Temporary pain relief after therapy with carbamazepine for 3 months. Dental odontogenic pain tara renton, 2011 sage journals. This study evaluated the literature concerning the surgical management of odontogenic myxoma, and reports the longterm outcome of a. There are currently no clear surgical management guidelines for odontogenic myxoma, and a variety of approaches may be used. Dental caries into dentine dental caries into dental pulp. Pain arising from the teeth and supporting structures must a lways be considered during any examination of a facial pain. Management of odontogenic and nonodontogenic oral pain. The average age for the patients with atypical odontalgia is in the midforties but has ranged from 20 to 82 1, 2, 4. Frequency of nonodontogenic pain after endodontic therapy. Polish pain society asked polish national health fund to provide data concerning diagnosis of neuropathic pain syndromes among outpatients on the basis of icd10 between 1 june 2008 31 may 2009.
It affects millions of people every day around the world, and can be caused by a variety of disorders and diseases. If it does not regress completely, it may become subacute or chronic. The lesion occurs over a wide age range with a peak in the second and third decades and demonstrates a predilection for white males 2. The term comes from the term odontogenesis, which refers to the process that teeth are formed from embryonic cells. An overview of odontogenic infections was presented including an overview of management and guidelines for referral. A condition that may mimic symp toms of odontogenic pain is atypical odontalgia. Odontogenic and nonodontogenic pain pocket dentistry. An understanding of the dentists limitations is important in order to ensure the safety and wellbeing of patients presenting with odontogenic infections. Atypical odontalgia misdiagnosed as odontogenic pain. Multilocalcalcifying epithelial odontogenic tumor 17080 int j clin exp med 2016. However, clinician often encounters situation when odontogenic causes of pain are excluded and non odontogenic causes should be. Orofacial pain can be defined as any pain that occurs in the face and mouth, including the nose, ear, eye and throat. The orofacial region perform many functions very support the fact that the most commonly experienced.
Pdf this article provides a simple overview of acute trigeminal pain for the non dentist. This is characterized by rapid progression and is associated with typical signs and symptoms. Demographic data and clinical aspects including duration of illness, radiographic data and prior therapies were assessed. Similarly, dental pain may be referred to nondental structures. The mandible is more commonly involved than the maxilla 6583% of. Pain is not a simple sensation but rather a complex neurobehavioral event involving at least two components. Nonodontogenic pain was defined as dentoalveolar pain present for 6 months or more after endodontic treatment without evidence of dental pathology. Odontogenic infections, consisting primarily of dental caries and periodontal disease gingivitis and periodontitis, are common and have local eg, tooth loss and, in some cases, systemic implications. Article information, pdf download for dental odontogenic pain. This is because, often, the nonodontogenic pains are mistaken with odontogenic pains.
Of particular interest for is that dental pain can mimic both trigeminal neuralgia and other chronic trigeminal pain disorders. There were 18 lesions in the posterior mandible, 3 in the anterior mandible and 6 in the posterior maxilla fig. Orofacial pain is defined as a term referring to oral pain, dental pain and pain in the face above the neck, anterior to the ears and below the orbitomeatal line. Correct diagnosis and treatment should include a careful assessment of clinical, radiological and histopathological. The decision to place the patient on antibiotics depends on the location and severity of the infection and the patients medical conditions. The term odontogenic refers to things that originate from the tissues of the teeth. It was first introduced by dreilbaldt in 1907, as a pseudoadenoameloblastoma, and first reported by harbitz in 1915, as a cystic adamantinom 1, 5, 6. Cysts and odontogenic neoplasms 160 jaw cysts general features of jaw cysts to physicians, the term cyst means, simply, a space. Department of endodontics and restorative dentistry, school of dental medicine. Treatment consisted of enucleation and curettage for 22 of the lesions, resection. Comparison between odontogenic and non odontogenic infection there are several clinical differences between. Odontogenic keratocyst marsupialization and decompression. Most patients reporting dental pain have symptoms that are odontogenic. Although odontogenic dental pain is the most commonly reported form of orofacial pain when presenting to the dentist, it should be recognised that this symptom could be caused by.
What is used to come up with a diagnosis of odontogenic cyst. Pain originating from pulp dentine complex andor periodontal structures presents with variable clinical characteristics and can be accurately diagnosed and treated. Pulpal and periapical pains are two of the reasons why patients seek dental care. This article aims to discuss the clinical features, radiological assessment, histopathology and management of a variety of odontogenic cysts. Odontogenic pain management fdi world dental federation. Review article a rare case of multilocalcalcifying. Recognition and management of odontogenic referred pain article pdf available in general dentistry 574.
Often they may be complaining of pain from their teeth. Progression of odontogenic infections periapical periodontal soft tissue involvement determined by perforation of the cortical bone in relation to the muscle attachments cellulitis acute, painful, diffuse borders abscess chronic, localized pain, fluctuant, well circumscribed. Pain in the orofacial region is the most common reason for patients to visit a dental clinic. The term adenomatoid odontogenic tumor was proposed in 1969 by philipsen and birn. This article provides a simple overview of acute trigeminal pain for the non. When a person sees a dentist or a doctor complaining about odontogenic pain, the most difficult part of the diagnosis is to assess the origin of the pain.
