Atypical Odontalgia (AO) is a persistent pain condition located in the teeth and jaws. It has been described as a persistent neuropathic pain that. A new patient visits a dentist with a six-month history of pain in the left mandibular posterior teeth that previous treatments by other dentists have failed to resolve. Abstract. Objective. Atypical odontalgia (AO), a subform of persistent idiopathic facial pain, is defined as a continuous toothache in which a.

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Subjects with avoidant personality disorders had a higher score on the resentment and suspicion measures of the BDHI, on the depression and hostility measures of the SCL R, and on the depression and anxiety odontalgoa of the IDAS Table 9 than subjects without this personality disorder.

High levels of depression and resentment can be considered predictive psychophysical wtypical for the development of AO after dental extraction. Carbamazepine and baclofen treatment relieved the pain effectively, but were stopped because of side effects.

The location of the pain also varied between individuals.

Biopsychosocial Aspects of Atypical Odontalgia

Chronic facial pain associated with endodontic therapy. It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide. Moreover, a similar pattern of response in the overall patients supports a taypical effect of BoNTA on the sensory system and pain.

However, PTN does not have identifying characteristics, and thus it is difficult to provide appropriate treatments for this phase of TN. Classification of chronic pain, descriptions of chronic pain syndromes and definitions of pain terms.

The small size of facial pain groups required the use of nonparametric analysis in athpical comparison of all investigated dimensions among groups. A year-old housewife who was living with her husband was referred odonntalgia our clinic after complaining of a feeling of heaviness pain on the right side maxillary and mandibular molar teeth, face, whole palate, and throat. Conclusions AO shows various features and responses to drugs.

The definition of AO is being refined and it remains ambiguous [ 6 ]. Subjects were included in the study if they reported pain in the mandibular region. Email alerts New issue alert. J Can Dent Assoc ; In Octoberhis visual analog scale score for spontaneous pain was 32 mm and that for occasional shooting pain was 70 mm.


Three years before kdontalgia initial visit, she had a cold and received antibiotic treatment for her throat at an otorhinolaryngology oodntalgia. Merskey H, Bogduk N. This technique is a semiquantitative method used to quantify sensory nerve dysfunctions in patients with neuropathic pain [ 19 — 21 ].

In a linear odontalgiq model analysis, depression, as measured on the IDAS, was also determined to be a predictor of low threshold C fibers in all pain subjects ; and in the AO group.

The IDAS is a validated instrument capable of distinguishing between depressive and anxiety disorders [ 27 ]. Both the clinical effect and safety were assessed after each intervention. The purpose of this study is to explore the presence of specific abnormalities in facial pain patients that can be considered as psychophysical factors predisposing to AO.

The Multidimensional Pain Inventory MPI [ 42 ] is a comprehensive instrument used to assess a number of dimensions of the chronic pain experience, including pain intensity, emotional distress, cognitive and functional adaptation, and social support. Atypical odontalgia AO is a disease characterized by continuous pain affecting the teeth or tooth sockets after extraction in the absence of any identifiable cause on clinical or radiographic examination.

In addition, dental treatment might be a quite stressful event, so it could be a trigger for AO [ 12 ]. No differences were found in most of the psychopathology measures investigated with the SCL R. Discussion As summarized above, it seems that AO has various features. Published online Aug 3. The presence of the variation of threshold only in AO and not in other forms of chronic pain suggests that it could be more than one predisposing factor for the chronicity, resentment and could be a predisposing factor for the onset of AO.

The effect of BoNTA should also be explored in other forms of facial pain.

Low-dose Aripiprazole augmentation in Amitriptyline-resistant burning mouth syndrome: The tragus was selected as the landmark of the mandibular branch of the trigeminal nerve. There were no abnormal findings around the left mandibular first molar.

Interestingly, BoNTA injections have shown to reduce not only pain intensity and pain frequency, but also the surface of the painful area in patients with TN [ 21 ].


Classical TN occurs in one or more divisions of the trigeminal nerve, with no radiation beyond the trigeminal distribution and has the following characteristics: Clinical facial pain patients were diagnosed with criteria from the International Headache Society [ 3 ] Tables 1 and 2.

The association of current perception threshold CPT and psychopathological dimensions with axis I and axis II psychiatric disorder. As for the treatment of AO, the effectiveness of antidepressants such as amitriptyline has been reported [ 913141617 ]. Pain catastrophizing is associated with dental pain in a stressful context. IDAS scale investigates depression not only with symptoms of negative mood but also using the absence of positive mood.

Contributor Information Miho Takenoshita, Email: Atypical odontalgia AO is a subgroup of persistent idiopathic facial pain.

Pre-Trigeminal Neuralgia Similar to Atypical Odontalgia: A Case Report

The onset of symptoms was often after dental treatment but it did not always affect diseased teeth. She told us that she had strong anxiety for a pain appearance. Consequently, several open studies and two randomized controlled trials have demonstrated that BoNTA can significantly relieve the pain odontaliga patients with TN [ 18—20 ]. Therapeutic efficacy and safety of botulinum toxin type A in trigeminal neuralgia: Five years after the first visit, we received a letter from her saying that she had had a baby, which had been her long-held wish.

AO shows various features and responses to drugs. The diagnosis of her condition was unclear.

Data sharing not applicable to this article as no datasets were generated or analysed during the current study. She attended another dental clinic, where she underwent pulpectomy of her left mandibular first molar and insertion of a new bridge; oontalgia, there were no changes in her symptoms.

Diagnosis and clinical management. A few studies have found somatosensory abnormalities in AO patients [ 6 — 8 ]. The patient odonralgia started on Rikkosan TJ 7.

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