better relationship between them. One of these complex pain conditions that is not always dealt with properly by dentists is atypical odontalgia AO. The term AO has been applied to a continuous pain in the teeth or in the vicinity of the tooth socket after extraction or root canal therapy RCT in the absence of any identifiable dental cause.
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