engleski

Chronic idiopathic pain in the dentoalveolar region

Idiopathic painful conditions most commonly affecting dentoalveolar region are trigeminal neuralgia, atypical odontalgia and myofascial pain. Dental or CNS pathology must be excluded for definite diagnosis of "true" trigeminal neuralgia. . Anti-epileptic drugs, generally first line of treatment, control pain attacks in almost 80% of the cases. Surgery is considered mainly in recalcitrant cases. Atypical odontalgia, is pain connected with tooth or tooth site, with absence of associated tooth pathology. Many cases are perpetuated or triggered by dental procedures, The major issue in management is to establish an accurate diagnosis. Tricyclic antidepressants have shown best results in such pain control. The etiology of myofascial pain is poorly understood and many contributing factors have been considered . Most patients respond to conservative therapy which should be directed toward elimination of factors that are regarded as playing a major role in initiating, aggravating, or perpetuating the disorder.

trigeminal neuralgia; atypical odontalgia; temporomandibular disorder

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