Pain is not a simple sensation but rather a complex neurobehavioral event involving at least two components. Since the pain still feels like a toothache, the cause can be difficult to identify and puzzling for the dentist and patient. Differential diagnosis of toothache from other orofacial. A toothache refers to pain around the teeth or jaws primarily as a result of a dental condition. Pdf nonodontogenic toothache revisited researchgate. Toothache, also known as dental pain, is pain in the teeth or their supporting structures, caused. Villalon also provides care for pain specific to the head and face, including pain associated with the temporomandibular disorders tmds face neuralgias, muscle pain and headaches, osa, face neuralgias, headaches, head and neck muscle pain, burning tongue and mouth syndrome and toothache of nondental origin.
Clinical examination moves from the outside to the inside, and from the general to the specific. Hargitai, dc, usn, lieutenant commander frederick j. Even if the origin of the pain is a location other than the teeth, dental pain can occur, and the patient will complain of a toothache. Much less commonly, nondental conditions can cause toothache, such as maxillary sinusitis, which can cause pain in the upper back teeth, or angina pectoris, which can cause pain in the lower teeth. A toothache is pain felt in or around a tooth caused by. Although pain of dental origin is the most common orofacial pain, other nonodontogenic pains can af. The proper management of an atypical toothache or tooth pain begins with the knowledge of the full range of conditions that can manifest as this type of. Choosing a backup generator plus 3 legal house connection options transfer switch and more duration. The following medical conditions are some of the possible causes of toothache.
Toothache is pain in the teeth and or their supporting structures, caused by dental diseases or pain referred to the teeth by some nondental diseases toothache overview. Although pain of dental origin is the most common orofacial pain. Diagnostic challenges of nonodontogenic toothache koreamed. The headache of temporomandibular disorders british. A toothache is sometimes referred to as dentalgia, odontalgia or odotongenic pain. In a toothache of neurovascular origin, pain is reported in the teeth in conjunction with a migraine. Its also a loud indicator of a serious problem that requires immediate attention from a dentist. A toothache is a pain or discomfort affecting either a single tooth or, in some cases, a group of teeth.
Toothache is pain in a tooth or teeth andor supporting structures, caused by dental disease or nondental disease which is perceived as toothache. Odontogenic toothache is generally correlated to the patients subjective symptoms and diagnosed by clinical examination such as temperature test, electrical test, mechanical test. Following is an explanation of the possible causes of toothache. Nonodontogenic toothaches are frequently encountered in clinical practice and its diagnosis can be challenging to the dental clinician.
Gallia on how do i know the difference between ear ache and toothache at the back of my jaw. Toothache is pain in the teeth and or their supporting structures, caused by dental diseases or pain referred to the teeth by nondental diseases toothache signs and symptoms. It is important to note there are both dental and nondental causes of toothache. Ppt differential diagnosis of the pain in orofacial system. Nondental causes of toothache are much less common as compared with dental causes. The patient who presents with a toothache or tooth pain that has no. Nondental tooth pain treatment bliss oral wellness.
Several dental and some non dental health conditions may cause toothache symptoms. Toothaches of nondental origin this brochure is produced by the american academy of orofacial pain the american academy of orofacial pain is an. The agonising toothache thats got nothing to do with your teeth, but alison only found that out after months of gruelling but needless root canal treatment. Some types of toothache pain occur if you are using dental care products like peroxidebased whitening agents. See detailed information below for a list of 35 causes of toothache, symptom checker, including diseases and drug side effect causes. Mda protocol for assessment and treatment of oral facial pain. Differential diagnosis of toothache from other orofacial pains in clinical practice. Toothaches are never a pleasant experience, but as any other pain they actually are beneficial for our health by providing an indication that there is a problem in our body. Pain persists for months to years, no remission periods. Toothaches of nondental origin the pain from a toothache of nondental origin can present in many different ways.
