The assumption that a patient enjoys good dental health may not always be true. Pain arising from the teeth and supporting structures must a lways be considered during any examination of a facial pain patient. Mohamed rahil maxillofacial surgeon tikrit dentistry college. Endodontic correlated from the patients history of treatment. Department of endodontics and restorative dentistry, school of dental medicine.
This is because, often, the nonodontogenic pains are mistaken with odontogenic pains. A toothache, or a violent passion, is not necessarily diminished by our knowledge of its causes, its character, its importance or insignificance. Orofacial pain odontogenic pain pain coming from the. Conclusion orofacial pain can be defined as any pain that occurs in the face and mouth, including the nose, ear, eye and throat. Pain originating from pulp dentine complex andor periodontal structures presents with variable clinical characteristics and can be accurately diagnosed and treated. Pain of odontogenic and nonodontogenic origin pocket dentistry. A condition that may mimic symp toms of odontogenic pain is atypical odontalgia. Odontogenic questions in the mouth there are many different names for things, and some of these names are things that lay people may have never heard of before. Of particular interest for is that dental pain can mimic both. This study was aimed at describing the pattern of various types of cysts in the oral and maxillofacial region in a kenyan population. Nonodontogenic pain was defined as dentoalveolar pain present for 6 months or more after endodontic treatment without evidence of dental pathology. Headache disorders may pose another complicated diagnosis.
The differential diagnosis of odontogenic pain can be the ultimate puzzle. Local provocation of the tooth does not alter the pain. Definition and management of odontogenic maxillary sinusitis. The pulp painwhat is the treatment odontogenic pain. Regions often presenting as orofacial pain complaints include the sinuses, salivary gland, ears, eyes, throat, mandibular, and maxillary bone pathology. Tooth pain, meaning pain of known pulpal or periradicular etiology, is not the only reason for pain perceived in the dentoalveolar regions. Toothache, also known as dental pain, is pain in the teeth or their supporting structures, caused by dental diseases or pain referred to the teeth by nondental diseases.
Sep 07, 2015 most patients reporting dental pain have symptoms that are odontogenic. Odontogenic and nonodontogenic pain pocket dentistry. In order to differentiate odontogenic pain from other facial pain, a multidisciplinary evaluation must be. Mar 01, 2011 dental odontogenic pain t ara renton, p rofessor in oral s urger y, bds mdsc phd fds r cs fracds oms il tm king s college london dental i nstitute, denmark hill campus, bessemer road. For the majority of patients, the pain is of odontogenic origin, as a consequence of dental disease. Odontogenic definition of odontogenic by the free dictionary.
An okc is an odontogenic lesion, which usually presents incidentally on a dental radiograph as a radiolucency associated with an impacted tooth fig. On the other hand, nonodontogenic pain may be described as tingling, shooting, burning, nonlocalized, which crosses the midline. An understanding of the dentists limitations is important in order to ensure the safety and wellbeing of patients presenting with odontogenic infections. A final diagnosis of central calcifying epithelial odontogenic. Large lesions may be associated with pain, swelling, and facial asymmetry. Table of contentswhat are the causes of dental pain. However, clinician often encounters situation when odontogenic causes of pain are excluded and non odontogenic. This article provides a simple overview of acute trigeminal pain for the non dentist. A toothache, or a violent passion, is not necessarily diminished by our knowledge of its causes. Article information, pdf download for dental odontogenic pain. Odontogenic keratocysts okcs are derived from the remnants of the dental lamina.
Subscribe to americas largest dictionary and get thousands more definitions and advanced searchad free. Download free adobe acrobat reader dc software for your windows, mac os and android devices to view, print, and comment on pdf documents. When dealing with odontogenic pain, dentists should base their clinical and pharmacological decisions on a methodical, ethical and objective evaluation with the strongest evidence available, and not on personal clinical experiences or anecdotal knowledge. Pdf recognition and management of odontogenic referred pain. 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. 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. Although most odontogenic infections can be managed on an outpatient basis, because of their proximity to the airway, infections in this region can be life threatening, requiring urgent surgical intervention and icu management. Odontogenic pain is one of the most common forms of orofacial pains. Although odontogenic dental pain is the most commonly reported form of orofacial pain when presenting to the dentist, it should be recognised that this symptom could be caused by.
Management of odontogenic and nonodontogenic oral pain. Odontogenic pain is unilateral, localized and relieved by local anesthesia 6. Mouth, jaw and face oral and maxillofacial surgeons can treat your jaw tumor or cyst usually by surgery, or in some cases, by medical therapy or a combination of surgery and medical therapy. Classification and types of acute and chronic pain kyiv 2010 jan dobrogowski president of polish pain society head of department of pain research and therapy chair of anaesthesiology and intensive care jagiellonian university, collegium medicum. There are painfree intervals between the episodes of. Odontogenic pain refers to pain initiating from the teeth or their supporting structures, the mucosa, gingivae, maxilla, mandible or periodontal membrane. Ameloblastoma a locally invasive odontogenic tumour arising from the remnants of the dental lamina and dental organ or odontogenic epithelium. Pdf this article provides a simple overview of acute trigeminal pain for the non dentist. Toothache of nondental origin international journal of. When dealing with odontogenic pain, dentists should base their clinical and pharmacological decisions on a methodical, ethical and objective evaluation with the strongest evidence available, and not on.
