Current Evidence on Atypical Odontalgia: Diagnosis and Clinical Management
Patients with atypical odontalgia (AO) complain of medically unexplained toothache. No evidence-based diagnostic criteria or treatment guidelines are yet available. The present paper addresses seven clinical questions about AO based on current knowledge in the literature and discusses diagnostic cri...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | International Journal of Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2012/518548 |
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| _version_ | 1832562302014980096 |
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| author | Yoshihiro Abiko Hirofumi Matsuoka Itsuo Chiba Akira Toyofuku |
| author_facet | Yoshihiro Abiko Hirofumi Matsuoka Itsuo Chiba Akira Toyofuku |
| author_sort | Yoshihiro Abiko |
| collection | DOAJ |
| description | Patients with atypical odontalgia (AO) complain of medically unexplained toothache. No evidence-based diagnostic criteria or treatment guidelines are yet available. The present paper addresses seven clinical questions about AO based on current knowledge in the literature and discusses diagnostic criteria and guidelines for treatment and management. The questions are (i) What is the prevalence of AO in the community? (ii) What psychological problems are experienced by patients with AO? (iii) Are there any comorbidities of AO? (iv) Is local anesthesia effective for the relief of pain in AO? (v) Are there any characteristic symptoms of AO other than spontaneous pain? (vi) Are antidepressants effective for treatment of AO? (vii) Are anticonvulsants effective for treatment of AO? Our literature search provided answers for these questions; however, there is insufficient evidence-based data to establish guidelines for the diagnosis and treatment of AO. Overall, some diagnostic criteria for neuropathic pain and persistent dentoalveolar pain disorder may be applied to AO patients. The patient's psychogenic background should always be considered in the treatment and/or management of AO. The clinicians may need to treat AO patients using Patient-Oriented Evidence that Matters approach. |
| format | Article |
| id | doaj-art-fe9304ad20494c539ecdbc71c70eaa60 |
| institution | Kabale University |
| issn | 1687-8728 1687-8736 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Dentistry |
| spelling | doaj-art-fe9304ad20494c539ecdbc71c70eaa602025-02-03T01:23:05ZengWileyInternational Journal of Dentistry1687-87281687-87362012-01-01201210.1155/2012/518548518548Current Evidence on Atypical Odontalgia: Diagnosis and Clinical ManagementYoshihiro Abiko0Hirofumi Matsuoka1Itsuo Chiba2Akira Toyofuku3Division of Oral Medicine and Pathology, School of Dentistry, Health Sciences University of Hokkaido, 1757 Kanazawa, Ishikari-Tobetsu, Hokkaido 061-0293, JapanDivision of Disease Control & Molecular Epidemiology, School of Dentistry, Health Sciences University of Hokkaido, 1757 Kanazawa, Ishikari-Tobetsu, Hokkaido 061-0293, JapanDivision of Disease Control & Molecular Epidemiology, School of Dentistry, Health Sciences University of Hokkaido, 1757 Kanazawa, Ishikari-Tobetsu, Hokkaido 061-0293, JapanDepartment of Psychosomatic Dentistry, Faculty of Dentistry, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo 113-8510, JapanPatients with atypical odontalgia (AO) complain of medically unexplained toothache. No evidence-based diagnostic criteria or treatment guidelines are yet available. The present paper addresses seven clinical questions about AO based on current knowledge in the literature and discusses diagnostic criteria and guidelines for treatment and management. The questions are (i) What is the prevalence of AO in the community? (ii) What psychological problems are experienced by patients with AO? (iii) Are there any comorbidities of AO? (iv) Is local anesthesia effective for the relief of pain in AO? (v) Are there any characteristic symptoms of AO other than spontaneous pain? (vi) Are antidepressants effective for treatment of AO? (vii) Are anticonvulsants effective for treatment of AO? Our literature search provided answers for these questions; however, there is insufficient evidence-based data to establish guidelines for the diagnosis and treatment of AO. Overall, some diagnostic criteria for neuropathic pain and persistent dentoalveolar pain disorder may be applied to AO patients. The patient's psychogenic background should always be considered in the treatment and/or management of AO. The clinicians may need to treat AO patients using Patient-Oriented Evidence that Matters approach.http://dx.doi.org/10.1155/2012/518548 |
| spellingShingle | Yoshihiro Abiko Hirofumi Matsuoka Itsuo Chiba Akira Toyofuku Current Evidence on Atypical Odontalgia: Diagnosis and Clinical Management International Journal of Dentistry |
| title | Current Evidence on Atypical Odontalgia: Diagnosis and Clinical Management |
| title_full | Current Evidence on Atypical Odontalgia: Diagnosis and Clinical Management |
| title_fullStr | Current Evidence on Atypical Odontalgia: Diagnosis and Clinical Management |
| title_full_unstemmed | Current Evidence on Atypical Odontalgia: Diagnosis and Clinical Management |
| title_short | Current Evidence on Atypical Odontalgia: Diagnosis and Clinical Management |
| title_sort | current evidence on atypical odontalgia diagnosis and clinical management |
| url | http://dx.doi.org/10.1155/2012/518548 |
| work_keys_str_mv | AT yoshihiroabiko currentevidenceonatypicalodontalgiadiagnosisandclinicalmanagement AT hirofumimatsuoka currentevidenceonatypicalodontalgiadiagnosisandclinicalmanagement AT itsuochiba currentevidenceonatypicalodontalgiadiagnosisandclinicalmanagement AT akiratoyofuku currentevidenceonatypicalodontalgiadiagnosisandclinicalmanagement |