Two cases are presented in which one is related to the upper left second premolar and the other is related to the upper left first molar. A toothache is a problem that most of us will experience at some point. Nonodontogenic toothache revisited semantic scholar. Toothache of nondental origin is not true dental pathology. Pain is perfect misery, the worst of evils and excessive, overturns all patience john milton, paradise lost 2. Common causes include pulpitis, which is inflammation of the pulp, tooth decay, dental trauma or other factors, dentin hypersensitivity which is short, sharp pain usually associated with exposed root surfaces, apical. Tmd patient information brochure tmd additional information. The best way to treat a toothache is to identify its cause. You cant see it, it doesnt go away on its own and you cant massage it like a muscle knot. Recommendationdental pain relief binaural beats and. Pdf nonodontogenic tooth pain of nose and sinus origin. Pain that occurs at a site separate from its origin is called referred pain.
Initiating tooth centered treatment that does not address the source of the patients pain can be frustrating for both the clinician and the patient, and even have legal ramifications. Click for larger image download as powerpoint slide. However, always remember that the only person qualified for examining your symptoms and making a successful diagnosis is your dentist. A tooth infection may cause ear ache and stiff neck. Patients may download one copy of these brochures but under no circumstances may these brochures be reproduced for commercial purposes. However, patients often also complain of dental pain that has a nondental origin. You will need a visit to the dentist so it can be determined with xrays and clinical exam where the pain is coming from and the best treatment possible. Start with your dentist and if he does not find a problem visit an ent. Xrays were taken, but there were no tooth fractures or other abnormalities fig. When a toothache isnt a toothache being a real doctor posted on august 27, 2012 by the dental warrior my friend and fellow dental blogger, dr. Slightly off topic when you ask about sinusitis causing mild periapical periodontitis, we are straying into the topic of maxillary sinusitis of odontogenic origin aka odontogenic sinusitis.
As dentists, we deliberate much over the differential diagnosis of pulpal pain, but beyond this, i question how confident a dentist would feel assessing pain of nondental origin. There are many possible nondental causes, but the vast majority of toothache is dental in origin. Ppt differential diagnosis of the pain in orofacial. Assessment of oral health and cost of care for a group of. Alan mead just posted a great article, dont just do something, sit there. Focuses on inflight toothache, barodontalgia, its current. Thus, toothaches of nondental origin encompasses a group of conditions in which pain is due to problems in structures other than a tooth. Pdf although pain of dental origin is the most common orofacial pain, other nonodontogenic pains can.
The type and characteristics of tooth pain symptoms can help identify the cause of toothache. Nonodontogenic tooth pain of nose and sinus origin. Results in the absence of a resident dentist, rural and remote residents did present to nondental primary care providers with oral health problems such as toothache, abscess, oralgum infection. Webb, dc, usn introduction patients with dental pain can often localize the area of their pain, the socalled pain site. In most instances, toothaches are caused by tooth problems, such as a dental cavity, a cracked tooth, an exposed tooth. Jdapm journal of dental anesthesia and pain medicine.
When a toothache isnt a toothache being a real doctor. Jaw muscles can refer pain to the teeth, and this can be perceived as. There is a research gap concerning the evaluation of the oral healthcare of refugees. Toothache refers to pain in and around the teeth and jaws thats usually caused by tooth decay. However, the cause of the dental pain is hidden, confounding diagnosis by a dentist. Because the tooth pain can be due to various reasons including nondental conditions, a proper diagnosis is needed before undergoing treatment.
Patient information american academy of orofacial pain. Eating or drinking can make the pain worse, particularly if the food or drink is hot or cold. The agonising toothache thats got nothing to do with your. Diagnosis and management of nondental toothache dentistry today. Non odontogenic pain pdf four 44 per cent of 100 nondental orofacial pain patients had previously. Tmds are considered to be the most common conditions causing orofacial pain of nondental origin, and the dentist is the professional responsible for the clinical examination of tmj and for requesting imaging exams of this anatomical region.
Diagnosis and treatment of abnormal dental pain jdapm. Travell jg, simons dg, simons ls, myofascial pain and dysfunction the trigger point manual,1999, williams. The myofascial toothache is described as nonpulsatile and aching pain and occurs more continuously than pulpal pain. A tmd can manifest symptoms such as ear pain, headache, nonspecific nerve pain, and toothache. The best time to reverse a toothache is early before the blood supply and the oxygen supply is shut off. The adobe flash plugin is needed to view this content. However, some toothaches may give arise from nondental origin, and it can be challenge to the. The objective of this article was to present two nonodontogenic conditions that may mimic odontogenic toothache. The clinical examination narrows the source down to a specific tooth, teeth, or a nondental cause.
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