ATYPICAL ODONTALGIA

Öz

Atypical odontalgia is a chronic pain disorder without any obvious clinical and radiological pathology at the site of pain. The pain is usually dull and continuous. Pain initiates mostly after common dental treatments performed by dentists. Etiology, diagnosis criteria and management of atypical odontagia have not been clarified yet. Present review focused to emphasis that dentists should avoid further invasiv treatments when presence of ongoing tooth pain in spite of carrying out all known dental treatments

Anahtar Kelimeler

• Dental pain
• Trigeminal Neuralgia
• Chronic pain

ATİPİK DİŞ AĞRISI

Öz

Atipik diş ağrısı, klinik ve radyolojik olarak patolojik  bir bulgu olmaksızın diş, dişeti veya dişsiz boşlukta  görülen  kronik bir ağrıdır.  Ağrı, genellikle künt ve süreklidir. Ağrı,  büyük oranda dişhekimlerinin klinikte uyguladıkları rutin tedaviler sonrası ortaya çıkar . Bu nedenle dişhekimlerinin bu durum ile karşılaşma ihtimalleri diğer hekimlere oranla daha fazladır. Etiyolojisi, teşhis ve tedavisi henüz tam olarak anlaşılamamıştır. Bu makalede dişhekimlerinin tüm dental tedavi yaklaşımlarına rağmen, geçmeyen bir ağrı ile karşılaştıklarında  daha fazla invaziv yöntemlerden kaçınmalarının önemini vurgulamak amacıyla hazırlanmıştır.

Anahtar Kelimeler

• Diş ağrısı
• Trigeminal nöralji
• Kronik ağrı

Kaynakça

1. Woda A, Pionchon P. A unified concept of idiopathic orofacial pain: clinical features. J Orofac Pain 1999;13:172– 84.
2. MarbachJJ. Orofacial phantom pain: theory and phenomenology. J AmDent Assoc 1996;127:221-9.
3. McElin TW, Horton DT. Atypical facial pain: a statistical consideration of 65 cases. Ann Intern Med 1947;27:749–53.
4. Melis M, Lobo SL, Ceneviz C, Zawawi K, Al-Badawi E, Maloney G, and other. Atypical odontalgia: a review of the literature. Headache 2003; 43:1060– 74. 42.
5. Ohrbach R, List T, Goulet JP, Svensson P. from Consensus Workshop: con- vergence on an orofacial pain taxonomy. J Oral Rehabil 2010;37, 807–12. the International
6. Headache Classification Subcommittee of the International Headache Society.The International Classification of Headache Disorders, 2nd edn. Cephalalgia 2004;24, 9–160.
7. Israel HA, Ward JD, Horrell B, Scrivani SJ. Oral and maxillofacial surgery in patients with chronic orofacial pain. J Oral Maxillofac Surg 2003;61:662- 7.
8. Brooke RI. Atypical odontalgia. A report of twenty- two cases. Oral Surg Oral Med Oral Pathol 1980;49:196–9.

