• Journal of Oral Medicine and Pain
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• v.41 no.2
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• pp.80-84
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• 2016

Non-odontogenic toothaches are frequently present and can be challenge to the dental clinician. A 41-year-old male patient with sharp and spontaneous pain on the right maxillary posterior dentition, which developed as like localized toothache 3 months ago, was finally treated with endoscope assisted sinus surgery on right maxillary sinus. Although the initial clinical characteristics are similar to odontogenic toothache in this patient, previous several treatment with the affected teeth did not alleviate the pain. Sinusitis around the facial structure is one of the common causes to make referred pain to maximally teeth and the sinus toothache resembles the pulpal or the periodontal toothache. The clinician should be well aware of various causes of the non-odontogenic toothache and be able to differentiate them.

• Oral Biology Research
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• v.42 no.4
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• pp.241-247
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• 2018

Toothache is one of the most common discomforts experienced by patients in dental clinic. If clinical and radiographic examinations do not reveal any pathologic findings, we can suspect nonodontogenic toothache. Nonodontogenic toothache can be caused by a variety of causes such as muscle disorders, sinus and nasal mucosal problems, neuropathic pain, neurovascular pain, psychogenic problems, 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's pain is not alleviated through such treatment. Therefore, the cause of toothache must be diagnosed correctly before dental treatment is performed, and clinicians should be fully aware of the diseases that may cause these symptoms.

• Journal of dental hygiene science
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• v.9 no.4
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• pp.419-426
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• 2009

The occurrence of toothache signals the malfunction in oral health, which allows the detection of any abnormal condition in the oral cavity at an early stage to prevent the condition from worsening, and thus can act as a preventive measure. This study has looked into the status of oral health management in relation to toothache through the structured survey administered to 235 college students. Based on the survey results, this study aimed at comparing the toothache occurrence prediction between regression analysis and CART model in order to clarify the relationship between the factors of oral health management habits that contribute to toothache occurrence. According to the result, there was a difference between the present health status and the health status of the past year depending on the presence or non-presence of toothache occurrence (p<0.05). There was a difference in the regularity of meal time depending on the presence non-presence of toothache occurrence from the dietary habits of the research subjects (p<0.05). As for the presence or non-presence of toothache occurrence from the oral hygiene habits of the research subject, there was a difference between the occurrence and nonoccurrence of bleeding during brushing or flossing (p<0.05). According to the results of regression analysis, no factors were signifiant in the relationship with the presence or non-presence of toothache occurrence from the status of life habits and oral hygiene habits. 70% of the researched group was randomly selected as the sample for generating an analytical model and the remaining 30% was used as the sample for generating an evaluation model. According to the results of CART model, the occurrence of toothache was higher in the case of irregular meal time and poor current health condition than the case of average or satisfactory health condition. The above results imply that CART model is very useful technique in predicting toothache occurrence compared to regression analysis, and suggests that CART model could be very useful in predicting other oral diseases including toothache.

• Restorative Dentistry and Endodontics
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• v.37 no.3
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• pp.170-174
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• 2012

The objective of this article was to present two nonodontogenic conditions that may mimic odontogenic toothache: trigeminal neuralgia and burning mouth syndrome. Two cases are presented in which one is related to the upper left second premolar and the other is related to the upper left first molar. Both showed pain when chewing. These two cases highlight the complexities involved in diagnosing nonodontogenic toothache. This article demonstrates the importance of having a thorough knowledge of both odontogenic and nonodontogenic toothache, as well as the need for careful evaluation of the nature of the pain and history, clinical and radiographic examinations.

• Journal of Oral Medicine and Pain
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• v.49 no.1
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• pp.18-21
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• 2024

Orofacial pain has various causes, making it challenging to differentiate from dental-related diseases based solely on symptoms. Toothache, usually attributed to pathological changes in the pulp and periodontal tissue, is the most common cause of orofacial pain and relatively easy to diagnose. However, distinguishing orofacial pain and nonodontogenic toothache due to myofascial, neuropathic, neurovascular, paranasal sinus and cardiac originating, and psychogenic pain presents diagnostic challenges that may result in incorrect treatment. Therefore, dentists must recognize that orofacial pain can arise from not only dental issues but also other causes. This case report explores the necessary considerations in diagnosing orofacial pain and nonodontogenic toothache by examining the diagnoses of patients presenting at the dental hospital with orofacial pain and nonodontogenic toothache of cardiac origin.

