Atypical Odontalgia

Main Article Content

Pattriyaporn Boonyawong

Abstract

Atypical odontalgia is one type of dental pain, in which no pathological change in a tooth or the periodontium can be detected. The definitive diagnosis for atypical odontalgia can be done, when no pathological conditions of head and neck have been found. The characteristic of atypical odontalgia is the constant pain in a tooth. That pain on a tooth cannot be aggravated by the external stimuli, including cold, hot, chewing or biting. All conventional dental treatments for dental pain fail to relief that pain. The exact pathophysiology of atypical odontalgia is still unclear, however several previous studies proposed that atypical odontalgia is one of the neuropathic pain. To support this proposed hypothesis, it has been shown that the most effective therapy of atypical odontalgia is the use of the tricyclic antidepressant drugs.

Article Details

How to Cite
Boonyawong, P. . (2017). Atypical Odontalgia. Chiang Mai Dental Journal, 38(2), 13–26. Retrieved from https://he01.tci-thaijo.org/index.php/cmdj/article/view/210631
Section
Review article

References

Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013 Jul; 33(9): 629-808.

de Leeuw R, editor., Klasser GD, editor. Orofacial pain: guidelines for assessment, diagnosis, and management / Reny de Leeuw, Gary D. Klasser, editors. 5th ed. Chicago: Quintessence Publishing Co, Inc, [2013]; 2013.

Headache Classification Subcommittee of the International Headache Society (IHS). The International Classification of Headache Disorders: 2nd edition. Cephalalgia 2004; 24 Suppl 1: 9-160.

Frazier CH, Russell EC. Neuralgia of the face. Ananalysis of 754 cases with relation to pain and other sensory phenomena before and after operation. Arch Neurol Psychiatry 1924; 11: 557-563.

McElin TW, Horton BT. Atypical face pain; a statistical consideration of 66 cases. Ann Intern Med 1947 Nov; 27(5): 749-768.

Marbach JJ, Hulbrock J, Hohn C, Segal AG. Incidence of phantom tooth pain: an atypical facial neuralgia. Oral Surg Oral Med Oral Pathol 1982 Feb; 53(2): 190-193.

Graff-Radford SB, Solberg WK. Atypical odontalgia. J Craniomandib Disord 1992 Fall; 6(4): 260-265.

Nixdorf D, Moana-Filho E. Persistent dento-alveolar pain disorder (PDAP): Working towards a better understanding. Rev Pain 2011 Dec; 5(4): 18-27.

Campbell RL, Parks KW, Dodds RN. Chronic facial pain associated with endodontic therapy. Oral Surg Oral Med Oral Pathol 1990 Mar; 69(3): 287-290.

Brooke RI. Atypical odontalgia. A report of twenty-two cases. Oral Surg Oral Med Oral Pathol 1980 Mar; 49(3): 196-199.

Bates RE, Jr., Stewart CM. Atypical odontalgia: phantom tooth pain. Oral Surg Oral Med Oral Pathol 1991 Oct; 72(4): 479-483.

Schnurr RF, Brooke RI. Atypical odontalgia. Update and comment on long-term follow-up. Oral Surg Oral Med Oral Pathol 1992 Apr; 73(4): 445-448.

Vickers ER, Cousins MJ, Walker S, Chisholm K. Analysis of 50 patients with atypical odontalgia. A preliminary report on pharmacological procedures for diagnosis and treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998 Jan; 85(1): 24-32.

Battrum DE, Gutmann JL. Phantom tooth pain: a diagnosis of exclusion. Int Endod J 1996 May; 29(3): 190-194.

Marbach JJ. Phantom tooth pain. J Endod 1978 Dec; 4(12): 362-372.

Kreisberg MK. Atypical odontalgia: differential diagnosis and treatment. J Am Dent Assoc 1982 Jun; 104(6): 852-854.

Klausner JJ. Epidemiology of chronic facial pain: diagnostic usefulness in patient care. J Am Dent Assoc 1994 Dec; 125(12): 1604-1611.

List T, Leijon G, Helkimo M, Oster A, Dworkin SF, Svensson P. Clinical findings and psychosocial factors in patients with atypical odontalgia: a case-control study. J Orofac Pain 2007 Spring; 21(2): 89-98.

Woda A, Pionchon P. A unified concept of idiopathic orofacial pain: pathophysiologic features. J Orofac Pain 2000 Summer; 14(3): 196-212.

Marbach JJ. Is phantom tooth pain a deafferentation (neuropathic) syndrome? Part I: Evidence derived from pathophysiology and treatment. Oral Surg Oral Med Oral Pathol 1993 Jan; 75(1): 95-105.

