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open access
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ISSN : 0376-4672
Chronic toothache with no specific cause, no standardized characteristics, have been called ‘Atypical Odontalgia(AO)’. Recently, it has been replaced by the term 'persistent dentoalveolar pain disorder (PDAP)'. Since patients have various causative factors and their symptoms are diverse, it is also a challenge for clinicians to make an accurate diagnosis. PDAP is a persistent pain, and various aspects appear. There are no special triggers, exacerbation or alleviation factors, no response to anesthesia tests and dental treatment. The purpose of this study is to assist clinicians in diagnosing patients with unexplained tooth pain by examining the clinical characteristics, differential factors, and treatment of PDAP.
1. Toyofuku A. Psychosomatic problems in dentistry. Biopsychosoc Med 2016;10:14-016-0068-2. eCollection 2016.
2. 한경수. 비치성 치통. 대한치과의사협회지 2002;40(6):446-453.
3. Benoliel R, Svensson P, Evers S et al. The IASP classification of chronic pain for ICD-11: Chronic secondary headache or orofacial pain. Pain 2019;160.
4. Malacarne A, Spierings ELH, Lu C, Maloney GE. Persistent dentoalveolar pain disorder: A comprehensive review. J Endod 2018;44:206-211.
5. Treede RD, Jensen TS, Campbell JN et al. Neuropathic pain: Redefinition and a grading system for clinical and research purposes. Neurology 2008;70:1630-1635.
6. Miura A, Tu TTH, Shinohara Y et al. Psychiatric comorbidities in patients with atypical odontalgia. J Psychosom Res 2018;104:35-40.
7. Vickers ER, Cousins MJ, Walker S, Chisholm K. Analysis of 50 patients with atypical odontalgia. A preliminary report on pharmacological procedures for diagnosis and treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;85:24-32.
8. Baad-Hansen L, List T, Jensen TS, Svensson P. Increased pain sensitivity to intraoral capsaicin in patients with atypical odontalgia. J Orofac Pain 2006;20:107-114.
9. List T, Leijon G, Helkimo M, Oster A, Dworkin SF, Svensson P. Clinical findings and psychosocial factors in patients with atypical odontalgia:A case-control study. J Orofac Pain 2007;21:89-98.
10. Nixdorf DR, Moana-Filho EJ, Law AS, McGuire LA, Hodges JS, John MT. Frequency of nonodontogenic pain after endodontic therapy: A systematic review and meta-analysis. J Endod 2010;36:1494-1498.
11. Polycarpou N, Ng YL, Canavan D, Moles DR, Gulabivala K. Prevalence of persistent pain after endodontic treatment and factors affecting its occurrence in cases with complete radiographic healing. Int Endod J 2005;38:169-178.
12. Ram S, Teruel A, Kumar SK, Clark G. Clinical characteristics and diagnosis of atypical odontalgia: Implications for dentists. J Am Dent Assoc 2009;140:223-228.
13. Ciaramella A, Paroli M, Lonia L, Bosco M, Poli P. Biopsychosocial aspects of atypical odontalgia. ISRN Neurosci 2013;2013:413515.
14. Marbach JJ. Is phantom tooth pain a deafferentation (neuropathic)syndrome? part II: Psychosocial considerations. Oral Surg Oral Med Oral Pathol 1993;75:225-232.
15. Baad-Hansen L, Leijon G, Svensson P, List T. Comparison of clinical findings and psychosocial factors in patients with atypical odontalgia and temporomandibular disorders. J Orofac Pain 2008;22:7-14.
16. Nixdorf DR, Drangsholt MT, Ettlin DA et al. Classifying orofacial pains: A new proposal of taxonomy based on ontology. J Oral Rehabil 2012;39:161-169.
17. Sotorra-Figuerola D, Sánchez-Torres A, Valmaseda-Castellón E, Gay-Escoda C. Continuous neurophatic orofacial pain: A retrospective study of 23 cases. J Clin Exp Dent 2016;8:e153-9.
18. Tu TTH, Miura A, Shinohara Y et al. Evaluating burning mouth syndrome as a comorbidity of atypical odontalgia: The impact on pain experiences. Pain Pract 2018;18:580-586.
19. Graff-Radford SB, Solberg WK. Is atypical odontalgia a psychological problem? Oral Surg Oral Med Oral Pathol 1993;75:579-582.
20. Baad-Hansen L. Atypical odontalgia - pathophysiology and clinical management. J Oral Rehabil 2008;35:1-11.
21. Pigg M, Svensson P, Drangsholt M, List T. Seven-year follow-up of patients diagnosed with atypical odontalgia: A prospective study. J Orofac Pain 2013;27:151-164.
22. Melis M, Secci S. Diagnosis and treatment of atypical odontalgia:A review of the literature and two case reports. J Contemp Dent Pract 2007;8:81-89.
23. Pertes RA, Bailey DR, Milone AS. Atypical odontalgia--a nondental toothache. J N J Dent Asoc 1995;66:29-31, 33.
24. Tarce M, Barbieri C, Sardella A. Atypical odontalgia: An up-to-date view. Minerva Stomatol 2013;62:163-181.
25. Tu TTH, Miura A, Shinohara Y et al. Pharmacotherapeutic outcomes in atypical odontalgia: Determinants of pain relief. 2019;12:831-839.
26. Melis M, Lobo SL, Ceneviz C et al. Atypical odontalgia: A review of the literature. Headache 2003;43:1060-1074.
27. Heir G, Karolchek S, Kalladka M et al. Use of topical medication in orofacial neuropathic pain: A retrospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105:466-469.
28. Porporatti AL, Costa YM, Stuginski-Barbosa J, Bonjardim LR, Conti PC. Effect of topical anaesthesia in patients with persistent dentoalveolar pain disorders: A quantitative sensory testing evaluation. Arch Oral Biol 2015;60:973-981.
29. List T, Leijon G, Helkimo M, Öster A, Svensson P. Effect of local anesthesia on atypical odontalgia--a randomized controlled trial. Pain 2006;122:306-314.
30. Graff-Radford SB, Solberg WK. Atypical odontalgia. J Craniomandib Disord 1992;6:260-265.
31. Voute M, Morel V, Pickering G. Topical lidocaine for chronic pain treatment. Drug Des Devel Ther 2021;15:4091-4103.
32. Derry S, Rice AS, Cole P, Tan T, Moore RA. Topical capsaicin (high concentration) for chronic neuropathic pain in adults. Cochrane Database Syst Rev 2017;1:CD007393.
33. Cuadrado ML, García-Moreno H, Arias JA, Pareja JA. Botulinum neurotoxin type-A for the treatment of atypical odontalgia. Pain Med 2016;17:1717-1721.
34. García-Sáez R, Gutiérrez-Viedma Á, González-García N, Gómez-Mayordomo V, Porta-Etessam J, Cuadrado ML. OnabotulinumtoxinA injections for atypical odontalgia: An open-label study on nine patients. J Pain Res 2018;11:1583-1588.