Non-odontogenic toothache revisited

Balasubramaniam, Ramesh; Turner, Lena; Fischer, Dena J.; Klasser, Gary D.; Okeson, Jeffrey P.

doi:10.4236/ojst.2011.13015

Cited by 21 publications

(27 citation statements)

References 87 publications

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“…Non odontogenic toothache, as its name suggests, is a painful condition that occurs in the absence of any clinically evident cause in the teeth or periodontal tissues . Generally, 88% of patients with toothache‐like pain visit a dental office; 3% of these patients have nonodontogenic toothache, and 9% have a mixed condition of odontogenic and nonodontogenic toothache.…”

Section: Introductionmentioning

confidence: 99%

“…We concluded that unnecessary dental treatment should be avoided. KEYWORDS: toothache, myofascial pain syndromes, neuralgia, myofascial pain syndromes, cerebrovascular disorders, cardiovascular diseases Accepted for publication 13 June 2014 Background Non odontogenic toothache, as its name suggests, is a painful condition that occurs in the absence of any clinically evident cause in the teeth or periodontal tissues (1)(2)(3)(4). Generally, 88% of patients with toothache-like pain visit a dental office; 3% of these patients have nonodontogenic toothache, and 9% have a mixed condition of odontogenic and nonodontogenic toothache.…”

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confidence: 99%

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Systematic review and recommendations for nonodontogenic toothache

Yatani

Komiyama

Matsuka

et al. 2014

J of Oral Rehabilitation

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Nonodontogenic toothache is a painful condition that occurs in the absence of a clinically evident cause in the teeth or periodontal tissues. The purpose of this review is to improve the accuracy of diagnosis and the quality of dental treatment regarding nonodontogenic toothache. Electronic databases were searched to gather scientific evidence regarding related primary disorders and the management of nonodontogenic toothache. We evaluated the level of available evidence in scientific literature. There are a number of possible causes of nonodontogenic toothache and they should be treated. Nonodontogenic toothache can be categorised into eight groups according to primary disorders as follows: 1) myofascial pain referred to tooth/teeth, 2) neuropathic toothache, 3) idiopathic toothache, 4) neurovascular toothache, 5) sinus pain referred to tooth/teeth, 6) cardiac pain referred to tooth/teeth, 7) psychogenic toothache or toothache of psychosocial origin and 8) toothache caused by various other disorders. We concluded that unnecessary dental treatment should be avoided.

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Section: Introductionmentioning

confidence: 99%

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confidence: 99%

Systematic review and recommendations for nonodontogenic toothache

Yatani

Komiyama

Matsuka

et al. 2014

J of Oral Rehabilitation

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“…Additionally, localized muscle tension, especially in the masseter, is commonly misconstrued as tooth pain. The current recommendations for treating pain of this type include muscle stretching and massage, much as Turi recommends [86]. …”

Section: Discussionmentioning

confidence: 99%

Johan Turi’s animal, mineral, vegetable cures and healing practices: an in-depth analysis of Sami (Saami) folk healing one hundred years ago

DuBois

Lang

2013

J Ethnobiology Ethnomedicine

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BackgroundThe healing knowledge of a Sami (Saami) hunter and reindeer herder was surveyed as a window into the concepts of health, healing, and disease in early twentieth-century Sapmi (Northern Sweden). The two books of Johan Turi (1854–1936)—An Account of the Sami (1910) and Lappish Texts (1918–19) were examined to determine the varieties of recorded zootherapeutic, mineral, chemical, and ethnobotanical lore, as well as the therapeutic acts, identified conditions, and veterinary knowledge included.MethodsTabulation of the materials and species mentioned in Turi’s descriptions (n = 137) permitted analysis of the relative frequency of differing types of healing in Turi’s overall therapeutic repertoire, his relative attention to chronic vs. acute ailments, and the frequency of magic as a component of healing. A qualitative appraisal was made of the degree to which outside influences affected Sami healing of the period. A further assessment of the possible clinical efficacy of the recorded remedies was undertaken.ResultsTuri’s remedies consist most often of zootherapeutics (31%), followed by physical acts such as massage, moxibustion, or manipulation (22%). Ethnobotanical cures make up a significantly smaller portion of his repertoire (17%), followed by mineral and chemical cures (12%). Magic rituals (including incantations and ritual acts) make up a significant portion of Turi’s repertoire, and could be used alone (17%) or in conjunction with other types of healing (38%). Turi’s healing aimed primarily at acute ailments (65%), with chronic conditions addressed less often (35%). A literature review revealed that Turi’s remedies held a marked frequency of likely efficacy, at least in cases in which it was possible to ascertain the precise species, conditions, or substances described. Although it is possible at times to recognize foreign sources in Turi’s repertoire, it is clear that Turi understood all his healing methods as distinctively Sami.ConclusionThe research illustrates the variety and depth of a single informant’s healing knowledge, and demonstrates the value of both historical sources and in-depth data collection with single experts as useful means of assessing and characterizing an indigenous population’s healing traditions.

