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Atypical odontalgia--a diagnostic dilemma
1Oral Health Centre, Christchurch Hospital, Christchurch, New Zealand. dnt@clear.net.nz
The New Zealand Dental Journal
|July 14, 2012
Summary
Atypical odontalgia (AO), a chronic facial pain, is best explained by neuropathic pain mechanisms. Genetic vulnerability and dental procedures may trigger this challenging condition.
Area of Science:
- Dentistry
- Neurology
- Pain Medicine
Background:
- Atypical odontalgia (AO) is a chronic orofacial pain of uncertain origin.
- Proposed causes include idiopathic, psychogenic, vascular, and neuropathic factors.
Observation:
- Patients with AO exhibit altered somatosensory function.
- The condition often presents as persistent toothache or post-extraction discomfort.
Findings:
- Current evidence strongly supports a neuropathic basis for AO.
- A genetic predisposition combined with risk factors like dental procedures may initiate AO.
Implications:
- A multidisciplinary approach is crucial for diagnosing and managing AO.
- Understanding the neuropathic underpinnings can guide targeted therapeutic strategies.
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