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[Atypical odontalgia].

Jens Christoph Türp1

  • 1Klinik für Rekonstruktive Zahnmedizin und Myoarthropathien, Universitätskliniken für Zahnmedizin, Universität Basel, Schweiz. jens.tuerp@unibas.ch

Schweizer Monatsschrift Fur Zahnmedizin = Revue Mensuelle Suisse D'Odonto-Stomatologie = Rivista Mensile Svizzera Di Odontologia E Stomatologia
|December 14, 2005
PubMed
Summary

Atypical odontalgia, or phantom tooth pain, is a neuropathic pain condition often initiated after dental procedures. Diagnosis requires excluding other causes, followed by pain management, not invasive treatments.

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Area of Science:

  • Neurology
  • Dentistry
  • Pain Medicine

Context:

  • Atypical odontalgia (AO), or phantom tooth pain, remains underrecognized despite its 200-year history.
  • This persistent neuropathic pain can arise after trigeminal nerve deafferentiation from dental procedures like root canals or extractions.

Purpose:

  • To highlight the diagnostic challenges and appropriate management strategies for atypical odontalgia.
  • To emphasize the importance of recognizing AO and avoiding contraindicated invasive treatments.

Summary:

  • AO is diagnosed by exclusion when clinical and radiological findings are negative.
  • Management focuses on patient education, pharmacological, and psychological approaches.
  • Invasive treatments are contraindicated for phantom tooth pain.

Impact:

  • Improved recognition of AO among dental professionals.
  • Reduced unnecessary and potentially harmful invasive dental procedures.
  • Enhanced patient outcomes through appropriate pain management strategies.

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