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“…Às vezes é apenas irritante, mas em outras é penosa a ponto do paciente perder a consciência quando seu sistema não pode suportar a duração da experiência. De todos os sintomas que o cirurgião-dentista enfrenta, a dor é a mais pungente e livrar o paciente da dor é talvez o aspecto mais gratificante da prática [1][2][3] . Normalmente, a experiência da dor é iniciada em uma base fisiológica via sistema periférico.…”

Section: Introductionunclassified

“…A base neuroanatômica para a capacidade de localizar especificamente a dor intensa é ainda mal compreendida. Às vezes, o profissional pode encontrar sintomatologia dolorosa referida aos dentes e maxilares, porém de natureza não odontogênicas [1][2][3] . Apesar da maior compreensão acerca da dor orofacial nos últimos anos, o diagnóstico preciso da dor ainda é um desafio na odontologia contemporânea.…”

Section: Introductionunclassified

Odontalgia não odontogênica: levantamento e revisão da literatura atual

Arruda¹,

Silva²,

Moreno³

et al. 2018

Arch Health Invest

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ResumoIntrodução: Apesar da maior compreensão acerca da dor orofacial nos últimos anos, o diagnóstico preciso da dor ainda é um desafio na odontologia contemporânea. Muitos distúrbios na região de cabeça e pescoço são reconhecidos para se referir à dor de estruturas dentárias ou que simulam a odontalgia. Objetivo: O objetivo desse estudo foi realizar uma revisão de literatura atual de séries e/ou relatos de casos de pacientes portadores de odontalgia de natureza não odontogênica a fim de contribuir na elucidação dos diagnósticos diferenciais e discutir os principais achados clínicos. Material e Método: A revisão da literatura foi elaborada em Agosto de 2017 com base em artigos publicados na língua inglesa, do banco de dados Medline (PubMed). Foram utilizadas pesquisas do período compreendido entre 1968 e 2016 para determinar o mapeamento dos casos dos pacientes. Os dados foram arquivados em ano da publicação, idade, gênero, número de casos, localização anatômica e diagnóstico diferencial. Resultados: Vinte e quatro artigos foram analisados. Diferentes diagnósticos e condutas foram tomadas nas odontalgias não odontogênicas. Conclusão: É pertinente concluir que o diagnóstico diferencial entre a odontalgia e as doenças de natureza não odontogênica é imprescindível a fim de promover aos pacientes tratamentos conservadores, quando possíveis e melhores prognósticos evitando sobremaneira a mutilação dos dentes, tratamentos endodônticos desnecessários e terapêuticas tardias nos casos de neoplasias malignas. Descritores: Odontalgia; Dor facial; Diagnóstico. AbstractIntroduction: Despite the increased understanding about orofacial pain in recent years, the accurate diagnosis of pain is still a challenge in contemporary dentistry. Many disturbances in head and neck region are recognized to refer to pain of dental structures or that simulate the toothache. Objective: The aim of this study was to conduct a review of current literature series and/or case reports of patients with toothache of non-odontogenic in order to contribute to the elucidation of the differential diagnoses and discuss the main clinical features. Material and Method: The literature review was realized in November 2016 based on articles published in the English language of database Medline (PubMed). Research used the period between 1968 and 2016 to determine the mapping of cases of patients. The data were archived in the publication year, age, gender, number of cases, anatomical location and differential diagnosis. Results: Twenty-four articles were analyzed. Differential diagnosis and conduct were taken in toothache of non-odontogenic. Conclusion: It is pertinent to conclude that the differential diagnosis between the toothache and non-odontogenic diseases is essential in order to promote conservative treatments to patients, when possible and better prognoses avoiding the teeth mutilation, endodontic treatments and unnecessary late therapeutic in cases of malignant neoplasms.

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Non-odontogenic toothache revisited

Cited by 21 publications

References 87 publications

Systematic review and recommendations for nonodontogenic toothache

Systematic review and recommendations for nonodontogenic toothache

Johan Turi’s animal, mineral, vegetable cures and healing practices: an in-depth analysis of Sami (Saami) folk healing one hundred years ago

Odontalgia não odontogênica: levantamento e revisão da literatura atual

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