Non odontogenic pain pdf

Toothache of nonodontogenic origin is not true dental pathology, rather it is the pain referred into the dentition. Odontogenic and non odontogenic tumors of the jaws are a relatively rare and heterogeneous group of benign and malignant neoplasms, hamartomas, and other bonerelated lesions that demonstrate great variability in etiology, biologic behavior, and clinical significance. Emotions play a key role in painful experience pain sounds a warning, signaling damage to tissues, and has survival value so pain receptors do not adapt to prolonged stimulation and pain sensation may intensify as pain thresholds are lowered by continued stimulation. Pdf comparison of odontogenic and nonodontogenic thanh. The term nonodontogenic indicates that the tumor is not composed of cellular constituents whose primary purpose is to form teeth or toothrelated structures odontogenesis. Non odontogenic facial pain can be caused by inflammation due to tumour, infection, or trauma. It arises from facial area, temperomandibular joint, ear, pharynx and larynx. Nasopalatine duct cyst cyst of the incisal canal incisive papilla cyst is a non odontogenic developmental cyst located in the incisive canal or in the anterior palatine papilla and develops from the embryonic ducts of scarpa and stenson.

Orofacial pain is a common symptom, and there are many causes. Headache disorders may pose another complicated diagnosis. It is more effective to administer botulinum toxina in combination with other medications and. Opioids are not the firstline therapy for chronic pain outside of active cancer treatment, palliative care, and endoflife care. Toothache odontogenic and non odontogenic pain pdf free.

Nonodontogenic pain can often become chronic and debilitating in nature. Although pain of dental origin is the most common orofacial pain. Chronic facial pain is a more descriptive term than atypical facial pain and should be adopted for continuous. It is important for the clinician to recognize basic terminology associated with the peripheral nervous system and the biology of pain. May 30, 2018 odontogenic pain is one of the most common forms of orofacial pains.

Nine studies had data for allcause tooth pain, as previously reported, as well as for nonodontogenic pain, thus allowing an estimation of the proportion of such pain outcomes in each study population. The objective of this article was to present two nonodontogenic conditions that may mimic odontogenic toothache. A therapeutic regimen of tricy clic antidepressants alleviated the pain in one pa tient and was unsuccessful in the second. Tooth and intraoral structures are often the main sources of orofacial pain. Dental odontogenic pain europe pmc article europe pmc. Although pain of dental origin is the most common orofacial pain, other non odontogenic pains can affect the orofacial region and occasionally mimic dental pain. Pain is perfect misery, the worst of evils and excessive, overturns all patience john milton, paradise lost 2. Orofacial pain is a general term covering any pain which is felt in the mouth, jaws and the face. However, clinician often encounters situation when odontogenic causes of pain are excluded and non odontogenic.

These growths are not just limited to the jaws, because they can form anywhere within or on the body. Radiology of cysts of the jaws columbia university. These two cases demonstrate the importance of having a thorough knowledge of both odontogenic and non odontogenic causes of orofacial pain as well as the need for careful diagnosis before undertaking any treatment. Mar 01, 2011 this article provides a simple overview of acute trigeminal pain for the non dentist. Infections of the oral cavity, neck, and head infectious. The dilemma the clinician faces is the correct diagnosis of these pains. Pdf although pain of dental origin is the most common orofacial pain, other non odontogenic pains can affect the orofacial region and occasionally. Lecture notes for the the 143 annual session of the south carolina dental association. Therefore, orofacial pain may sometime pose a diagnostic dilemma for the oral physicians and clinicians. Nonodontogenic facial pain can be caused by inflammation due to tumour, infection, or trauma. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Orofacial pain can present with pain of odontogenic and nonododntogenic origin. Nonodontogenic toothache revisited semantic scholar. The management of pain in dentistry encompasses a number of procedural issues, including the delivery of anesthetic and the management of postprocedural pain, as well as pain diagnosis, management strategies for orofacial conditions that cause pain in the face and head, and the management of pain in special populations.

