Although pain of dental origin is the most common orofacial pain, other non-odontogenic pains can af-fect the orofacial region and occasionally mimic den-tal pain. These non-odontogenic pains may pose a diagnostic dil...Although pain of dental origin is the most common orofacial pain, other non-odontogenic pains can af-fect the orofacial region and occasionally mimic den-tal pain. These non-odontogenic pains may pose a diagnostic dilemma for the dental practitioner who routinely diagnoses and treats dental pain. Knowledge of the various non-odontogenic pains will ultimately prevent misdiagnosis and the delivery of incorrect and sometimes irreversible and invasive procedures to patients. The purpose of this article is to review the clinical presentations of the various types of non-odontogenic pains which may be mistaken as dental pain: myofascial, cardiac, sinus, neurovascular, neuropathic, neoplastic and psychogenic pain.展开更多
Objective： Toothache was reported as a reason for school absenteeism, sleeping difficulties, loss of appetite, and seeking dental treatment among children. These represented some impacts of dental problems on health,...Objective： Toothache was reported as a reason for school absenteeism, sleeping difficulties, loss of appetite, and seeking dental treatment among children. These represented some impacts of dental problems on health, quality of life, and socioeconomic problems. The aims of this study were to describe the prevalence of toothache among 12-14-year-old children in Indonesia and their family characteristics and to analyze the associations of family characteristics on the toothache. Methods： We analyzed the data from the Indonesian Family Life Survey 5 in 2014-2015. A total of 2,377 children aged 12-14 years were included in this survey. This age is the early stage of eruption of all permanent teeth. Children were asked about their experience on toothache in the last 4 weeks as a dependent variable. The independent variables were the family socioeconomic characteristics including father＇s and mother＇s highest educational level, family income, and the number of children in the family. A logistic regression was applied to analyze the relationship of family characteristics with toothache experience of children. Results： Toothache experience was reported from 13.9% of the respondents. Descriptive statistics showed that higher percentages of toothache were experienced by male children and children from family with lower parental education and economic position as well as from bigger family. However, logistic regression showed that only the number of children in the family had a statistically positive association with self-reported toothache of the children. Children living in the family with more than four children were more likely reported toothache than living in the family with one or two children （P=0.012; odds ratio [OR] = 1.53）. Children living with more siblings may experience less attention from their parents on oral health hygiene. Poor oral health habits could result in dental pain. Conclusions： Descriptive statistics showed that a higher percentage of toothache was experienced by children from lower socioeconomic families, although the only significant association was the number of children in the family.展开更多
Toothache is almost always caused by odontogenic toothache, but diagnosis is more difficult in the case of nonodontogenic toothache.</span><span style="font-size:12px;"> </span><spa...Toothache is almost always caused by odontogenic toothache, but diagnosis is more difficult in the case of nonodontogenic toothache.</span><span style="font-size:12px;"> </span><span><span style="font-size:12px;">We report a case of simultaneous occurrence of odontogenic and nonodontogenic toothache.</span><span> </span><span style="font-size:12px;">This manuscript presents a case report for a 35-year-old woman </span></span><span style="font-size:12px;">who</span><span style="color:#FF0000;font-size:12px;"> </span><span style="font-size:12px;">visited our Orofacial and Head Pain Clinic with the chief complaint of continuous dull pain in left maxillary molar teeth region. It was concluded to be a case of simultaneous odontogenic toothache and nonodontogenic toothache. It was successfully treated by an endodontist and an orofacial pain specialist. The endodontist performed root canal treatment against odontogenic toothache caused by apical periodontitis using a dental operating microscope. The presence of a trigger point (TP) resulting in tooth pain was inferred. A trigger point injection (TPI) was administered by orofacial pain specialist, and toothache relief was confirmed. Myofascial pain was diagnosed definitively. After confirming that the toothache had resolved at multiple TPIs, a crown prosthesis was placed. Following the application of crown prosthesis, we were concerned but did not find recurrence of toothache from myofascial pain due to increased occlusal force. This case suggests that there is no single cause of chronic pain and that multiple causes must be considered for diagnosis, suggesting the need for treatment by multiple specialists.展开更多
文摘Although pain of dental origin is the most common orofacial pain, other non-odontogenic pains can af-fect the orofacial region and occasionally mimic den-tal pain. These non-odontogenic pains may pose a diagnostic dilemma for the dental practitioner who routinely diagnoses and treats dental pain. Knowledge of the various non-odontogenic pains will ultimately prevent misdiagnosis and the delivery of incorrect and sometimes irreversible and invasive procedures to patients. The purpose of this article is to review the clinical presentations of the various types of non-odontogenic pains which may be mistaken as dental pain: myofascial, cardiac, sinus, neurovascular, neuropathic, neoplastic and psychogenic pain.
文摘Objective： Toothache was reported as a reason for school absenteeism, sleeping difficulties, loss of appetite, and seeking dental treatment among children. These represented some impacts of dental problems on health, quality of life, and socioeconomic problems. The aims of this study were to describe the prevalence of toothache among 12-14-year-old children in Indonesia and their family characteristics and to analyze the associations of family characteristics on the toothache. Methods： We analyzed the data from the Indonesian Family Life Survey 5 in 2014-2015. A total of 2,377 children aged 12-14 years were included in this survey. This age is the early stage of eruption of all permanent teeth. Children were asked about their experience on toothache in the last 4 weeks as a dependent variable. The independent variables were the family socioeconomic characteristics including father＇s and mother＇s highest educational level, family income, and the number of children in the family. A logistic regression was applied to analyze the relationship of family characteristics with toothache experience of children. Results： Toothache experience was reported from 13.9% of the respondents. Descriptive statistics showed that higher percentages of toothache were experienced by male children and children from family with lower parental education and economic position as well as from bigger family. However, logistic regression showed that only the number of children in the family had a statistically positive association with self-reported toothache of the children. Children living in the family with more than four children were more likely reported toothache than living in the family with one or two children （P=0.012; odds ratio [OR] = 1.53）. Children living with more siblings may experience less attention from their parents on oral health hygiene. Poor oral health habits could result in dental pain. Conclusions： Descriptive statistics showed that a higher percentage of toothache was experienced by children from lower socioeconomic families, although the only significant association was the number of children in the family.
文摘Toothache is almost always caused by odontogenic toothache, but diagnosis is more difficult in the case of nonodontogenic toothache.</span><span style="font-size:12px;"> </span><span><span style="font-size:12px;">We report a case of simultaneous occurrence of odontogenic and nonodontogenic toothache.</span><span> </span><span style="font-size:12px;">This manuscript presents a case report for a 35-year-old woman </span></span><span style="font-size:12px;">who</span><span style="color:#FF0000;font-size:12px;"> </span><span style="font-size:12px;">visited our Orofacial and Head Pain Clinic with the chief complaint of continuous dull pain in left maxillary molar teeth region. It was concluded to be a case of simultaneous odontogenic toothache and nonodontogenic toothache. It was successfully treated by an endodontist and an orofacial pain specialist. The endodontist performed root canal treatment against odontogenic toothache caused by apical periodontitis using a dental operating microscope. The presence of a trigger point (TP) resulting in tooth pain was inferred. A trigger point injection (TPI) was administered by orofacial pain specialist, and toothache relief was confirmed. Myofascial pain was diagnosed definitively. After confirming that the toothache had resolved at multiple TPIs, a crown prosthesis was placed. Following the application of crown prosthesis, we were concerned but did not find recurrence of toothache from myofascial pain due to increased occlusal force. This case suggests that there is no single cause of chronic pain and that multiple causes must be considered for diagnosis, suggesting the need for treatment by multiple specialists.
