Atypical odontalgia: Phantom tooth pain

Bates, Robert E.; Stewart, Carol M.

doi:10.1016/0030-4220(91)90564-s

Cited by 32 publications

(40 citation statements)

References 10 publications

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“…The exact prevalence still remains a matter of debate [2,5,11,22]. Nevertheless, the existence of a similar phenomenon for teeth cannot be ignored [2,5]. However, it should be noted that the available evidence of phantom tooth is based more on subjective patient reporting than on clinical examination of orofacial pain problems [2,5,13,30].…”

Section: Introductionmentioning

confidence: 98%

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A case-control study on the psychophysical and psychological characteristics of the phantom tooth phenomenon

Jacobs

Goossens

et al. 2002

Clinical Oral Investigations

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The objective of this study was to determine whether patients with phantom tooth symptoms have an altered sensory perception as compared to pain-free subjects. Ten patients (mean age 56, range 32-71, nine females) were diagnosed as suffering from "phantom tooth" according to a specifically designed phantom tooth questionnaire including components of the McGill Pain Questionnaire. An SCL-90 form was completed and assessment of sensory perception was carried out by determination of the threshold level for light touch sensation, two-point discrimination, and thermal sensation in a case-control design. Results. Of all the observed questionnaires, 5.7% seemed to deal with phantom tooth, with a female preponderance (ratio 9:1). Complaints were predominantly reported in the upper jaw (ratio 8:2) with the majority in the molar region (ratio 5:3). Phantom tooth subjects showed significantly lower threshold levels for light touch sensation, most markedly on the affected side. The average psychoneurotic profile showed a tendency towards higher scores for the phantom tooth subjects. Conclusion. The phantom tooth phenomenon may show a number of features which might aid differential diagnosis. To verify influences such as upper molar predominance and increased light touch sensation, another study should be performed on a larger patient sample.

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Section: Introductionmentioning

confidence: 98%

“…This is much lower than for limb amputations. The exact prevalence still remains a matter of debate [2,5,11,22]. Nevertheless, the existence of a similar phenomenon for teeth cannot be ignored [2,5].…”

Section: Introductionmentioning

confidence: 98%

A case-control study on the psychophysical and psychological characteristics of the phantom tooth phenomenon

Jacobs

Goossens

et al. 2002

Clinical Oral Investigations

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“…1,7,8 Pain is persistent with an absence of any Pathophysiology of AO is not clearly understood. The most accepted theory is the deafferentation of the nerves caused by traumatic injury with the changes occurring at the level of peripheral, central and autonomic nervous systems.…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic Pulpal Injury Masquerading as Atypical Odontalgia

Tantradi¹

2011

JIAOMR

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“…Following amputation of a limb, and also breast, tongue, teeth, genitalia and even inner organs such as the rectum, or a deafferentiation injury such as brachial plexus avulsion (Bates & Stewart, 1991;Boas et al, 1993;Dijkstra et al, 2007), a number of phenomena can develop. These require differentiation.…”

Section: Acute Postamputation Pain Syndromesmentioning

confidence: 99%

Safety of opioid patch initiation in Australian residential aged care

Gadzhanova

Roughead

Pont

2015

Medical Journal of Australia

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Objective: To explore opioid use by aged care facility residents before and after initiation of transdermal opioid patches. Design: A cross‐sectional cohort study, analysing pharmacy data on individual patient supply between 1 July 2008 and 30 September 2013. Setting: Sixty residential aged care facilities in New South Wales. Participants: Residents receiving an initial opioid patch during the study period. Main outcome measure: The proportion of residents who were opioid‐naive in the 4 weeks prior to patch initiation was determined. In addition, the patch strength at initiation and the daily dose of transdermal patches and of additional opioids 1 month after initiation were determined. Results: An opioid patch was initiated in 596 of 5297 residents (11.3%: 2.6% fentanyl, 8.7% buprenorphine) in the 60 residential aged care facilities. The mean age at initiation was 87 years, and 74% of the recipients were women. The proportion of recipients who were opioid‐naive before patch initiation was 34% for fentanyl and 49% for buprenorphine. Most were initiated at the lowest available patch strength, and the dose was up‐titrated after initiation. Around 15% of fentanyl users and 10% of buprenorphine users needed additional regular opioids after patch initiation. Conclusions: The results suggest some inappropriate initiation of opioid patches in Australian residential aged care facilities. Contrary to best practice, a third of residents initiated on fentanyl patches were opioid‐naive in the 4 weeks before initiation.

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Atypical odontalgia: Phantom tooth pain

Cited by 32 publications

References 10 publications

A case-control study on the psychophysical and psychological characteristics of the phantom tooth phenomenon

A case-control study on the psychophysical and psychological characteristics of the phantom tooth phenomenon

Iatrogenic Pulpal Injury Masquerading as Atypical Odontalgia

Safety of opioid patch initiation in Australian residential aged care

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