The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 8 , ISSUE 3 ( March, 2007 ) > List of Articles

RESEARCH ARTICLE

Diagnosis and Treatment of Atypical Odontalgia: A Review of the Literature and Two Case Reports

Marcello Melis, Simona Secci

Citation Information : Melis M, Secci S. Diagnosis and Treatment of Atypical Odontalgia: A Review of the Literature and Two Case Reports. J Contemp Dent Pract 2007; 8 (3):81-89.

DOI: 10.5005/jcdp-8-3-81

License: CC BY-NC 3.0

Published Online: 01-07-2008

Copyright Statement:  Copyright © 2007; The Author(s).


Abstract

Aim

This report presents two cases diagnosed with atypical odontalgia (AO) and successfully treated with amitriptyline as well providing a review of the current literature on the subject.

Results

The literature indicates the most important issue is an accurate differential diagnosis to distinguish between AO, pulpal pain, myofascial pain, and trigeminal neuralgia.

Conclusion

Once the correct diagnosis is made the prognosis of AO is usually fair and the administration of tricyclic antidepressants often resolves symptoms. An effort should be made to avoid any unnecessary dental treatment that would only aggravate the problem.

Citation

Melis M, Secci S. Diagnosis and Treatment of Atypical Odontalgia: A Review of the Literature and Two Case Reports. J Contemp Dent Pract 2007 March;(8)3:081-089.


PDF Share
  1. Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms, 2nd Ed. Seattle: IASP Press; 1994.
  2. Atypical odontalgia - a nondental toothache. J N J Dent Assoc 1995;66:29-33.
  3. Neuropathic Pains. In:Okeson JP, ed. Bell's Orofacial Pains, 5th Ed. Chicago: Quintessence;1995:403-455.
  4. Atypical odontalgia: a cause for dental failure. J Conn State Dent Assoc 1991;67:36-37.
  5. Atypical odontalgia: a localized form of atypical facial pain. Headache 1984;24:222-224.
  6. A unified concept of idiopathic orofacial pain: clinical features. J Orofac Pain 199913172-184. discussion 185-195.
  7. Orofacial phantom pain: theory and phenomenology. J Am Dent Assoc 1996;127:221-229.
  8. Atypical odontalgia is often dismissed as “vivid imagination” during diagnosis. RDH 1996;16:40-44.
  9. Diagnostic challenges of neuropathic tooth pain. J Can Dent Assoc 2004;70: 542-546.
  10. Atypical odontalgia: phantom tooth pain. Oral Surg Oral Med Oral Pathol 1991;72:479-483.
  11. Phantom tooth pain: a diagnosis of exclusion. Int Endod J 1996;29:190-194.
  12. Phantom tooth pain. J Endod 1978;4:362-372.
  13. 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;85:24-32.
  14. Atypical odontalgia: Update and comment on long-term follow-up. Oral Surg Oral Med Oral Pathol 1992;73:445-448.
  15. Atypical odontalgia: differential diagnosis and treatment. J Am Dent Assoc 1982;104:852-854.
  16. Atypical odontalgia misdiagnosed as odontogenic pain: a case report and discussion of treatment. J Endod 1997;23:337-339.
  17. Atypical odontalgia. A report of twenty-two cases. Oral Surg Oral Med Oral Pathol 1980;49:196-199.
  18. Phantom Tooth Pain: A New Look at an Old Dilemma. Pain Medicine 2000;1:68-77.
  19. Is phantom tooth pain a deafferentation (neuropathic) syndrome? Part I: Evidence derived from pathophysiology and treatment. Oral Surg Oral Med Oral Pathol 1993;75:95-105.
  20. Atypical odontalgia: a review of the literature. Headache 2003;10:1060-1074.
  21. Differential Diagnosis and Management Considerations of Neuralgias, Nerve Trunk Pain, and Deafferentation Pain. In:Okeson JP, ed. Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management. Chicago: Quintessenze; 1996:73-88.
  22. Diagnosing and treating atypical odontalgia. J Massachusetts Dent Soc 1995;44:30-32.
  23. Incidence of phantom tooth pain: an atypical facial neuralgia. Oral Surg Oral Med Oral Pathol 1982;53:190-193.
  24. Determining factors of the phantom tooth. NY State Dent J 1993:42-45.
  25. Epidemiology of chronic facial pain: diagnostic usefulness in patient care. J Am Dent Assoc 1994;125:1604-1611.
  26. Atypical odontalgia. J Craniomandib Disord Oral Facial Pain 1992;6:260-265.
  27. A unified concept of idiopathic orofacial pain: pathophysiologic features. J Orofac Pain 2000;14:196-212.
  28. Orofacial idiopathic pain: clinical signs, causes and mechanisms. Rev Neurol 2001;157:265-283.
  29. Is phantom tooth pain a deafferentation (neuropathic) syndrome? Part II: Psychosocial considerations. Oral Surg Oral Med Oral Pathol 1993;75:225-232.
  30. Ineffective dental and surgical treatment associated with atypical facial pain. Oral Surg Oral Med Oral Pathol 1983;55:355-358.
  31. Atypical facial pain and depression. Br J Psychiatry 1966;122:651-659.
  32. Burning mouth syndrome and other oral sensory disorders: a unifying hypothesis. Pain Res Management 2003;8:133-135.
  33. Complex regional pain syndrome in the head and neck: a review of the literature. J Orofac Pain 2002;16:93-104.
  34. Pain: Molecular Mechanisms. J Pain 2000;1(suppl.1):35-44.
  35. The international classification of headache disorders. 2nd Ed. Cephalalgia 2004;24(suppl 1):1-152.
  36. Apropos of all muscles. Chapter 3. In:Travell JG, Simons DG, eds. Myofacial pain and dysfunction – The trigger point manual. The upper extremities. Baltimore: Williams & Wilkins, 1983:45-102.
  37. Phantom tooth pain: differential diagnosis and treatment. N Y State Dent J 1993;59:28-33.
  38. Atypical odontalgia. Br J Oral Surg 1978-79;16:212-218.
  39. Atypical odontalgia in the dental office. J Mich Dent Assoc 1995;9:138-146.
  40. Chronic facial pain associated with endodontic therapy. Oral Surg Oral Med Oral Pathol 1990;69:287-290.
  41. Drug Information Handbook, 7th Ed. Hudson: Lexi- Comp, 1999:62-64.
  42. Drug Information Handbook, 7th Ed. Hudson: Lexi- Comp, 1999:333-334.
  43. Drug Information Handbook, 7th Ed. Hudson: Lexi- Comp, 1999:601-603.
  44. Drug Information Handbook, 7th Ed. Hudson: Lexi- Comp, 1999:852-853.
  45. Drug Information Handbook, 7th Ed. Hudson: Lexi- Comp, 1999:1301.
  46. Drug Information Handbook, 7th Ed. Hudson: Lexi- Comp, 1999:1180-1181.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.