본문 바로가기
KERD
논문KCI 등재

Nonodontogenic toothache

유지원|강진규
치의학연구원 (The Institute of Dental Science, Chosun University)|2018.12|Oral Biology Research|제42권 제4호|pp. 241-247|DOI https://doi.org/10.21851/obr.42.04.201812.241

0

조회

0

다운로드

1

인용

0

참고문헌

키워드

Orofacial painHeterotopic painNonodontogenic toothache
주제분류치의학

초록

Toothache is one of the most common discomforts experienced by patients in dental clinic. If clinical and radiographic examinationsdo not reveal any pathologic findings, we can suspect nonodontogenic toothache. Nonodontogenic toothache can be caused by avariety of causes such as muscle disorders, sinus and nasal mucosal problems, neuropathic pain, neurovascular pain, psychogenicproblems, and cardiogenic disease. A thorough history and clinical examination should be performed to confirm the cause of the pain,and more accurate diagnosis can be established through local anesthetic injection. If the nonodontogenic toothache is misdiagnosed,unnecessary dental treatment such as root canal treatment, periodontal treatment, and extraction can be performed, and the patient'spain is not alleviated through such treatment. Therefore, the cause of toothache must be diagnosed correctly before dental treatment isperformed, and clinicians should be fully aware of the diseases that may cause these symptoms.

Abstract

Toothache is one of the most common discomforts experienced by patients in dental clinic. If clinical and radiographic examinationsdo not reveal any pathologic findings, we can suspect nonodontogenic toothache. Nonodontogenic toothache can be caused by avariety of causes such as muscle disorders, sinus and nasal mucosal problems, neuropathic pain, neurovascular pain, psychogenicproblems, and cardiogenic disease. A thorough history and clinical examination should be performed to confirm the cause of the pain,and more accurate diagnosis can be established through local anesthetic injection. If the nonodontogenic toothache is misdiagnosed,unnecessary dental treatment such as root canal treatment, periodontal treatment, and extraction can be performed, and the patient'spain is not alleviated through such treatment. Therefore, the cause of toothache must be diagnosed correctly before dental treatment isperformed, and clinicians should be fully aware of the diseases that may cause these symptoms.

참고문헌 (48)

