Non odontogenic toothache, as its name suggests, is a painful condition that occurs in the absence of any clinically evident cause in the teeth or periodontal tissues.
In approximately 3.4% of the teeth that receive endodontic treatment, the pain is either initially caused by a nonodontogenic etiology, or the posttreatment pain is due to a nonodontogenic phenomenon, and 9% have a mixed condition of odontogenic and nonodontogenic toothache
If the reason for the pain cannot be identified at the exact location the patient perceives it, investigate whether its etiology is in the region.
Nonodontogenic toothache may arise from a primary condition or from multifactorial aetiologies; nonodontogenic toothache was categorised into eight groups according to primary disorders as follows: 1) myofascial pain referred to tooth/teeth, 2) neuropathic toothache, 3) idiopathic toothache, 4) neurovascular toothache, 5) sinus pain referred to tooth/teeth, 6) cardiac pain referred to tooth/teeth, 7) psychogenic toothache or tooth ache of psychosocial origin and 8) toothache caused by various other disorders.
Nonodontogenic toothache is a heterotopic pain. It consists of projected nerve pain which is felt throughout the peripheral distribution of the affected nerve (trigeminal neuralgia, cluster headache, post herpetic neuralgia etc.) or referred pain as a result of convergence and central sensitisation (myofascial pain referred to tooth/teeth, toothache, sinus pain referred to
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Neuropathic pain is described as burning, shooting, and tingling. Nociceptive pain originating from visceral sites is described as aching if localized and cramping if poorly localized; from somatic sites, it is described as throbbing/aching.
Pain is one of the most influential symptoms that leads individuals to reach out to health care professionals to seek relief. Pain is subjective and unique to each person. Some individuals may have a higher pain tolerance than others. According to Frandsen (2014), “Pain is an unpleasant, sensory, emotional sensation associated with actual or potential tissue injury” (p. 889). Pain may be caused by a variety of elements, such as tissue or nerve damage and surgery. There are three main categories that pain is classified by, which are origin, duration, and cause. The main focus of this paper is on acute pain, chronic pain, and phantom pain. It is crucial to know how to assess each type of pain, as well as how to enhance it, or decrease the pain.
When you experience dental related pain, it can be quite debilitating because it affects how you speak, drink, and eat. It’s unfortunately, but since there can be many reasons behind dental related pain, people that suffer from it may not really understand what is going on. TMJ is one of these issues that people suffer from, but don’t quite understand what is happening that is causing pain. This causes treatment to be delayed and for the condition to get worse. Here is the truth behind 2 TMJ myths you should be aware of.
Everyone experiences physical pain at some time in their life, but it’s not treated all the same. Dr. Miles Day, the Medical Director of the Grace Health System Pain Management Center, says there are two separate kinds of pain. The first is called nociceptive pain, which is what you feel when you sprain your ankle, break a bone, or burn your finger. Cancer pain and arthritis pain are common types of chronic nociceptive pain. It responds well to pain medications, anti-inflammatory agents, or other drugs.
For the past couple of years, I have witnessed first hand the effects that trigeminal neuralgia does to the human body. My mother was diagnosed with trigeminal neuralgia in 2010. She was suffering from the pain of the condition for more than two years before she was correctly diagnosed at MD Anderson in Houston, Texas. My mother always explained her pain as worse than childbirth, and that is because she has had four children. It caused my mom to have multiple sleepless nights, an aching jaws, constant and excruciating pain, and in one extreme incident, her job locked while she was chewing causing her to choke and had to receive the Heimlich maneuver. Being that she said it was the worst pain in her life, my family knew it was something more than chronic migraines: which is what one of the doctors she saw in the Rio Grande Valley diagnosed her with.
