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Related Experiment Video

Updated: May 11, 2026

Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology

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Published on: August 22, 2022

Atypical odontalgia: an up-to-date view.

M Tarce¹, C Barbieri, A Sardella

¹Department of Biomedical Surgery and Dentistry Sciences, University of Milan, Milan, Italy. andrea.sardella@unimi-it

Minerva Stomatologica

|May 30, 2013

Summary

Atypical odontalgia (AO) is a rare chronic neuropathic pain condition often misdiagnosed. Effective pain management, not necessarily a cure, is the primary goal for patients experiencing this challenging condition.

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Area of Science:

Dentistry
Neurology
Pain Medicine

Background:

Atypical odontalgia (AO) is an underrecognized chronic pain condition.
It manifests as pain at a tooth site post-treatment without clinical or radiographic pathology.
AO presents a diagnostic and management challenge for clinicians.

Purpose of the Study:

To elucidate the nature of atypical odontalgia.
To discuss the diagnostic challenges and current management strategies.
To highlight the need for further research in AO.

Main Methods:

Review of existing literature on atypical odontalgia.
Discussion of proposed pain mechanisms, particularly deafferentation.
Analysis of diagnostic criteria and differential diagnoses.

Main Results:

Atypical odontalgia is hypothesized to be a neuropathic pain condition.
Differential diagnosis is complex due to overlapping symptoms with other pathologies.
Patients often face diagnostic delays and undergo unnecessary procedures.

Conclusions:

Atypical odontalgia requires further research, including randomized controlled trials.
Evidence-based treatment guidelines are needed, moving beyond expert opinion.
The focus for most patients should be on adequate pain management.