[Atypical odontalgia].
In spite of its first description by the English surgeon JOHN HUNTER more than 200 years ago, atypical odontalgia (AO), or phantom tooth pain, is not universally known among dentists. AO is a persistent neuropathic pain which may be initiated after deafferentiation of trigeminal nerve fibers following root canal treatment, apicectomy, or tooth extraction. In the absence of pathological clinical or radiological findings, the diagnosis is made by exclusion. After a thorough patient education about the condition, pharmacological and psychological pain management is required. Invasive and irreversible treatment attempts are contraindicated.
Türp
Jens Christoph
JC
Klinik für Rekonstruktive Zahnmedizin und Myoarthropathien, Universitätskliniken für Zahnmedizin, Universität Basel, Schweiz. jens.tuerp@unibas.ch
D000344:Afferent Pathways / Q000601:surgery; D002491:Central Nervous System Agents / Q000627:therapeutic use; D020209:Cranial Nerve Injuries / Q000150:complications*; D006801:Humans; D006930:Hyperalgesia / Q000209:etiology* / Q000628:therapy; D019647:Oral Surgical Procedures / Q000009:adverse effects*; D011613:Psychotherapy; D012390:Root Canal Therapy / Q000009:adverse effects*; D018709:Statistics, Nonparametric; D014098:Toothache / Q000209:etiology* / Q000628:therapy; D014276:Trigeminal Nerve / Q000601:surgery
D002491:Central Nervous System Agents