Quantifying the frequency of nonodontogenic pain after root canal therapy is. Diagnostic and clinical factors associated with pulpal and periapical. Followup notes can be written in the soap format as follows. Pain is perfect misery, the worst of evils and excessive, overturns all patience john milton, paradise lost 2. An odontogenic infection is an infection that originates within a tooth or in the closely surrounding tissues. The dilemma the clinician faces is finding the correct origin of this pain whereby an effective treatment will provide relief. These cystic lesions of the jaws, along with odontogenic tumors such as ameloblastomas abs, have the potential to grow and significantly expand the jaws through the process of bone resorption and expansion into contiguous tissues without inducing pain. Nonodontogenic facial pain can be caused by inflammation due to tumour, infection, or trauma. Most patients can attain satisfactory relief of odontogenic pain through an. No recurrence was observed during 57month followup. Tooth andor its supporting structures are often source of pain. The common categories of nondental pain and specific examples are provided in table 1. Pulpal pain, periodontal pain, gingival pain and bone pain are the 4 different types. Pdf recognition and management of odontogenic referred pain.
Nonodontogenic causes comprise varying etiologies, such as referred myofascial pain, headache, neuropathic disorders, and pain stemming from various pathological conditions. Pain of odontogenic origin is the most common dental emergency seen in the. Odontogenic myxoma is a benign odontogenic tumor with locally aggressive behavior, and is relatively rare in the oral cavity. Tooth andor its supporting structures are often source of. Topographical classification is often applied to this complex region. Atypical odontalgia is predominantly diagnosed in females with 74 to 100% of cases reported 16. A mild vestibular space infection may not require anti. In the united states, it is estimated that 25 percent of adults over the age of 60 have lost all their teeth edentulism, approximately one.
Because cystic sp aces within the jaws have special characteristics, they require a more precise definition. The assumption that a patient enjoys good dental health may not always be true. Tooth pain, meaning pain of known pulpal or periradicular etiology, is not the only reason for pain perceived in the dentoalveolar regions. Facial pain of odontogenic origin must not be overlooked as a possible source of chronic or complex orofacial pain. Oralsurgery 548 dentalupdate julyaugust 2015 odontogenic cysts an overview abstract. The most common causes for odontogenic infection to be established are dental caries, deep fillings, failed root canal. Orofacial pain can be divided into odontogenic and nonodontogenic pain. Glandular odontogenic cyst more recently described 45 cases gardner, 1988 mandible 87%, usually anterior very slow progressive growth cc. Odontogenic sinusitis among patients surgically treated. When dealing with odontogenic pain, dentists should base their clinical and pharmacological decisions on a methodical, ethical and objective evaluation with the strongest evidence. Odontogenic pain goranka prpicmehicic, nada galic department of endodontics and restorative dentistry, school of dental medicine, university of zagreb, croatia summary pain has the function of a warning to tissue damage and activation of defensive mechanisms, with the aim of prevention of further damage. Pain experienced before, during or after endodontic therapy is a serious concern. Odontogenic dental pain facial pain of odontogenic. However, the site the patient feels pain may not be the actual source of pain.
Headache disorders may pose another complicated diagnosis. Odontogenic definition of odontogenic by medical dictionary. The keratocystic odontogenic tumor is believed to arise from dental lamina and represents between 412% of all odontogenic cysts. Building effective strategies for the management of. They are principally jaw lesions but some may present as localized gingival swellings, socalled peripheral odontogenic tumors. Building effective strategies for the management of endodontic pain. Odontogenic pain, also commonly known as tooth pain, originates from dental structures. Pain arising from the teeth and supporting structures must always be considered during any examination of a facial pain patient. Decompression as a treatment for odontogenic cystic lesions. Odontogenic pain, also known as dental pain or tooth pain, is a common condition worldwide and the most prevalent form of orofacial pain. Although patients may perceive that pain originates in a specific tooth, the pain may actually be referred from nondental structures. Orofacial pain odontogenic pain pain coming from the. Keratocystic odontogenic tumour of lesions treated in our clinic. Chronic facial pain is a more descriptive term than atypical facial pain and should be adopted for continuous, dull pain in.
Pain of odontogenic and nonodontogenic origin pocket. In the diagnosis of odontogenic cysts xrays play a major part. Data provided by nhf revealed, that in 20082009 different neuropathic pain syndromes were diagnosed and treated in 111 041 patients 0,3% of. Pain of odontogenic and nonodontogenic origin springerlink. Odontogenic pain is one of the most common forms of orofacial pains. An overview of odontogenic infections when to refer. Regions often presenting as orofacial pain complaints include the sinuses, salivary gland, ears, eyes, throat, mandibular, and maxillary bone pathology. Dental odontogenic pain t ara renton, p rofessor in oral s urger y, bds mdsc phd fds r cs fracds oms il tm king s college london dental i. Review article 105 authors opinion was probably due to the inclusion of non odontogenic samples in their studies. Morgan odontogenic tumors comprise a range of disorders of growth, from malignant and benign neoplasms, to malformations of dental tissues of selflimited growth. Odontogenic pain complaintsofanguish,posturaldisplays,groaning,wincing,andgrimacing are all equated with pain, along with limitation of normal activity function, excessive rest, social withdrawal, and demand for medication.
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