9. Brooke RI, Schnurr RF. Atypical odontalgia. its aetiology and prognosis. N Y State Dent J 1993;59:46–9.
10. Schnurr RF, Brooke RI. Atypical odontalgia. update and comment on long-term follow-up. Oral Surg Oral Med Oral Pathol 1992;73:445–8.
11. Graff-Radford SB, Solberg WK. Is atypical odontalgia a psychological problem? Oral Surg Oral Med Oral Pathol 1993;75:579–82.
12. Lesse S. Atypical facial pain syndromes of psychogenic origin; complications of their misdiagnosis. J Nerv Ment Dis 1956;124:346–351.
13. Lascelles RG. Atypical facial pain and depression. Br J Psychiatr 1966;112:651–9.
14. Gatchel RJ, Peng YB, Peters ML, Fuchs PN, Turk DC. The biopsychosocial approach to chronic pain: scientific advances and future directions. Psychological Bulletin 2007;133: 581–624.
15. Brooke RI, Merskey H. Is atypical odontalgia a psychological problem? Oral Surg Oral Med Oral Pathol 1994;77:2–3.
16. Baad-Hansen L. Atypical odontalgia - pathophysiology and clinical management. J Oral Rehabil 2008;35:1-11.
17. Rees RT, Harris M. Atypical odontalgia. Br J Oral Surg 1979;16:212–8.
18. Woda A, Tubert-Jeannin S, Bouhassira D, Attal N, Fleiter B, Goulet JP, Gremeau-Richard C, Navez ML, Picard P, Pionchon P, Albuisson E. Towards a new taxonomy of idiopathic orofacial pain. Pain 2005;116:396-406.
19. List T, Leijon G, Helkimo M, Oster A, Dworkin SF, Svensson P. Clinical findings and psychosocial factors in patients with atypical odontalgia: a case– control study. J Orofac Pain 2007;21:89–98.
20. Tu¨rp JC. Die atypische Odontalgie – ein wenig bekannter Phantomschmerz. Schmerz 2001;15:59– 64. 21. Matwychuk MJ. Diagnostic neuropathic tooth pain. J Can Dent Assoc 2004 Sep;70:542-6. challenges of
21. Hu JW, Woda A, Sessle BJ. Effects of pre-emptive local anesthesia on tooth pulp deafferentation- induced neuroplastic changes in cat trigeminal brainstem neurons. Arch Oral Biol 1999; 44:287– 93.
22. Chen R, Cohen LG, Hallett M. Nervous system reorganization following injury. Neuroscience 2002; 111:761–73.
23. Hu JW, Sharav Y, Sessle BJ. Effects of one- or two- stage deafferenta- tion of mandibular and maxillary tooth pulps on the functional proper- ties of trigeminal brainstem neurons. Brain Res 1990; 516:271–9.
24. Bosch-Aranda ML1, Vázquez-Delgado E, Gay- Escoda C. Atypical odontalgia: a systematic review following the evidence-based principles of dentistry. Cranio 2011;29:219-26.
25. Campbell RL, Parks KW, Dodds RN. Chronic facial pain associated with endodontic therapy. Oral Surg Oral Med Oral Pathol 1990;69:287–90.
26. Marbach JJ, Hulbrock J, Hohn C, Segal AG. Incidence of phantom tooth pain: an atypical facial neuralgia. Oral Surg Oral Med Oral Pathol 1982;53:190–3.
27. Marbach JJ. Phantom tooth pain. J Endod 1978;4:362–72.
28. Jacobs R1, Wu CH, Goossens K, De Laat A, Van Loven K, Antonis Y, Lambrechts P, van Steenberghe D.A case-control study on the psychophysical and psychological characteristics of the phantom tooth phenomenon. Clin Oral Investig 2002;6:58-64.
29. Klausner JJ. Epidemiology of chronic facial pain: diagnostic useful- ness in patient care. J Am Dent Assoc 1994;125:1604–11.
30. Graff-Radford SB, Solberg WK. Atypical odontalgia. J Craniomandib Disord 1992;6:260–5.
31. Abiko Y, Matsuoka H, Chiba I, Toyofuku A. Current evidence on atypical odontalgia: diagnosis and clinical 2012;2012:518548. Int J Dent
32. The International Classification of Headache Disorders, 3rd edition (beta version). Headache Classification Committee of the International Headache Society (IHS). Cephalalgia ;2013: 33: 629–808.
33. Reik L Jr. Atypical odontalgia: a localized form of atypical facial pain. Headache. 1984;24:222-224.
34. Pertes RA, Bailey DR, Milone AS. Atypical odontalgia—a nondental toothache. J N J Dent As- soc 1995;66:29-33.
35. Okeson JP. Neuropathic pains. In: Okeson JP, ed. Bell’s Orofacial Pains. 5th ed. Chicago, Ill: Quintessence; 1995:403-55.
36. Biron CR. Atypical odontalgia is often dismissed as ‘vivid imagination’ during diagnosis. RDH. 1996;16:40-4.
37. Gross SG. Atypical odontalgia: a cause for dental failure. J Conn State Dent Assoc. 1991;67:36-7.
38. Bates RE Jr, StewartCM. Atypical odontalgia: phan- tom tooth pain. Oral Surg Oral Med Oral Pathol 1991;72:479-83.
39. Saper JR, Silberstein S, Gordon CD, Hamel RL, Swidan S. Facial pain and the neuralgias. In: Saper JR, Silberstein S, Gordon CD, Hamel RL, Swidan S, eds. Handbook of Headache Management. A Practi- cal Guide to Diagnosis andTreatment of Head, Neck, and Facial Pain. 2nd ed. Baltimore, Md: Lippincott Williams&Wilkins;1999:249-70.
40. Nicolodi M, Sicuteri F. Phantom tooth diagnosis and an anamnestic focus on headache. N Y State Dent J 1993;59:35-7.
41. Sicuteri F, Nicolodi M, Fusco BM, Orlando S. Idio- pathic headache as a possible risk factor for phantom tooth pain. Headache 1991;31:577-81.
42. Marbach JJ. Phantom tooth pain: differential diagnosis and treatment. N Y State Dent J 1993;59:28–33.
43. Graff-Radford SB, Ketelaer MC, Gratt BM, Solberg WK.Thermographic assessment of neuropathic facial pain. J Orofac Pain 1995;9:138-46.
44. Ram S, Teruel A, Kumar SK, Clark G. Clinical characteristics odontalgia: implications for dentists.J Am Dent Assoc 2009;140:223-8. diagnosis of atypical
45. Marbach JJ, Raphael KG.Phantom tooth pain: a new look at an old dilemma Pain Med 2000;1:68- 77.
46. Travell JG, Simons DG. Apropos of all muscles. Chapter 3. In: Travell JG, Simons DG, eds. Myofas- cial Pain and Dysfunction.TheTrigger Point Manual. The Upper Extremities. Baltimore, Md: Williams & Wilkins; 1983:45-102.
47. Mitchell RG. Pre-trigeminal neuralgia. Br Dent J 1980;149:167–70.
48. Marbach JJ. Phantom tooth pain: deafferentiation pain. Pa Dent J (Harrisb) 1984;51:32–33.
49. Kreisberg MK. Atypical odontalgia: differential diagnosis and treatment. J Am Dent Assoc 1982;104:852–4.
50. Battrum DE, Gutmann JL. Phantom tooth pain: a diagnosis of exclusion. Int Endod J 1996;29:190- 4.
51. Marbach JJ. Is phantom tooth pain a deafferentation (neuropathic) syndrome? Part I: Evidence derived from pathophysiology and treatment. Oral SurgOral Med Oral Pathol 1993;75:95-105.
52. Kaspo GA. Atypical odontalgia in the dental office. J Mich Dent Assoc 1995;77:34-6.
53. Lilly JP, Law AS. Atypical odontalgia misdiagnosed as odontogenic pain: a case report and discussion of treatment. J Endod 1997;23:337-9. 57. Tekel
54. N.Postoperatif ağrıların kontrolünde
55. analjeziklerin rolü. Atatürk Üniv. Diş.Hek. Fak. Derg 2007;17:39-45
56. Vickers ER, Cousins MJ, Walker S, Chisholm K. 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.