Diagnosis of Non-Odontogenic Pain 2010

Objectives and Goals

The purpose of this seminar is to introduce the student to the principles of diagnosing and treating pain in the head and neck region that is of non-endodontic origin.

  • Differentiate between pain of endodontic and non-endodontic origin.
  • Differentiate between vascular, neurologic, muscular, stress, psychiatric, occlusal, and neoplastic pain phenomenon. 
  • Differentiate between a royal and a flaming pain in the neck.

Seltzer and Bender's Dental Pulp, ed 1; Hargreaves and Goodis eds. Quintessence Publishing Co inc., 2002. Chapter #20 Seltzer and Hargreaves pgs. 449-468.

Ingle's Endodontics, ed 6; Ingle JI, Bakland LK, Baumgartner JC eds. BC Decker,  2008. Chapter #11 Jaeger and Reyes pgs 392-467.  

1972

*Chasens AI. Facial Pain - Part 1. J Oral Med. 1972; 27:43-48. 

1978

*Rees RT, Harris M. Atypical odontalgia. Br J Oral Surg 1978;16:212-218. 

1979

*Ratner EJ,  Person P, Kleinman DJ, Shklar G, Socransky SS. Jawbone cavities and trigeminal and atypical facial neuralgia. Oral Surg 1979;48:3 -20.

1985

*Remick RA,  Blasberg B.  Atypical facial pain.  J Canad Dent Assoc 1985;12:913-916.   

*Rihani A.  Maxillary sinusitus as a differential diagnosis in temporomandibular joint pain-dysfunction. J Prosth Dent 1985;53:97-100.     

*Rauch JW.  Barodontalgia - Dental pain related to ambient pressure change.  Gen Dent.  1985;July/Aug:313 -315.     

1986

*Laskin DM, Block S.  Diagnosis and treatment of myofacial pain-dysfunction (MPD) syndrome.  J Pros Dent.  1986;56:75-84.        

*Sessle BJ.  Recent developments in pain research: Central mechanisms of orofacial pain and its control.  J Endodon  1986;12:435-444.   

1987

*Eversole LR, Stone CE. Vasogenic facial pain (Cluster Headache). Int J Oral Maxillofac Surg 1987;16:25-35.

1988  

*Goon WWY,  Jacobsen PL.  Prodromal odontalgia and multiple devitalized teeth caused by a herpes zoster infection of the trigeminal nerve:report of case. J Am Dent Assoc 1988;116:500-504.

*Burdette BH, Gale EN.  Pain as a learned response: a review of behavioral factors in chronic pain.  J Am Dent Assoc 1988;116:881-885.

1989

*Guttenberg SA, Emery RW, Milobsky SA, Geballa M.  Cranial arteritis mimicking odontogenic pain:  report of case.  J Am Dent Assoc 1989;119:621-623.

1994

Truelove E.  The chemotherapeutic management of chronic and persistent orofacial pain. Dent Clin North Am 1994;38(4):669-688.

2000

Bouquot JE, McMahon RE. Neuropathic pain in maxillofacial osteonecrosis. J Oral Maxillofac Surg 1995; 58:1003-1020.

2001

Melzack R. Pain and Nueromatrix in the Brain. J Dent Ed 2001;65(12):1378-82.

2002

Sessle B. Recent insights into brainstem mechanisms underlying craniofacial pain. J Dent Ed 2002;66(1):108-112.

Hargreaves KM. Development of new pain management strategies. J Dent Ed 2002;66(1):113-121.

2005

Scrivani SJ, Mathews ES, Maciewicz RJ. Trigeminal Neuralgia. OOOO&E 1000:527. November, 2005.

OPTIONAL

Das AK,  Laskin DM. Temporal arteritis of the facial artery. J Oral Surg 1966;24:226-        232.

*Melzack R. The McGill pain questionaire: Major properties and scoring methods. Pain 1975; 1:277-299.

Moore DS, Nally FF. Atypical facial pain:An analysis of 100 patient with discussion. J Canad Dent. Assoc 1975; 7:396-401.

*Natkin E, Harrington GW, Mandel MA. Anginal pain referred to the teeth. Oral Surg 1975:40:678-680.

Brooke RI, Stenn PG, Mothersill KJ. The diagnosis and conservative treatment of myofascial pain dysfunction syndrome. Oral Surg 1977; 44:844-852.

*Marbach JJ.  Phantom tooth pain.  J Endodon. 1978; 4:362-371.

*Marbach JJ,  Lipton JA. Aspects of illness behavior in patients with facial pain. J Am Dent Assoc 1978; 96:630-638.

Brooke RI. Periodic Migrainous Neuralgia:A cause of dental pain. Oral       Surg 1978;46:511-516. 

Donaldson D, Kroening R. Recognition and treatment of patients with chronic orofacial pain. J Am Dent Assoc 1979; 99:961-966.

*Beck FM, Kaul TJ, Weaver II JM. Recognition and management of the depressed dental patient. J Am Dent Assoc 1979; 99:967-971.

Sist TC, Greene GW. Traumatic neuroma of the oral cavity. Oral Surg 1981;51:394-402.

Fricton JR, Kroening R.  Practical differential diagnosis of chronic craniofacial pain. Oral Surg. 1982;54:628-634. 

Blasberg B, Remick RA, Miles JE. The psychiatric referral in dentistry: Indications and mechanics. Oral Surg 1983; 56:368-371.         