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. Facial pain of odontogenic origin must not be overlooked as a possible source of chronic or complex orofacial pain. Odontogenic infections are known to be the main cause of dnis. However, clinician often encounters situation when odontogenic causes of pain are excluded and non odontogenic causes should be considered. Dental caries into dentine dental caries into dental pulp. Oral pain and odontogenic infections are common reasons for patients to present to eds and general medical practice in australia. If it does not regress completely, it may become subacute or chronic. A mild vestibular space infection may not require anti. Mar 29, 2019 despite the development of fess for crs, consolidated management of oms should ensure that the patient is infection free without any recurrences. The dilemma the clinician faces is finding the correct origin of this pain whereby an effective treatment will provide relief. The timely diagnosis and management of dental pain is an essential component of dental care, and this article reminds readers of the common presenting symptoms of simple dental pain, diagnoses and pragmatic management. Tooth and intraoral structures are often the main sources of orofacial pain. Of particular interest for is that dental pain can mimic both trigeminal neuralgia and other chronic trigeminal pain disorders.
Adobe acrobat reader dc download free pdf viewer for. 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. Often they may be complaining of pain from their teeth. International association for the study of pain, 1979. 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. Malignant transformation of an odontogenic cyst in a period. This is because, often, the non odontogenic pains are mistaken with odontogenic pains.
This article presents two cases that illustrate the difficulty and frustrations of referred pain. Odontogenic pain, also known as dental pain or tooth pain, is a common condition worldwide and the most prevalent form of orofacial pain. This chapter describes the significance of allodynia, hyperalgesia. Non odontogenic facial pain can be caused by inflammation due to tumour, infection, or trauma. An overview of odontogenic infections when to refer. However, the site the patient feels pain may not be the actual source of pain. Similarly, dental pain may be referred to nondental structures. Odontogenic and non odontogenic pain free download as powerpoint presentation.
An odontogenic source of pain is well defined and has an apparent cause, and therefore the provocation tests lead to the symptoms. Furthermore, this pain can be exacerbated by incorrect or unnecessary treatments that may result in the establishment of chronic pain pathways. Most patients can attain satisfactory relief of odontogenic pain through an approach that. Odontogenic pain goranka prpicmehicic, nada galic department of endodontics and restorative dentistry, school of dental medicine, university of zagreb, croatia summary pain has the function of a warning to tissue damage and activation of defensive mechanisms, with the aim of prevention of further damage. Orofacial pain is defined as a term referring to oral pain, dental pain and pain in the face above the neck, anterior to the ears and below the orbitomeatal line. Jul 25, 2014 pain that has previously been present then recurs suggests dental abscess formation caused by a non.
Chronic facial pain is a more descriptive term than atypical facial pain and should be adopted for continuous, dull pain in the face, of greater than 6. Frequency of nonodontogenic pain after endodontic therapy. Pain of odontogenic and nonodontogenic origin springerlink. Patients can present with pain of odontogenic or non odontogenic origin, arising from the facial area, temporomandibular joints, ear, eyes, pharynx and larynx. In those situations, additional evaluation or referral is needed to determine the cause of the chief complaint. Odontogenic and non odontogenic pain 1 department of endodontics, new york university college of dentistry, new york, ny, usa. Sensitive to temp or percussion other than draining caa, rarely is odontogenic pain absent to either 1 or both of these tests unilateral pain often localized pulpal pain more difficult to localize than when the infection progresses to pa tissues identifiable etiological factor lack of dental injury is rare in odontogenic pain. Odontogenic definition of odontogenic by medical dictionary. Former dean, faculty of dental medicine alazhar university. Odontogenic cyst definition of odontogenic cyst by. In addition, presence of sensitivity, pain on percussion, pain during mastication is other key features. Odontogenic infections pdf free pdf epub medical books. Atypical odontalgia misdiagnosed as odontogenic pain.
Tooth andor its supporting structures are often source of pain. In order to understand how odontogenic infections are treated, the dentist must be familiar with the terminology concerning infection and the pathophysiology of inflammation, which are described below. Nonodontogenic causes comprise varying etiologies, such as referred myofascial pain, headache, neuropathic disorders, and pain stemming from various pathological conditions. Toothache odontogenic and non odontogenic pain pdf. Pdf treatment of odontogenic pain in a correctional setting. Pulpal pain, periodontal pain, gingival pain and bone pain are the 4 different types. Patients can present with pain of odontogenic or nonodontogenic origin, arising from the facial area, temporomandibular joints, ear, eyes, pharynx and larynx. Odontogenic pain complaintsofanguish,posturaldisplays,groaning,wincing,andgrimacing are all equated with pain, along with limitation of normal activity function, excessive rest, social withdrawal, and demand for medication. Orofacial pain odontogenic pain pain coming from the tooth.