This website provides free medical books this website provides over 0 free medical books and more for all students and doctors this website the best choice for medical students during and after learning medicine. Cellulitis of nonodontogenic origin is most commonly caused by. Odontogenic and nonodontogenic tumors of the jaws introduction odontogenic and nonodontogenic tumors of the jaws are a relatively rare and heterogeneous group of benign and malignant neoplasms, hamartomas, and other bonerelated lesions that demonstrate great variability in etiology, biologic behavior, and clinical significance. These two cases highlight the complexities involved in diagnosing nonodontogenic toothache. This is because, often, the non odontogenic pains are mistaken with odontogenic pains. Nonodontogenic oral and maxillofacial infections intechopen. Chronic facial pain is a more descriptive term than atypical facial pain. Jaw cysts are sacklike pouches that fill with fluid and form within the tissues of the jaw. The orofacial region is the most frequent site for patients seeking medical attention for pain 1, 2 with 12. Fracture, caries and defective restorations are clinical features which are associated with odontogenic pain. Knowledge of the various non odontogenic pains will ulti. Management of odontogenic and nonodontogenic oral pain. It is estimated that over 95% of cases of orofacial pain result from dental causes i. Non odontogenic jaw cysts are cysts arising from epithelial remnants of embryonic ducts left behind after embryonal facial and jaw development.

These non odontogenic pains may pose a diagnostic dilemma for the dental practitioner who routinely diagnoses and treats dental pain. Classification and types of acute and chronic pain kyiv 2010 jan dobrogowski. Toothache odontogenic and non odontogenic pain pdf. This study involved seven patients seven females, mean age 65. Odontogenic and non odontogenic pain free download as powerpoint presentation. Coding for cyst removal in conjunction with extractions. Temporary pain relief after therapy with carbamazepine for 3 months. Although pain of dental origin is the most common orofacial pain, other nonodontogenic pains can af fect. Pain that has previously been present then recurs suggests dental abscess formation caused by a non. Nonopioid treatments for chronic pain principles of chronic pain treatment patients with pain should receive treatment that provides the greatest benefit. Atypical odontalgia misdiagnosed as odontogenic pain.

Predisposing factors for these infections include conditions that make the skin more fragile or local host defenses less effective, such as obesity, previous cutaneous cuts, venous insufficiency, lymphatic obstruction or other causes. This chapter describes the significance of allodynia. Pain in the orofacial region is the most common reason for patients to visit a dental clinic. Nonodontogenic toothache definition of nonodontogenic. Treatment of nonodontogenic orofacial pain using botulinum. The purpose of this study was to evaluate the clinical outcomes of treatment of non odontogenic atypical orofacial pain using botulinum toxina. Definition of pain and classification of pain disorders. Odontogenic pain, a common malady globally and the most prevalent type of orofacial pain, originates from dental structures, pulpal or periodontal. Aug, 2012 chronic pain is not a normal part of aging.

Often they may be complaining of pain from their teeth. Although nonodontogenic tumors of the jawbones typically involve the same basic tumorigenic processes as bone tumors in other parts of the skeleton, the former may. Pain of odontogenic and nonodontogenic origin pocket. Pain of odontogenic and nonodontogenic origin springerlink.

In addition, presence of sensitivity, pain on percussion, pain. Diagnostic challenges of nonodontogenic toothache ncbi. Differential diagnosis for odontogenic pain is outlined in table 1. Oral pain of nonodontogenic origin can originate from the intraoral structures, such as buccal mucosa, gingival tissues, and alveolar bone. Calcifying odontogenic cyst odontogenic keratocyst okc an okc is a non inflammatory odontogenic cyst that arises from the dental lamina. Toothache odontogenic and non odontogenic pain pdf for free. Classification of cranial neuralgias, nerve trunk pain, and deafferentation pain ihs category specific disorders or definition classification3 persistent in contrast to ticlike pain of. Understanding the complex mechanism of odontogenic and non odontogenic pain and the manner. Odontogenic pain, also commonly known as tooth pain, originates from dental structures, pulpal or periodontal. Topographical classification is often applied to this complex region. This article presents two cases that may mimic odontogenic pain. Odontogenic pain, also commonly known as tooth pain, originates from. However, clinician often encounters situation when odontogenic causes of pain are excluded and non odontogenic causes should be considered. Odontogenic pain is one of the most common forms of orofacial pains.