Pertes RA, Bailey DR, Milone AS. Atypical odontalgia--a nondental toothache. J N J Dent Assoc 1995 Winter; 66(1): 29-31, 33.

Marbach JJ, Raphael KG. Phantom tooth pain: a new look at an old dilemma. Pain Med 2000; 1(1526-2375 (Print)): 68-77.

Okeson JP, Bell WE. Bell’s Orofacial Pains: The Clinical Management of Orofacial Pain. 6th ed. Chicago Quintessence Pub Co.; 2005.

Sotorra-Figuerola D, Sanchez-Torres A, Valmaseda-Castellon E, Gay-Escoda C. Continuous neurophatic orofacial pain: A retrospective study of 23 cases. J Clin Exp Dent Apr; 8(2): e153-159.

Baad-Hansen L, Pigg M, Ivanovic SE, Faris H, List T, Drangsholt M, et al. Intraoral somatosensory abnormalities in patients with atypical odontalgia--a controlled multicenter quantitative sensory testing study. Pain 2013 Aug; 154(8): 1287-1294.

Melis M, Secci S. Diagnosis and treatment of atypical odontalgia: a review of the literature and two case reports. J Contemp Dent Pract 2007; Mar 1; 8(3)(1526-3711 (Electronic)): 81-9.

Matwychuk MJ. Diagnostic challenges of neuropathic tooth pain. J Can Dent Assoc 2004 Sep; 70(8): 542-546.

Baron R. Mechanisms of disease: neuropathic pain--a clinical perspective. Nat Clin Pract Neurol 2006 Feb; 2(2): 95-106.

Fields HL, Rowbotham M, Baron R. Postherpetic neuralgia: irritable nociceptors and deafferentation. Neurobiol Dis 1998 Oct; 5(4): 209-227.

Kost RG, Straus SE. Postherpetic neuralgia--pathogenesis, treatment, and prevention. N Engl J Med 1996 Jul 4; 335(1): 32-42.

Gronseth G, Cruccu G, Alksne J, Argoff C, Brainin M, Burchiel K, et al. Practice parameter: the diagnostic evaluation and treatment of trigeminal neuralgia (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the European Federation of Neurological Societies. Neurology 2008 Oct 7; 71(15): 1183-1190.

International Association for the Study of Pain (IASP). Painful Post-Traumatic Trigeminal Neuropathy (PPTTN). Fact Sheets: orofacial pain update september 2016 [serial on the Internet]. 2016.

Benoliel R, Kahn J, Eliav E. Peripheral painful traumatic trigeminal neuropathies. Oral Dis 2012 May; 18(4): 317-332.

Penarrocha MA, Penarrocha D, Bagan JV, Penarrocha M. Post-traumatic trigeminal neuropathy. A study of 63 cases. Med Oral Patol Oral Cir Bucal 2012 Mar 01; 17(2): e297-300.

Baad-Hansen L. Atypical odontalgia - pathophysiology and clinical management. J Oral Rehabil 2008 Jan; 35(1): 1-11.

Engel GL. Primary atypical facial neuralgia; an hysterical conversion symptom. Psychosom Med 1951 Nov-Dec; 13(6): 375-396.

Marbach JJ. Is phantom tooth pain a deafferentation (neuropathic) syndrome? Part II: Psychosocial considerations. Oral Surg Oral Med Oral Pathol 1993 Feb; 75(2): 225-232.

Graff-Radford SB, Solberg WK. Is atypical odontalgia a psychological problem? Oral Surg Oral Med Oral Pathol 1993 May; 75(5): 579-582.

Baad-Hansen L, Leijon G, Svensson P, List T. Comparison of clinical findings and psychosocial factors in patients with atypical odontalgia and temporomandibular disorders. J Orofac Pain 2008 Winter; 22(1): 7-14.

Lesse S. Atypical facial pain syndromes of psychogenic origin; complications of their misdiagnosis. J Nerv Ment Dis 1956 Oct; 124(4): 346-351.

Brooke RI, Merskey H. Is atypical odontalgia a psychological problem? Oral Surg Oral Med Oral Pathol 1994 Jan; 77(1): 2-3.

Rees RT, Harris M. Atypical odontalgia. Br J Oral Surg 1979 Mar; 16(3): 212-218.

May A, Goadsby PJ. The trigeminovascular system in humans: pathophysiologic implications for primary headache syndromes of the neural influences on the cerebral circulation. J Cereb Blood Flow Metab. 1999 Feb; 19(2): 115-127.

Burstein R. Deconstructing migraine headache into peripheral and central sensitization. Pain 2001 Jan; 89(2-3):107-110.

