Chronic Dental Infections Mimicking Temporomandibular Disorders

Ogi, Nobumi; Nagao, T; Toyama, Masahiko; Ariji, Eiichiro

doi:10.1111/j.1834-7819.2002.tb00305.x

Cited by 5 publications

(5 citation statements)

References 6 publications

(18 reference statements)

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“…The relative rarity of this clinical case can cause an erroneous diagnosis. 2 The differential diagnosis in this case should be made mainly between TMJ pathologies, parotid tumors and chronic submasseter abscess.…”

Section: Discussionmentioning

confidence: 93%

See 1 more Smart Citation

Absceso crónico submaseterino secundario a cordal incluido

Pingarrón

Arias

Martorell

et al. 2009

Rev Esp Cirug Oral y Maxilofac

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Section: Discussionmentioning

confidence: 93%

“…La relativa rareza de esta presentación clínica puede inducir a un diagnóstico erróneo. 2 El diagnóstico diferencial de este caso clínico deberá realizarse principalmente entre patología articular temporomandibular, tumores parotídeos y absceso submaseterino crónico.…”

Section: Discussionunclassified

Absceso crónico submaseterino secundario a cordal incluido

Pingarrón

Arias

Martorell

et al. 2009

Rev Esp Cirug Oral y Maxilofac

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“…Orofacial pain represents the most common and higher pain in head and neck pathology [ 19 ]; in this field of pathologies, pain derived from pericoronitis of the third molar appears to be a strong etiology. Third molar pericoronitis has often been confused or referred to different pathologies, including different tooth or temporomandibular disorders [ 20 ]. Toothache is a common referred pathology in orofacial pain.…”

Section: Introductionmentioning

confidence: 99%

Patterns of Third-Molar-Pericoronitis-Related Pain: A Morphometrical Observational Retrospective Study

et al. 2023

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Background: Mandibular third molar (M3M) removal and the management of postoperative complications represent a common matter of interest in oral and maxillofacial surgery. Pain represents a great symptom for patients affected by pericoronitis and it is the most common indication for third molar removal. The aim of the present article is to search for patterns of pre-operative pain in patients before undergoing third molar surgery and to test for a relation between some patterns of symptoms, such as pain intensity, site of symptomatic tooth, and referred area of pain. Methods: This retrospective observational study enrolled a total of 86 patients, aged (mean ± SD) 34.54 ± 13.62 years (range 17–78 years), scheduled for outpatient third molar extraction at the Oral Surgery School, Department of Medical Biotechnologies, Policlinico “Le Scotte”, University of Siena. Pericoronitis and pain were the symptoms of the patients and the indication of extraction. Inclusion criteria were the presence of partially impacted third molars, confirmed with a preoperative panoramic radiograph, and preoperative pain. Exclusion criteria were known neurological disease (such as previous trigeminal or facial nerve injuries), impaired communicative or cognitive disease, diagnosed diabetes mellitus, and oral surgical intervention within 30 days before data collection. Patients were visited and asked to answer a morphometric analytic questionnaire about their perception of pain referred to the third molar. Analyses were performed on statistical evaluation on age, age ranges, patient gender, prior third molar extraction, site of pericoronitis, pain score (1–10), and pain area. Two-tailed p values of less than 0.05 were considered significant if not otherwise specified. Results: No correlations were found between age, gender, previous extraction, tooth site (maxillar on mandible), pain score, and pain area. Patterns of third molar pericoronitis pain among 86 patients were reported. A significant correlation was found between pain score and pain area (p = 0.0111, rs = 0.3131). Conclusions: Pain intensity has indeed some kind of responsibility in determining the orofacial distribution of pain. The pain area referral patterns of the present article could be considered as a pain model resulting from the pericoronitis of maxillar and mandibular third molars.

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“…If the infection spreads to the pterygoid muscle, it can be misdiagnosed as TMD due to pain on mouth opening and limited mouth opening, which are the most common signs of TMD. [2] Anatomically, the ascending development of infected foci in the pterygoid venous plexus can cause cavernous sinusitis and fatal meningitis. Therefore, clinicians must conduct thorough interviews, blood tests, and X-rays to diagnose patients and to differentiate between serious infectious diseases that mimic TMD.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Meningitis with septic shock resulting from odontogenic infection misdiagnosed as closed-lock in temporomandibular disorder: A case report and literature review

et al. 2023

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Rationale: Infections that spread to the pterygomandibular muscle can be misdiagnosed as temporomandibular disorder (TMD) because of the resulting difficulty in opening the mouth. Importantly, infection of the pterygomandibular space can extend to the skull base in the early stages, and a delay in therapeutic intervention can lead to severe complications. Patient concerns: A 77-year-old Japanese man with trismus after pulpectomy was referred to our department. This case report describes a rare instance of meningitis with septic shock caused by an odontogenic infection, initially misdiagnosed as TMD due to similar symptoms, leading to life-threatening complications. Diagnosis: The patient was diagnosed with sepsis and meningitis resulting from cellulitis in the pterygomandibular space caused by iatrogenic infection after pulpectomy of the right upper second molar. Interventions: After emergency hospitalization, the patient developed septic shock and required blood purification. Subsequently, abscess drainage and extraction of the causative tooth were performed. However, the patient developed hydrocephalus secondary to meningitis and underwent ventriculoperitoneal shunting to alleviate the condition. Outcomes: The infection was controlled and the patient level of consciousness improved following treatment for hydrocephalus. The patient was transferred to a hospital for rehabilitation on the 106th day of hospitalization. Lessons: Infections of the pterygomandibular space may be misdiagnosed as TMD, owing to the main symptoms of restricted mouth opening and pain on mouth opening. A prompt and appropriate diagnosis is crucial because these infections can lead to life-threatening complications. A detailed interview, along with additional blood tests and computed tomography (CT) scans, can aid in making an accurate diagnosis.

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Chronic Dental Infections Mimicking Temporomandibular Disorders

Cited by 5 publications

References 6 publications

Absceso crónico submaseterino secundario a cordal incluido

Absceso crónico submaseterino secundario a cordal incluido

Patterns of Third-Molar-Pericoronitis-Related Pain: A Morphometrical Observational Retrospective Study

Meningitis with septic shock resulting from odontogenic infection misdiagnosed as closed-lock in temporomandibular disorder: A case report and literature review

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