Patients can present with pain of odontogenic or nonodontogenic origin, arising from the facial area, temporomandibular joints, ear, eyes, pharynx and larynx. However, the pain did not disappear in two patients who reported experiencing persistent pain without any cause. Request pdf odontogenic and nonodontogenic pain it is important for the clinician to recognize basic terminology associated with the peripheral nervous system and the biology of pain. Page 2 coding for cyst removal in conjunction with extractions 526. Primary intraosseous carcinoma of the jaws pioscc might arise from odontogenic epithelium, more commonly from a previous odontogenic cyst. Malignant transformation of an odontogenic cyst in a. The common categories of non dental pain and speciic examples are provided in table 1. When symptoms dont make sense, or do not correlate with normal. The aim of this case is to illustrate that the clinician should consider that an apparent benign dentigerous cyst can suffer malignant transformation and that all material removed from a patient must be evaluated histologically. Although toothache is by far the most common pain entity in the facial region, not all pains that present as toothache are of odontogenic origin. Non odontogenic pain pdf four 44 per cent of 100 non dental orofacial pain patients had previously. Treatment of non odontogenic orofacial pain using botulinum toxina.

This website provides free medical books this website provides over 0 free medical books and more for all students and doctors this website the best choice for. Pain in the orofacial region is by far the commonest reason for patients to seek treatment. Osteosarcomas occur more commonly in the appendicular than axial skeleton. Non odontogenic toothache and chronic head and neck pains. Orofacial chronic pain provides a significant challenge to all clinicians and the patients seeking treatment for it.

Both of these studies suggest there are a substan tial number of patients who may present to the dentist with orofacial pain complaints of nonodontogenic origin. Pain of odontogenic and nonodontogenic origin pocket dentistry. The use of botulinum toxina for the treatment of non odontogenic neuropathic orofacial pain is clinically useful. Nonodontogenic toothaches jada american dental association. Tooth andor its supporting structures are often source of pain. The tooth may be sensitive to pressure, heat, cold, or sweets. Regions often presenting as orofacial pain complaints include the sinuses, salivary gland, ears, eyes, throat, mandibular, and maxillary bone pathology. Nonodontogenic jaw cysts are cysts arising from epithelial remnants of embryonic ducts left behind after embryonal facial and jaw development.

In cases of severe pain, identifying the problem tooth is often difficult. Nonodontogenic toothache is the type of heterotopic pain. Most chapters start with a title, a brief description of the topic, common clinical signs and symptoms of each disease, the. Severe soft tissue infections of the head and neck. Odontogenic pain management fdi world dental federation.

Pdf nonodontogenic toothache revisited researchgate. Pdf management of odontogenic and nonodontogenic oral pain. Toothache definition a toothache is any pain or soreness within or around a tooth, indicating inflammation and possible infection. Chapter 21 odontogenic and non odontogenic tumors of the jaws introduction. Endodontic correlated from the patients history of treatment. Patients can present with pain of odontogenic or non odontogenic origin, arising from the facial area, temporomandibular joints, ear, eyes, pharynx and larynx.

Nonodontogenic oral pain can originate from intraoral structures such as gingiva and buccal mucosa. Extramedullary plasmacytomas arise outside of bone, are typically mucocutaneous in location and occur most commonly in the mouth, on the feet or trunk and in the ears. While odontogenic infections are daily encountered in dental and oral and maxillofacial surgery practices, some practitioners may be unfamiliar with the wide range of other infections of diverse etiology, some of them relatively uncommon, or even rare. Malignant transformation of an odontogenic cyst in a period. Two cases are presented in which one is related to the upper left second premolar and the other is related to the upper left first molar. In these 9 studies, 44 nonodontogenic pain cases 56% of the 78 allcause pain cases were identified. In addition, presence of sensitivity, pain on percussion, pain during mastication is other key features. Pain is not a simple sensation but rather a complex neurobehavioral event involving at least two components. A detailed description of pain and the complete diagnostic sequence are mandatory, including adequate clinical and radiographic examination. When a person sees a dentist or a doctor complaining about odontogenic pain, the most difficult part of the diagnosis is to assess the origin of the pain. Pdf although pain of dental origin is the most common orofacial pain, other nonodontogenic pains can affect the orofacial region and occasionally. Pain originating from pulp dentine complex andor periodontal structures presents with variable clinical characteristics and can be accurately diagnosed and treated. Furthermore, this pain can be exacerbated by incorrect or unnecessary treatments that may result in the establishment of chronic pain pathways. Tooth pain of nonodontogenic origin arises for a variety of reasons, including referred pain from the maxillary sinuses and contents of the nasal cavity.