Dental extraction and full mouth root canal therapy in a patient with atypical odontalgia: Report of invasive malpractice
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Dental Science |
Texto Completo: | https://ojs.ict.unesp.br/index.php/cob/article/view/2315 |
Resumo: | Atypical odontalgia is a pain disorder featured by constant pain without any obvious dental pathology. We report a 38-year-old man having chronic orofacial pain in the past two years. The pain was first located in the left maxillary premolar-molar region, but spread to the contra lateral mandible, occipital region, head and shoulders over time. The pain was described as dull and continuous with the intensity of #6 (VAS), and not relieved even after root canal therapy of all teeth and extraction of wisdom teeth . Some comorbid conditions such as TMJ problems and involvement of masticatory muscles were also reported. Finally, the diagnosis of atypical odontalgia was established due to lack of evidence for any organic pathology on clinical and paraclinical investigations, and a combination therapy including fluoxetine and clonazepam was started. Dental practitioners should consider AO when confronting toothache without any reasonable organic cause and avoid unnecessary dental procedures. KEYWORDS Atypical toothache; Malpractice; Endodontics. |
id |
UNESP-20_7209353933fdd3b340de68265f7c008e |
---|---|
oai_identifier_str |
oai:ojs.pkp.sfu.ca:article/2315 |
network_acronym_str |
UNESP-20 |
network_name_str |
Brazilian Dental Science |
repository_id_str |
|
spelling |
Dental extraction and full mouth root canal therapy in a patient with atypical odontalgia: Report of invasive malpracticeAtypical odontalgia is a pain disorder featured by constant pain without any obvious dental pathology. We report a 38-year-old man having chronic orofacial pain in the past two years. The pain was first located in the left maxillary premolar-molar region, but spread to the contra lateral mandible, occipital region, head and shoulders over time. The pain was described as dull and continuous with the intensity of #6 (VAS), and not relieved even after root canal therapy of all teeth and extraction of wisdom teeth . Some comorbid conditions such as TMJ problems and involvement of masticatory muscles were also reported. Finally, the diagnosis of atypical odontalgia was established due to lack of evidence for any organic pathology on clinical and paraclinical investigations, and a combination therapy including fluoxetine and clonazepam was started. Dental practitioners should consider AO when confronting toothache without any reasonable organic cause and avoid unnecessary dental procedures. KEYWORDS Atypical toothache; Malpractice; Endodontics.Institute of Science and Technology of São José dos Campos2020-12-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://ojs.ict.unesp.br/index.php/cob/article/view/231510.14295/bds.2021.v24i1.2315Brazilian Dental Science; Vol. 24 No. 1 (2021): Jan - Mar / 2021 - published Dec 2020; 4 PBrazilian Dental Science; v. 24 n. 1 (2021): Jan - Mar / 2021 - published Dec 2020; 4 P2178-6011reponame:Brazilian Dental Scienceinstname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)instacron:UNESPenghttps://ojs.ict.unesp.br/index.php/cob/article/view/2315/4245Copyright (c) 2020 Brazilian Dental Scienceinfo:eu-repo/semantics/openAccessMortazavi, HamedBaharvand, MaryamRezaei Far, KosarEznaveh, Zahra Sanjabi2021-03-30T12:45:03Zoai:ojs.pkp.sfu.ca:article/2315Revistahttp://bds.ict.unesp.br/PUBhttp://ojs.fosjc.unesp.br/index.php/index/oaisergio@fosjc.unesp.br||sergio@fosjc.unesp.br2178-60112178-6011opendoar:2022-11-08T16:30:34.431482Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)true |
dc.title.none.fl_str_mv |
Dental extraction and full mouth root canal therapy in a patient with atypical odontalgia: Report of invasive malpractice |
title |
Dental extraction and full mouth root canal therapy in a patient with atypical odontalgia: Report of invasive malpractice |
spellingShingle |
Dental extraction and full mouth root canal therapy in a patient with atypical odontalgia: Report of invasive malpractice Mortazavi, Hamed |
title_short |
Dental extraction and full mouth root canal therapy in a patient with atypical odontalgia: Report of invasive malpractice |
title_full |
Dental extraction and full mouth root canal therapy in a patient with atypical odontalgia: Report of invasive malpractice |
title_fullStr |
Dental extraction and full mouth root canal therapy in a patient with atypical odontalgia: Report of invasive malpractice |
title_full_unstemmed |
Dental extraction and full mouth root canal therapy in a patient with atypical odontalgia: Report of invasive malpractice |
title_sort |
Dental extraction and full mouth root canal therapy in a patient with atypical odontalgia: Report of invasive malpractice |
author |
Mortazavi, Hamed |
author_facet |
Mortazavi, Hamed Baharvand, Maryam Rezaei Far, Kosar Eznaveh, Zahra Sanjabi |
author_role |
author |
author2 |
Baharvand, Maryam Rezaei Far, Kosar Eznaveh, Zahra Sanjabi |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Mortazavi, Hamed Baharvand, Maryam Rezaei Far, Kosar Eznaveh, Zahra Sanjabi |
description |
Atypical odontalgia is a pain disorder featured by constant pain without any obvious dental pathology. We report a 38-year-old man having chronic orofacial pain in the past two years. The pain was first located in the left maxillary premolar-molar region, but spread to the contra lateral mandible, occipital region, head and shoulders over time. The pain was described as dull and continuous with the intensity of #6 (VAS), and not relieved even after root canal therapy of all teeth and extraction of wisdom teeth . Some comorbid conditions such as TMJ problems and involvement of masticatory muscles were also reported. Finally, the diagnosis of atypical odontalgia was established due to lack of evidence for any organic pathology on clinical and paraclinical investigations, and a combination therapy including fluoxetine and clonazepam was started. Dental practitioners should consider AO when confronting toothache without any reasonable organic cause and avoid unnecessary dental procedures. KEYWORDS Atypical toothache; Malpractice; Endodontics. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-22 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ojs.ict.unesp.br/index.php/cob/article/view/2315 10.14295/bds.2021.v24i1.2315 |
url |
https://ojs.ict.unesp.br/index.php/cob/article/view/2315 |
identifier_str_mv |
10.14295/bds.2021.v24i1.2315 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://ojs.ict.unesp.br/index.php/cob/article/view/2315/4245 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Brazilian Dental Science info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Brazilian Dental Science |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Institute of Science and Technology of São José dos Campos |
publisher.none.fl_str_mv |
Institute of Science and Technology of São José dos Campos |
dc.source.none.fl_str_mv |
Brazilian Dental Science; Vol. 24 No. 1 (2021): Jan - Mar / 2021 - published Dec 2020; 4 P Brazilian Dental Science; v. 24 n. 1 (2021): Jan - Mar / 2021 - published Dec 2020; 4 P 2178-6011 reponame:Brazilian Dental Science instname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Brazilian Dental Science |
collection |
Brazilian Dental Science |
repository.name.fl_str_mv |
Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) |
repository.mail.fl_str_mv |
sergio@fosjc.unesp.br||sergio@fosjc.unesp.br |
_version_ |
1788346901856256000 |