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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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.
It is thought to be neurological, meaning the areas of the brain that process pain have changed so that patients now have a constant source of pain. Q: How is it treated? A: It is treated using a number of different medications. Tricyclic antidepressants are the most commonly used medication. Treatment is focused at reducing the pain, but in many cases cannot eliminate it completely.
A: Atypical odontalgia differs from general toothaches by this very thing — an identifiable cause. This constant throbbing or aching of the tooth can only be identified by the pain a patient feels.
Q: What should my next steps be if I believe I have atypical odontalgia? A: Many dentists do not know about atypical odontalgia because it is an uncommon condition. If you believe you have atypical odontalgia, it is best to find a dentist with advanced training and one who has successfully treated cases of atypical odontalgia before.
This dentist will be able to determine whether or not you are suffering from atypical odontalgia. Additionally, he or she will be able to treat you if it is revealed that you do suffer from the condition. This can help you to identify someone with extensive experience identifying and treating atypical odontalgia. Make an Appointment.
Atypical Odontalgia: Current Knowledge and Implications for Diagnosis and Management
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.
Atypical facial pain
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.
Current Evidence on Atypical Odontalgia: Diagnosis and Clinical Management
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.