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Nonodontogenic Odontalgia Referred from the Temporal Tendon: A Case Report
Preston S Duffin1, Alexander Smith2, James M Hawkins2
1Air Force Postgraduate Dental School, Uniformed Services University of the Health Sciences Postgraduate Dental College, San Antonio, Texas.
Journal of Endodontics
|June 21, 2020
Summary
Temporal tendonitis (TT) is an orofacial pain condition causing referred pain. Local anesthetic injection effectively treated TT symptoms, including tooth and preauricular pain, resolving the patient's discomfort.
Area of Science:
- Orofacial pain disorders
- Musculoskeletal pain management
- Dental diagnostics
Background:
- Temporal tendonitis (TT) is an underdiagnosed orofacial pain disorder.
- TT can refer pain to teeth, TMJ, muscles, eye, or ear.
- Limited literature contributes to diagnostic challenges for healthcare providers.
Observation:
- Case report of TT presenting with maxillary/mandibular posterior tooth pain.
- Symptoms included preauricular pain and reduced mandibular range of motion.
- Clinical examination findings were consistent with TT.
Findings:
- Local anesthetic injection adjacent to the temporal tendon provided immediate pain relief.
- Improved mandibular range of motion was observed post-injection.
- Patient reported complete pain resolution at 1-week follow-up.
Implications:
- Increased provider awareness of TT can prevent misdiagnosis and delayed treatment.
- Prompt diagnosis and targeted treatment, like local anesthetic injection, improve patient outcomes.
- Educational initiatives are crucial for managing TT effectively.
