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Atypical odontalgia.

R T Rees, M Harris

    The British Journal of Oral Surgery
    |March 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Atypical odontalgia, a migraine-like dental pain, may stem from psychological conditions. Antidepressant therapy effectively treats this pain, preventing unnecessary dental surgery.

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    Area of Science:

    • Neurology
    • Dentistry
    • Psychiatry

    Background:

    • Odontalgia, or dental pain, can present atypically, mimicking other conditions.
    • Vascular disturbances in dental pulp and periodontal tissues are implicated.
    • Potential links between dental pain and psychological factors require investigation.

    Purpose of the Study:

    • To describe and characterize atypical odontalgia.
    • To explore the relationship between odontalgia and psychological disorders.
    • To evaluate the efficacy of antidepressant therapy for this condition.

    Main Methods:

    • Retrospective case series analysis of 44 patients with odontalgia.
    • Clinical assessment of pain characteristics and psychological comorbidities.
    • Evaluation of treatment response to antidepressant medication.

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    Main Results:

    • Forty-four cases of odontalgia were identified as a migraine-like vascular disturbance.
    • The condition was frequently associated with depression and personality disorders.
    • Antidepressant therapy achieved a 75% success rate in managing odontalgia symptoms.

    Conclusions:

    • Atypical odontalgia may represent a manifestation of underlying psychological distress.
    • Antidepressant pharmacotherapy is an effective treatment modality.
    • Accurate diagnosis is vital to avoid invasive and unnecessary surgical interventions.