Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
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Rare Odontalgia of Mandibular Teeth Associated with Migraine: A Case Report

  • Im, Yeong-Gwan (Department of Oral Medicine, Chonnam National University Dental Hospital) ;
  • Kang, Jin-Kyu (Department of Orofacial Pain and Oral Medicine, Wonkwang University Daejeon Dental Hospital)
  • Received : 2018.08.17
  • Accepted : 2018.09.20
  • Published : 2018.09.30
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Abstract

A 39-year-old male presented with severe pain in right posterior mandibular teeth and temporal area. Initially, the pain in the mandibular teeth was moderate, but the concomitant headache was unbearably severe. His medical history was non-contributory. The clinical and radiographic examination failed to reveal any pathology in the region. There was no tenderness to palpation in the temporalis and masseter muscles or temporomandibular joints. The clinical impression was migraine. The pain in the teeth and headache were aborted using ergotamine tartrate and sumatriptan succinate. Atenolol prevented further pain, while amitriptyline and imipramine had no effect. Migraine can present as non-odontogenic pain in the mandibular teeth, although not as frequently as in the maxillary teeth. A correct diagnosis is essential to avoid unnecessary dental treatments and to manage pain effectively. Clinicians should be able to identify migraine with non-odontogenic dental pain and establish a proper diagnosis through a comprehensive evaluation.

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