비정형 치통 및 삼차 신경통 환자의 임상 특징과 치료 반응의 관계
Relationship between clinical features and treatment response in patients with atypical odontalgia and trigeminal neuralgia
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Unexplained toothache is likely to be neuralgia that appears in the teeth. Atypical odontalgia(AO) and trigeminal neuralgia(TN), which are commonly seen in types of neuralgia, can be distinguished by identifying their clinical characteristics. The purpose of this study is to provide information for differential diagnosis by analyzing clinical features of patients suffering from these two diseases. From 2013 to 2022, medical records of 124 patients diagnosed with AO or TN who visited the Department of Oral Medicine at Pusan National University Dental Hospital were analyzed. Analysis was performed on 12 factors related to the patient’s clinical features. Patients with AO are generally younger than those with TN, and few patients show complete improvement (p<0.05). Compared to TN patients who showed sharp pain, AO patients mainly complained of dull pain, which lasted all day (p<0.05). In both diseases, unilateral pain predominantly appeared and the appearance of increased pain during contact stimulation was higher in patients with TN (p<0.05).Patients with AO often developed symptoms after dental treatment and responded relatively well to antidepressants. In contrast, TN patients were less associated with dental treatment, and antiepileptic drugs could reduce pain. In conclusion, the age of patients, pain duration, increased pain to stimulation, pain related to dental treatment, and type of medication indicating the therapeutic effect are important factors that differentiate between AO and TN.
Abstract
Unexplained toothache is likely to be neuralgia that appears in the teeth. Atypical odontalgia(AO) and trigeminal neuralgia(TN), which are commonly seen in types of neuralgia, can be distinguished by identifying their clinical characteristics. The purpose of this study is to provide information for differential diagnosis by analyzing clinical features of patients suffering from these two diseases. From 2013 to 2022, medical records of 124 patients diagnosed with AO or TN who visited the Department of Oral Medicine at Pusan National University Dental Hospital were analyzed. Analysis was performed on 12 factors related to the patient’s clinical features. Patients with AO are generally younger than those with TN, and few patients show complete improvement (p<0.05). Compared to TN patients who showed sharp pain, AO patients mainly complained of dull pain, which lasted all day (p<0.05). In both diseases, unilateral pain predominantly appeared and the appearance of increased pain during contact stimulation was higher in patients with TN (p<0.05).Patients with AO often developed symptoms after dental treatment and responded relatively well to antidepressants. In contrast, TN patients were less associated with dental treatment, and antiepileptic drugs could reduce pain. In conclusion, the age of patients, pain duration, increased pain to stimulation, pain related to dental treatment, and type of medication indicating the therapeutic effect are important factors that differentiate between AO and TN.
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