Rosenblatt RM, Reich J, Dehring D. Tricyclic antidepressants in treatment of depression and chronic pain. Anesth Analg 1984; 63:1025-1032. 

Roberts AM, Person P, Chandran NB, Hori JM. Further observations on dental parameters of trigeminal and atypical facial neuralgia. Oral Surg 1984; 58:121-129.

Monsour PAJ,Young WG, Barnes PB. Styloid-stylohyoid syndrome:a clinical update. Austral Dent J 1985; 30:341-345.

Roistacher SL, Tanenbaum D. Myofascial pain associated with        oropharyngeal cancer. Oral Surg 1986; 61:459-462.

*Sweet WH. The treatment of trigeminal neuralgia (Tic Douloureux). N Engl J Med. 1986; 315:174-177. 

Graff-Radford SB,  Solberg WK. Atypical Odontalgia. Cal Dent Assoc J 1986;Dec. 27-32.                      

Lundeen TF, Sturdevant JR, George JM. Stress as a factor in muscle and temporomandibular joint pain. J Oral Rehab. 1987; 14:447-456.

*Fishbain DA, Goldberg M, Rosomoff RS, Rosomoff HL.  Munchausen syndrome presenting with chronic pain: case report.  Pain  1988;35:91-94.             

Pertes RA. A practical approach to the diagnosis of chronic of chronic orofacial pain, Part I:Somatic pain. Compend Contin Ed Dent 1988; 9:554-560. 

Francica F, Brickman J, LoMonaco CJ, Lin LM. Trigeminal neuralgia andendodontically treated teeth. J Endodon 1988; 14:360-362.

Grzesiak RC. Psychologic aspects of chronic orofacial pain, Part II:Patient characteristics. Compend Cont Ed Dent. 1988; 9:282-291.

*Hampf G, Aalberg V, Ekholm A, Vikkula J. Sensibility threshald in depressive and nondepressive patients with chronic orofacial pain. Anesth Prog1988; 35:152-154.

Jerome A, Holroyd KA, Theofanous AG, Pingel JD, Lake AE, Saper JR. Cluster headache pain vs other vascular headache pain:differences revealed with two approaches to the McGill Pain Questionnaire. Pain 1988; 34:35-42.

*Schnetler J, Hopper C.  Intracranial tumors presenting with facial pain. Br Dent J 1989; 166:80-83.

Oakley ME, McCreary CP, Flack VF, Clark GT, Solberg WK, Pullinger AG. Dentist's ability to detect psychological problems in patients with temporomandibular disorders and chronic pain. J Am Dent Assoc 1989; 118:727-730.

Salins PC, Bloxham GP. Bursitis:A factor in the differential diagnosis of orofacial neuralgias and myofacial pain dysfunction syndrome. Oral Surg. 1989; 68:154-157. 

Hammaren M, Hugoson A. Clinical psychiatric assessment of patients with burning mouth syndrome resisting oral treatment. Swed Dent J 1989; 13:77-88.

*Zakrzewska JM. Medical management of trigeminal neuralgia. Br Dent J. 1990;168:399-401.

*Zitman FG, Linssen ACG, Edelbroek PM, Stijnen T. Low dose amitriptyline in chronic pain:the gain is modest. Pain 1990; 42:35-42.

Campbell RL, Parks KW, Dodds RN. Chronic facial pain associated with endodontic therapy. Oral Surg. 1990; 69:287-290.

Segall R, del Rio C. Cavitational bone defect: A diagnostic challenge. J Endodn 1991; 17:396-400. 

Aghabeigi B. The pathopysiology of pain. Br Dent J 173:91. August, 1992.

*Sigurdsson A, Jacoway  JR. Herpes zoster infection presenting as an acute pulpitis. Oral Surg 1995; 80:92-95.

Bouquot JE, Christian J. Long-term effects of jawbone curettage on the pain of facial neuralgia. J Oral Maxillofac Surg 1995; 53:387-397. 

Turp JC, Gobetti JP. Trigeminal neuralgia versus atypical facial pain. Oral Surg Oral Med Oral Path 1996;81:424-432. 

Korszun A, Ship JA. Diagnosing depression in patients with chronic facial pain. J Am Dent Assoc 1997; 128:1680-1686. 

Shankland WE. Differential diagnosis of two disorders that produce common orofacial symptoms. Gen Dent 150. March/April, 2001. 

Friedlander AH & Mahler ME. Major depressive disorder. J Am Dent Ass 132:629. May, 2001.

Stohler CS. Chronic orofacial pain:  is the puzzle unraveling? J Dent Ed 2001;65(12):1383-1392.

Dionne RA. Pharmacologic advances in orofacial pain:  from molecules to medicine. J Dent Ed 2001;65(12):1393-1403.

Mascia P, Brown BR, Friedman S. Toothache of Nonodontogeic origin: a case report. J Endodod 29:608. September, 2003.

Weintraub A & Barrett A. Is this dental diagnosis real? Business Week pg 34 January, 2006.

Clark GT. Diagnosis of neuropathic orodental pain. Annual Session AAE March 31, 2006.

Balasubramaniam R, Klasser GD, Delcanho R. Trigeminal autonomic cephalalgias a review and implications for dentistry. JADA 139:1616. December, 2008. 

*ABE Board Review Articles