Odontogenic and non odontogenic pain dentistry branches. The pathogenesis of infection in orofacial region due to odontogenic origin is a common clinical issue. Pdf management of odontogenic and nonodontogenic oral pain. This is characterized by rapid progression and is associated with typical signs and symptoms. When severe it may impact sleep, eating, and other daily activities. Pain in the orofacial region is by far the commonest reason for patients to seek treatment. 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. Toothache odontogenic and non odontogenic pain pdf for free. Definition and management of odontogenic maxillary.
For human teeth to have a healthy oral environment, all parts of the tooth must develop during appropriate stages of fetal development. Only with adobe acrobat reader you can view, sign, collect and track feedback, and share pdfs for free. Odontogenic pain management fdi world dental federation. Stand with your feet pointed straight and hipwidth apart. Dec 11, 2018 treatment options for jaw tumors and cysts vary, depending on the type of growth or lesion you have, the stage of growth, and your symptoms. Nonodontogenic pain can often become chronic and debilitating in nature.
Place your fingertips into the palm of each hand and point your thumbs straight out this hand position is important for the exercise to be done correctly. Dental odontogenic pain tara renton, 2011 sage journals. Topographical classification is often applied to this complex region. The decision to place the patient on antibiotics depends on the location and severity of the infection and the patients medical conditions. Common causes include inflammation of the pulp, usually in response to tooth decay, dental trauma, or other factors, dentin hypersensitivity, apical. Although odontogenic dental pain is the most commonly reported form of orofacial pain when presenting to the dentist, it should be recognised that this symptom could be caused by painful disorders of nonodontogenic origin. This article provides a simple overview of acute trigeminal pain for the non. Maxillary sinus disease of odontogenic origin pdf free download.
Jaw tumors and cysts symptoms and causes mayo clinic. Odontogenic medical definition merriamwebster medical. Pain of odontogenic and nonodontogenic origin pocket. Pain is not a simple sensation but rather a complex neurobehavioral event involving at least two components. Odontogenic infections, consisting primarily of dental caries and periodontal disease gingivitis and periodontitis, are common and have local eg, tooth loss and, in some cases, systemic implications. This can make it hard for an individual to know exactly what is going on in their oral cavity. Without a thorough journalofendodonfics diagnosis, or in the absence of conclusive findings, a dentist may treat the pain as odontogenic. Quantifying the frequency of nonodontogenic pain after root canal therapy is. Pdf odontogenic pain, or toothache, is highly prevalent in correctional facilities. Henselae was transmitted by transferring fleas from bacteremic cats to specific pathogen free cats. Odontogenic pain, also commonly known as tooth pain, originates from dental structures, pulpal or periodontal.
Most patients can attain satisfactory relief of odontogenic pain through an. Odontogenic infections should be taken seriously when they occur. The toothache has a temporal behavior that increases with physical exertion or exercise. Primary intraosseous carcinoma of the jaws pioscc might arise from odontogenic epithelium, more commonly from a previous odontogenic cyst. Most are harmless, but they should be removed when possible because they occasionally may change into malignant growths, become infected, or obstruct a gland. Although patients may perceive that pain originates in a specific tooth, the pain may actually be referred from nondental structures. The painful tooth mechanisms, presentation and differential. Odontogenic cysts ocs are unique in that they affect only the oral and maxillofacial region. Nonodontogenic oral pain can originate from intraoral structures such as gingiva and buccal mucosa. By continuing to browse this site you are agreeing to our use of cookies. An overview of odontogenic infections was presented including an overview of management and guidelines for referral. Most chapters start with a title, a brief description of the topic, common clinical signs and symptoms of each disease, the. The author declares no potential conflicts of interest with respect to the authorship andor publication of this chapter.
Nonodontogenic oral and maxillofacial infections intechopen. Complete removal of odontogenic origins, such as involved tooth extraction or apicoectomy with endodontic treatment, is essential for the prevention of oms complications 15, 63, 64. The pain is decreased with sublingual nitroglycerin. Pain is perfect misery, the worst of evils and excessive, overturns all patience john milton, paradise lost 2. Primary baby teeth start to form between the sixth and eighth week of prenatal development, and permanent teeth begin to form. Maxillary sinusitis of odontogenic origin, also known as maxillary sinusitis of dental origin or odontogenic maxillary sinusitis oms, is a common disease in dental, otorhinolaryngologic, allergic, general, and maxillofacial contexts. Discussion it is not unusual for a patient to report to a dental practitioner with orofacial pain of an unclear origin. As of today we have 75,504,635 ebooks for you to download for free.
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