Holland GR. Periapical neural changes after pulpectomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995 Dec; 80(6): 726-734.

Melis M, Zawawi K, al-Badawi E, Lobo Lobo S, Mehta N. Complex regional pain syndrome in the head and neck: a review of the literature. J Orofac Pain 2002 Spring; 16(2): 93-104.

Gregg JM. Studies of traumatic neuralgias in the maxillofacial region: surgical pathology and neural mechanisms. J Oral Maxillofac Surg 1990 Mar; 48(3): 228-237; discussion 38-39.

Gregg JM. Studies of traumatic neuralgia in the maxillofacial region: symptom complexes and response to microsurgery. J Oral Maxillofac Surg 1990 Feb; 48(2): 135-140; discussion 41.

Koratkar H, Pedersen J. Atypical odontalgia: a review. Northwest Dent 2008 Jan-Feb; 87(1): 37-38, 62.

Marbach JJ. Orofacial phantom pain: theory and phenomenology. J Am Dent Assoc 1996 Feb; 127(2): 221-229.

Luo S, Perry GM, Levinson SR, Henry MA. Nav1.7 expression is increased in painful human dental pulp. Mol Pain 2008 Apr 21; 4: 16.

Baad-Hansen L, List T, Jensen TS, Leijon G, Svensson P. Blink reflexes in patients with atypical odontalgia. J Orofac Pain 2005 Summer; 19(3): 239-247.

Baad-Hansen L, List T, Kaube H, Jensen TS, Svensson P. Blink reflexes in patients with atypical odontalgia and matched healthy controls. Exp Brain Res 2006 Jul; 172(4): 498-506.

Hagelberg N, Forssell H, Aalto S, Rinne JO, Scheinin H, Taiminen T, et al. Altered dopamine D2 receptor binding in atypical facial pain. Pain 2003 Nov; 106(1-2): 43-48.

Porporatti AL, Costa YM, Stuginski-Barbosa J, Bonjardim LR, Conti PC, Svensson P. Quantitative methods for somatosensory evaluation in atypical odontalgia. Braz Oral Res 2015; 29.

Baad-Hansen L, Juhl GI, Jensen TS, Brandsborg B, Svensson P. Differential effect of intravenous S-ketamine and fentanyl on atypical odontalgia and capsaicin-evoked pain. Pain 2007 May; 129(1-2): 46-54.

List T, Leijon G, Helkimo M, Oster A, Svensson P. Effect of local anesthesia on atypical odontalgia--a randomized controlled trial. Pain 2006 Jun; 122(3): 306-314.

Yunus MB. Central sensitivity syndromes: a unified concept for fibromyalgia and other similar maladies. J Indian Rheumatism Assoc 2000; 8: 27-33.

Yunus MB. Fibromyalgia and overlapping disorders: the unifying concept of central sensitivity syndromes. Semin Arthritis Rheum 2007 Jun; 36(6): 339-356.

Yunus MB. Central sensitivity syndromes: a new paradigm and group nosology for fibromyalgia and overlapping conditions, and the related issue of disease versus illness. Semin Arthritis Rheum 2008 Jun; 37(6): 339-352.

Lilly JP, Law AS. Atypical odontalgia misdiagnosed as odontogenic pain: a case report and discussion of treatment. J Endod 1997 May; 23(5): 337-339.

Padilla M, Clark GT, Merrill RL. Topical medications for orofacial neuropathic pain: a review. J Am Dent Assoc 2000 Feb; 131(2): 184-195.

Melis M, Lobo SL, Ceneviz C, Zawawi K, Al-Badawi E, Maloney G, et al. Atypical odontalgia: a review of the literature. Headache 2003 Nov-Dec; 43(10): 1060-1074.

Koratkar H, Koratkar S. Atypical odontalgia: a case report. Gen Dent 2008 May-Jun; 56(4): 353-355.

Yildiz A, Gonul AS, Tamam L. Mechanism of action of antidepressants: beyond the receptors. Bulletin of Clinical Psychopharmacology 2002; 12(4): 194-200.

Dworkin RH, Backonja M, Rowbotham MC, Allen RR, Argoff CR, Bennett GJ, et al. Advances in neuropathic pain: diagnosis, mechanisms, and treatment recommendations. Arch Neurol 2003 Nov; 60(11): 1524-1534.

McQuay HJ, Tramer M, Nye BA, Carroll D, Wiffen PJ, Moore RA. A systematic review of antidepressants in neuropathic pain. Pain 1996 Dec; 68(2-3): 217-227.

Sardella A, Demarosi F, Barbieri C, Lodi G. An up-to-date view on persistent idiopathic facial pain. Minerva Stomatol 2009 Jun; 58(6): 289-299.