• Journal of Oral Medicine and Pain
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• v.44 no.4
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• pp.174-178
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• 2019

A fungal ball (FB) of the paranasal sinuses is a chronic, non-invasive fungal sinusitis defined as the accumulation of dense aggregation of fungal hyphae in a sinus cavity. A patient with FB infection in a sinus cavity has usually non-specific symptoms such as post-nasal drip, nasal congestion, headache. However, facial pain and toothache can be developed if FB infection is in maxillary sinus. The aim of this case report is to present two cases of FB of the maxillary sinus which caused toothache in the upper molar region. It is also to make dental practitioners consider the non-odontogenic origins of toothache and to pay special attention to avoid unnecessary dental treatment.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.5 no.1
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• pp.41-48
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• 2010

Objectives: Patients with nonodotogenic toothache are increasing in numbers. However, there is no reliable treatment guide in both conventional & complementary medicine. Also, there are not much clinical case of patients with nonodotogenic toothache in oriental medical field. We investigated effect of using craniosacral therapy and acupuncturing suboocitptal muscle on patient with nonodotogenic toothache. Methods: 72-year old female patient with nonodotogenic toothache was treated with using craniosacral therapy and acupuncturing suboocciptal muscle. Results: We had a satisfactory result with using craniosacral therapy and acupuncturing suboocitptal muscle. The patient's VAS grade improved to 1(Rt.), 5(Lt.). Conclusions: We reach a conclusion using craniosacral therapy and acupuncturing suboocitptal muscle improve patient with nonodotogenic toothache. And more study about this disease is needed.

• Journal of Oral Medicine and Pain
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• v.33 no.4
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• pp.401-407
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• 2008

The most common type of orofacial pain is toothache. However, many other types of pain which derived from nonodontogenic problems can mimic toothache. Nonodontogenic toothache is heterotopic pain that the site of pain is not in the same location of the source of pain. This differs from primary pain, in which the site of pain is the actual site which the pain originates. Heterotopic pain can be alleviated by direct treatment toward the source of pain. The common sources of nonodontogenic toothache include neuropathic pain, sinus pain, Myofascial pain, neurovascular pain and even cardiac pain and psychogenic pain. Thus, clinicians should have a thorough knowledge about causes of nonodontogenic toothache, and through pain history and examination of dental and nondental structures are needed. This case report is about some cases of nonodontogenic toothache, and it also emphasizes essential considerations for proper differential diagnosis and appropriate treatment.

• Journal of Korean society of Dental Hygiene
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• v.23 no.1
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• pp.83-89
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• 2023

Objectives: This study aimed to examine the relationship between COVID-19-related depressive symptoms and oral health among Korean adolescents. Methods: Data from the 17th Korea Youth Risk Behavior Web-based Survey were used and analyzed by the chi-squared test, and multiple logistic regression analysis was performed using SPSS 21.0. The final study population comprised 54,835 individuals. Results: The rates of toothache, gingival bleeding, tooth fracture, and tooth sensitivity were 21.2, 19.1, 8.7, and 30.6%, respectively. The rates of equal, increased, and decreased COVID-19-related depressive symptoms were 53.4, 36.9, and 9.7%, respectively. The rates of toothache, gingival bleeding, and tooth sensitivity were significantly higher (49.0, 48.3, and 46.3%, respectively) in the increased depressive symptom group than that in the decreased depressive symptom group (7.7, 8.1, and 7.7%, respectively). After adjusting for gender, school grade, school record, household economic status, tooth brushing frequency, smoking habit, and alcohol consumption, the risks of toothache, gingival bleeding, and tooth sensitivity in the increased depressive symptom group were symptom group were 1.64 (95% CI: 1.51-1.78), 1.55 (95% CI: 1.43-1.68), and 1.77 (95% CI: 1.65-1.89), respectively. Conclusions: There was a significant increase in oral symptoms in the group with increased depressive symptoms.

• Journal of Oral Medicine and Pain
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• v.49 no.3
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• pp.57-64
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• 2024

Purpose: The aim of this study is to analyze the final diagnosis and the pain characteristics of patients with suspected nonodontogenic toothache and to contribute to the knowledge on differential diagnosis. Methods: A retrospective analysis was conducted based on medical records from 185 patients. The following data were collected: age, sex, pain characteristics, radiographic results, initial diagnosis and treatment, and final diagnosis and treatment. The final diagnosis and the pain characteristics of the 3 most common final diagnoses were analyzed. Results: Myofascial pain (MFP) was the most prevalent diagnosed condition accounting for 37.8% of cases, followed by pulpal pain (P) at 31.4%, and trigeminal neuralgia (TN) at 18.9%. There were significant differences in age, onset of the pain, and pain intensity across the 3 groups (all p<0.01). TN group exhibited a lower frequency of spontaneous and continuous pain than the MFP and P groups (all p<0.001). The proportion of patients reporting pain alleviating and aggravating factors related to dental pain was significantly higher in the P group than in the MFP and TN groups (all p<0.001). A concordance rate of 57.0% was observed between the initial and the final diagnosis. Twenty-six patients underwent tooth extractions and 24 patients had root canal treatments. Conclusions: It is important to differentiate between dental pain and nonodontogenic toothache to avoid unnecessary dental treatments. Comprehending the pain characteristics of each condition, taking a thorough history taking, and performing diagnostic tests can help differential diagnosis.