  1. H. Yatani, "Systematic review and recommendations for nonodontogenic toothache", Journal of Oral Rehabilitation, 41(11), pp.843~852 (2014), Wiley[DOI]
  2. J. Linn, "The differential diagnosis of toothache from other orofacial pains in clinical practice", Australian Dental Journal, 52, pp.S100~S104 (2007), Wiley[DOI]
  3. Donald R. Nixdorf, "Frequency of Nonodontogenic Pain after Endodontic Therapy: A Systematic Review and Meta-Analysis", Journal of Endodontics, 36(9), pp.1494~1498 (2010), Elsevier BV[DOI]
  4. Okeson JP, "Bell's oral and facial pain", pp.474~477 (2014), Quintessence Publishing Co
  5. Eric Schiffman, "Diagnostic Criteria for Temporomandibular Disorders (DC", TMD) for Clinical and Research Applications: Recommendations of the International RDC, Journal of Oral & Facial Pain and Headache, pp.2014, 28(1)[DOI]
  6. 강진규, "근막동통으로 인한 하악 구치부 연관통의 임상증례", Journal of Oral Medicine and Pain, 32(4), pp.455~460 (2007), 대한안면통증∙구강내과학회
  7. 이용승, "비정형성 치통으로 여겨진 환자의 분석", Journal of Oral Medicine and Pain, 29(2), pp.153~165 (2004), 대한안면통증∙구강내과학회
  8. Simons DG, "Travell & Simons' myofascial pain and dysfunction: the trigger point manual. Vol. 1. Upper half of body", pp.329~348 (1999), Williams & Wilkins
  9. EDWARD F. WRIGHT, "REFERRED CRANIOFACIAL PAIN PATTERNS IN PATIENTS WITH TEMPOROMANDIBULAR DISORDER", The Journal of the American Dental Association, 131(9), pp.1307~1315 (2000), Elsevier BV[DOI]
  10. T. LIST, "Management of TMD: evidence from systematic reviews and meta-analyses", Journal of Oral Rehabilitation, 37(6), pp.430~451 (2010), Wiley[DOI]
  11. Arif Rashid, "Physiotherapy in the management of disorders of the temporomandibular joint—perceived effectiveness and access to services: a national United Kingdom survey", British Journal of Oral and Maxillofacial Surgery, 51(1), pp.52~57 (2013), Elsevier BV[DOI]
  12. Steven J. Scrivani, "Temporomandibular Disorders", New England Journal of Medicine, 359(25), pp.2693~2705 (2008), Massachusetts Medical Society[DOI]
  13. Laskin DM, "Temporomandibular disorders: an evidence-based approach to diagnosis and treatment", pp.377~388 (2006), Quintessence Publishing Co
  14. G. Cruccu, "AAN-EFNS guidelines on trigeminal neuralgia management", European Journal of Neurology, 15(10), pp.1013~1028 (2008), Wiley[DOI]
  15. 윤승현, "비치성 치통의 치험 증례", Journal of Oral Medicine and Pain, 33(4), pp.401~407 (2008), 대한안면통증∙구강내과학회
  16. Sergio Canavero, "Drug therapy of trigeminal neuralgia", Expert Review of Neurotherapeutics, 6(3), pp.429~440 (2014), Informa UK Limited[DOI]
  17. Khalid Al-Quliti, "Update on neuropathic pain treatment for trigeminal neuralgia. The pharmacological and surgical options", Neurosciences, 20(2), pp.107~114 (2015), Neurosciences[DOI]
  18. J. M. Zakrzewska, "Trigeminal neuralgia", BMJ, 350(mar12 4), pp.h1238~h1238 (2015), BMJ[DOI]
  19. Giorgio Cruccu, "Trigeminal Neuralgia", CONTINUUM: Lifelong Learning in Neurology, 23(2), pp.396~420 (2017), Ovid Technologies (Wolters Kluwer Health)[DOI]
  20. Robert H. Dworkin, "Pharmacologic management of neuropathic pain: Evidence-based recommendations", Pain, 132(3), pp.237~251 (2007), Ovid Technologies (Wolters Kluwer Health)[DOI]
  21. Alberto Malacarne, "Persistent Dentoalveolar Pain Disorder: A Comprehensive Review", Journal of Endodontics, 44(2), pp.206~211 (2018), Elsevier BV[DOI]
  22. E.Russell Vickers, "Analysis of 50 patients with atypical odontalgia", Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 85(1), pp.24~32 (1998), Elsevier BV[DOI]
  23. Gary Heir, "Use of topical medication in orofacial neuropathic pain: a retrospective study", Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 105(4), pp.466~469 (2008), Elsevier BV[DOI]
  24. Thomas List, "Effect of local anesthesia on atypical odontalgia – A randomized controlled trial", Pain, 122(3), pp.306~314 (2006), Ovid Technologies (Wolters Kluwer Health)[DOI]
  25. André Luís Porporatti, "Effect of topical anaesthesia in patients with persistent dentoalveolar pain disorders: A quantitative sensory testing evaluation", Archives of Oral Biology, 60(7), pp.973~981 (2015), Elsevier BV[DOI]
  26. 김기미, "Non-Odontogenic Toothache Caused by Acute Maxillary Sinusitis: A Case Report", Journal of Oral Medicine and Pain, 41(2), pp.80~84 (2016), 대한안면통증∙구강내과학회[DOI]
  27. undefined, "Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition", Cephalalgia, 38(1), pp.1~211 (2018), SAGE Publications[DOI]
  28. Aurelio A. Alonso, "Case Series of Four Different Headache Types Presenting as Tooth Pain", Journal of Endodontics, 32(11), pp.1110~1113 (2006), Elsevier BV[DOI]
  29. Donald R. Nixdorf, "Neurovascular Pains: Implications of Migraine for the Oral and Maxillofacial Surgeon", Oral and Maxillofacial Surgery Clinics of North America, 20(2), pp.221~235 (2008), Elsevier BV[DOI]
  30. 임영관, "Rare Odontalgia of Mandibular Teeth Associated with Migraine: A Case Report", Journal of Oral Medicine and Pain, 43(3), pp.92~96 (2018), 대한안면통증∙구강내과학회[DOI]
  31. Mohammad Reza Namazi, "Presentation of Migraine as Odontalgia", Headache: The Journal of Head and Face Pain, 41(4), pp.420~421 (2001), Wiley[DOI]
  32. Miguel Peñarrocha, "Lower-half facial migraine: A report of 11 cases", Journal of Oral and Maxillofacial Surgery, 62(12), pp.1453~1456 (2004), Elsevier BV[DOI]
  33. Stephen D Silberstein, "Sumatriptan: treatment across the full spectrum of migraine", Expert Opinion on Pharmacotherapy, 14(12), pp.1659~1667 (2013), Informa Healthcare[DOI]
  34. Paul Rizzoli, "Preventive Pharmacotherapy in Migraine", Headache: The Journal of Head and Face Pain, 54(2), pp.364~369 (2014), Wiley[DOI]
  35. Matthew S. Robbins, "Treatment of Cluster Headache: The American Headache Society Evidence-Based Guidelines", Headache: The Journal of Head and Face Pain, 56(7), pp.1093~1106 (2016), Wiley[DOI]
  36. Alfredo Costa, "The Neuropharmacology of Cluster Headache and other Trigeminal Autonomic Cephalalgias", Current Neuropharmacology, 13(3), pp.304~323 (2015), Bentham Science Publishers Ltd.[DOI]
  37. Viktor Čulić, "Correlation between symptomatology and site of acute myocardial infarction", International Journal of Cardiology, 77(2-3), pp.163~168 (2001), Elsevier BV[DOI]
  38. Marcelo Kreiner, "Craniofacial pain as the sole symptom of cardiac ischemia", The Journal of the American Dental Association, 138(1), pp.74~79 (2007), Elsevier BV[DOI]
  39. Tomoyasu Y, "Chronic orofacial pain in dental patients: retrospective investigation over 12 years", Acta Med Okayama, 68, pp.269~275 (2014)[DOI]
  40. Anna Miura, "Psychiatric comorbidities in patients with Atypical Odontalgia", Journal of Psychosomatic Research, 104, pp.35~40 (2018), Elsevier BV[DOI]
  41. L. BAAD-HANSEN, "Atypical odontalgia - pathophysiology and clinical management", Journal of Oral Rehabilitation, 35(1), pp.1~11 (2008), Wiley[DOI]
  42. Junad Khan, "Cerebellopontine Angle (CPA) Tumor Mimicking Dental Pain Following Facial Trauma", CRANIO®, 28(3), pp.205~208 (2014), Maney Publishing[DOI]
  43. 김재정, "Toothache Caused by Sialolithiasis of the Submandibular Gland", Journal of Oral Medicine and Pain, 43(3), pp.87~91 (2018), 대한안면통증∙구강내과학회[DOI]
  44. 김의주, "Mimicking Odontogenic Pain Caused by Burkitt’s Lymphoma: A Case Report", Journal of Oral Medicine and Pain, 42(3), pp.85~88 (2017), 대한안면통증∙구강내과학회[DOI]
  45. A. Walden, "Toothache: an unlikely presentation of secondary breast malignancy", Case Reports, 2011, pp.bcr0420114075~bcr0420114075 (2011), BMJ[DOI]
  46. M S Basati, "Sickle Cell Disease and Pulpal Necrosis: A Review of the Literature for the Primary Care Dentist", Primary Dental Journal, 3(1), pp.76~79 (2014), Royal College of Surgeons of England[DOI]
  47. David B. Hellmann, "Temporal Arteritis", JAMA, 287(22), pp.2996~3000 (2002), American Medical Association (AMA)[DOI]
  48. Okeson JP, "Nonodontogenic toothache", Dent Clin North Am, 41, pp.367~383 (1997)

