PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 11858065

Nonodontogenic toothache.

J P Okeson
View original source ↗Export metadata ↓

Abstract

Toothache is a common complaint in the dental office. Most toothaches have their origin in the pulpal tissues or periodontal structures. These odontogenic pains are managed well and predictably by dental therapies. Nonodontogenic toothaches are often difficult to identify and can challenge the diagnostic ability of the clinician. The most important step towards proper management of toothache is to be suspicious that the pain may not be of dental origin. The cardinal warning symptoms of nonodontogenic toothache are as follows (28): a. spontaneous multiple toothaches; b. inadequate local dental cause for the pain; c. stimulating, burning, nonpulsatile toothaches; d. constant, unremitting, nonvariable toothaches; e. persistent, recurrent toothaches; f. local anesthetic blocking of the offending tooth does not eliminate the pain; and g. failure of the toothache to respond to reasonable dental therapy.

Explore related subjects

Facial PainHeart DiseasesHumansMaxillary SinusMigraine DisordersNeuralgiaNose DiseasesParanasal Sinus DiseasesPeriodontitisPulpitisSomatoform DisordersTemporomandibular Joint Dysfunction SyndromeToothacheJournal ArticleReview

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

J P Okeson. 2000. Nonodontogenic toothache.. https://pubmed.ncbi.nlm.nih.gov/11858065/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

Temporomandibular disorders and other causes of facial pain.

Temporomandibular disorders and facial pain cause significant discomfort and disability for affected patients. Understanding the clinical presentation, pathogenesis, and therapy is essential in helping patients who have these problems. This article critically reviews these aspects, with an emphasis on their relationship to headache.

Facial Pain↗
PubMed2007

Temporomandibular disorders and headache.

Headache is a common symptom, but when severe, it may be extremely disabling. It is assumed that patients who present to dentists with headache often are diagnosed with a temporomandibular disorder (TMD), although many may have migraine. TMD as a collective term may include several clinical entities, including myogenous and arthrogenous components. Because headache and TMD are so common they may be integrated or separate entities. Nevertheless, the temporomandibular joint (TMJ) and associated orofacial structures should be considered as triggering or perpetuating factors for migraine. This article discusses the relationship between the TMJ, muscles, or other orofacial structures and headache.

Facial Pain↗
PubMed2007

Neuropathic orofacial pain: proposed mechanisms, diagnosis, and treatment considerations.

The most common reason patients seek medical or dental care in the United States is due to pain or dysfunction. The orofacial region is plagued by a number of acute, chronic, and recurrent painful maladies. Pain involving the teeth and the periodontium is the most common presenting concern in dental practice. Non-odontogenic pain conditions also occur frequently. Recent scientific investigation has provided and explosion of knowledge regarding pain mechanisms and pathways and an enhanced understanding of the complexities of the many ramifications of the total pain experience. Therefore, it is mandatory for the dental professional to develop the necessary clinical and scientific expertise on which he/she may base diagnostic and management approaches. Optimum management can be achieved only by determining an accurate and complete diagnosis and identifying all of the factors associated with the underlying pathosis on a case-specific basis. A thorough understanding of the epidemiologic and etiologic aspects of dental. musculoskeletal, neurovascular, and neuropathic orofacial pain conditions is essential to the practice of evidence-based dentistry/medicine.

Facial Pain↗