Chronic pain is any pain that lasts longer than 3 months (FNLM, 2011). A common type of chronic pain is neuropathic pain which occurs when the nerves themselves are damaged by injury or disease (Veteran Mates, 2013). Neuropathic pain is a complex condition that is often underdiagnosed or undertreated, resulting in negative physical, psychological and social impacts (Veteran Mates, 2013). Therefore early management is critical in order to improve the person’s quality of life and to reduce the chance of the pain becoming persistent (Pain Health, 2015). The following 5 articles relating to the management of neuropathic pain will be annotated, including a summary of the main
To diagnose and rule out other causes of the pain, your dentist will perform a thorough oral examination. For immediate and long-term relief from pain caused by TMD, your dentist may recommend behavior modification, eating soft foods for a few days to reduce stress on the jaw joints, gentle stretching exercises, anti-inflammatory medications, muscle relaxants, biofeedback, stress management, and other conservative therapies. Surgery is usually performed when all other treatments have
I decided to use oraqix because the patient had a few pockets depths between 6-7 mm, and was very sensitive during the power instrumentation. It helped me to effectively remove the plaque and the calculus from the pockets with the hand instruments, but I found that it was not as effective when I used the Cavitron. After the removal of plaque and calculus I reviewed OHI with my patient Evelyn and reinforced the proper use of dental floss and have the patient practice in her mouth. During the afternoon section, I worked on the mandibular arch and as before I started with the power instrumentation. However, I was not able to use it in all the mandibular teeth because some of them had recession, and the patient was extra-sensitive. The good thing was the mandibular arch had only one area with 6-7 mm of pocket depth. I also used Oraqix in this area, but did not help with the recession because the pain was related to the pulp and not to the gingiva, in where Oraqix works. After finishing with debridement, my patient expressed having pain on the distal surface of tooth # 17. We decided to take a PA of the area because that part of the tooth was not visible in the HBW I
In the days before an episode begins, some patients experience a tingling or numbing sensation or a somewhat constant and aching pain. There is usually a worsening of pain over time, with fewer and shorter pain-free periods before the attacks occur again. Trigeminal neuralgia generally does not occur when the patient is asleep, and this differentiates from tooth pain or migraines, which often wakes them up at night. Pain is located in areas in the body that are supplied by the trigeminal nerve, including the cheek, jaw, teeth, gums, lips, or less often the eye and forehead. Pain can either focus in one spot or spread in a wider pattern. An acute onset of sharp, stabbing pain usually affects one side of the face. The right side of the face five times more often affected than the left side of the face. Pain generally begins at the angle of the jaw and radiates along the junction lines between each of three branches of cranial nerve V. (CN
In order to fully answer this question, it is important to understand the definition of pain. The International Association for the Study of Pain defines pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage” (Mersky and Bogduk ed 1994). The physiological function of the pain sensory system is protective in nature, to shield the body from actual or potential tissue damage. Pathological pain, on the other hand, is described as “spontaneous pain, hyperalgesia and allodynia, that persist for years or decades after all possible tissue healing has occurred” (Coderre et al 1993).
The infamous aching of heads, backs, legs, and feet everywhere can be attributed primarily to one of two factors: muscular atrophy or general weakness and fascial adhesions (pooling). These factors can require a great deal of time and energy of the therapist to overcome so must be addressed headlong. Numbness of the body can be many different symptoms all pointing to the overall casual factors within the nervous system. These are symptoms that took the longest to become prevalent and will take time to remove poor habits that caused them to exist. Burning in the body can be indicative of two primary factors; overstretching of the nerves and muscles locally or an impaction of a joint causing nerve dysfunction. Either occurrence can be labeled as paresthesia, whether the condition is transient or chronic is important as well as location and possible referral patterns. Visceral “feeling” refers to any idiopathic symptom or pain felt within the cavities of the body, especially the abdomen. Knowing if there are visceral symptoms assists in establishing a duration of treatment and aggressiveness of
First, pain is a sensory experience resulting from perception of action potentials in nervous system. Pain can be observed in varying strengths and forms based on factors such as past experience, stress, and anxiety. The endogenous pain system can enhance or inhibit the perception of pain based on these factors. Nociceptors are sensory receptors responsible for detecting unpleasant stimuli, and relaying that information to the central nervous system. These receptors are split into two sub groups: Aδ-fibers and C-fibers. Aδ-fibers are thinly myelinated, and have a small diameter. These fibers respond to light stimuli by having a low activation requirement and a rapid signal conduction. C-fibers are unmyelinated, with a slow conduction. These
The author deduces that neonates feel more pain than older children and adults based on the pain physiology of neonates’ immature dorsal horns to block or inhibit descending pain pathway leading to a poor inhibitory coping mechanism. If this pain is not treated instantly, it can lead to lowering the pain threshold. As the child grows up, he\she is likely to feel more pain than those children that have not been exposed to noxious stimuli at an early age. Children experience pain from a variety of sources: injuries, traumas, surgeries, illness such as pharyngitis and otitis media, heel sticks, immunizations, vein and lumbar punctures. Children are not excluded from chronic pain which may result from repeated surgery exposure, procedural episodes,
This prospective clinical study was conducted in Department of Oral and Maxillofacial Surgery, Ragas Dental College and Hospital, Chennai, from April 2014 to October 2016. 40 healthy patients requiring surgical extraction of impacted mandibular third molars and fulfilling inclusion criteria were included in the study out of which 23 were males and 17 were females. The nature and number of the diagnostic investigations required, the clinical procedure about to be performed, the duration of the treatment and the possible complications associated with impaction procedure were explained to the patient and an informed consent was obtained. The study was approved by the Institutional Review Board. Patients were divided randomly into two groups. (Group I- test group receiving submucosal tramadol, Group II –control group and each group contains 20 patients each.)