관련 논문AI추천

비치성기원의 치아통증정성희대한치과의사협회 · 대한치과의사협회지2022 · 제60권 제2호Diagnostic challenges of nonodontogenic toothache김성교, 김영경, 박형옥, 진명욱, 하정홍대한치과보존학회 · Restorative Dentistry and Endodontics2012 · 제37권 제3호An Insight Into Neurophysiology of Pulpal Pain: Facts and HypothesesAbhishek Gupta, Meena N., Niharika Jain대한통증학회 · The Korean Journal of Pain2013 · 제26권 제4호Headache disorders in dental practice강진규, 이진한치의학연구원 · Oral Biology Research2022 · 제46권 제4호Evaluation of the treatment and prognosis of the patients with orofacial pain of unknown cause강동우, 김영균치의학연구원 · Oral Biology Research2018 · 제42권 제2호치과의사가 숙지해야 할 두통의 분류김성택대한치과의사협회 · 대한치과의사협회지2024 · 제62권 제7호

이 간행물의 다른 논문 (11건)

Surface characteristics and bioactivity of minocycline-treated Ti-6Al-4V alloy이정혁, Jong-Wook Moon, Young-Gon Sun, Eui-Ri Na, Young-Joon Kimpp. 187-197A study of bone regeneration effect according to the two different graft bone materials in the cranial defects of rabbits유상준, Hyun-Jong Song, 민귀현, Hyun-Woo Kim, 김병옥, 이원표pp. 198-207Prevalence and influencing factors of dysphagia in elderly patientsYu-Mi Park, 임선영, 손미경, 허유리, 손효진pp. 208-215Tooth loss in aggressive periodontitis patients: retrospective study with follow-up of 3 to 8 years정성념, Ye-Sol Park, Young-Mi Chungpp. 216-221Removal of miniplates following facial trauma and orthognathic surgery: a 3-year studyNa-Ra Shin, 김수관, 신상훈, 오지수pp. 222-227
원문 보기