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KMID : 0353420180420040241
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Oral Biology Research
2018 Volume.42 No. 4 p.241 ~ p.247
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Nonodontogenic toothache
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Kang Jin-Kyu
Ryu Ji-Won
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Abstract
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Toothache is one of the most common discomforts experienced by patients in dental clinic. If clinical and radiographic examinationsdo not reveal any pathologic findings, we can suspect nonodontogenic toothache. Nonodontogenic toothache can be caused by avariety of causes such as muscle disorders, sinus and nasal mucosal problems, neuropathic pain, neurovascular pain, psychogenicproblems, and cardiogenic disease. A thorough history and clinical examination should be performed to confirm the cause of the pain,and more accurate diagnosis can be established through local anesthetic injection. If the nonodontogenic toothache is misdiagnosed,unnecessary dental treatment such as root canal treatment, periodontal treatment, and extraction can be performed, and the patient'spain is not alleviated through such treatment. Therefore, the cause of toothache must be diagnosed correctly before dental treatment isperformed, and clinicians should be fully aware of the diseases that may cause these symptoms.
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KEYWORD
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Heterotopic pain, Nonodontogenic toothache, Orofacial pain
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