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Atypical facial pain and atypical odontalgia: A concise review

Rakhi Issrani, Namdeo Prabhu, Saurabh Mathur


The concept of pain has evolved from that of a one-dimensional sensation to that of a multi-dimensional experience encompassing sensory, discriminate, cognitive, motivational and aff ective qualities. Pain is the presenting symptom of a broad spectrum of diseases that needs to be diagnosed and treated. Establishing a precise diagnosis and providing effective treatment have become major challenges in medical and dental profession. Oro-facial pain is the fi eld of dentistry devoted to the diagnosis and management of chronic, complex, facial pain and oro-motor disorders. Since different diseases produce characteristic patterns of tissue damage, the quality, time course, location of a patient’s pain complaint and the location of tenderness provide important diagnostic clues and are used to evaluate the response to treatment. The general characteristics, etiologic characteristics, pathophysiology, diff erential diagnostic criteria, and therapeutic options of atypical facial pain and atypical odontalgia are described.


Atypical; odontogenic; oro-facial; pain

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Merskey H, Bogduk N. Classifi cation of Chronic Pain, Task Force on Taxonomy, International Association for the Study of Pain. 2nd ed. Seattle: ISAP Press; 1994. p. 210-3.

Bhargava M, Chaudhary D, Dhawan P. Non dental origin facial pain: A detailed review. Indian J Dent Sci 2012;4:97-103.

Frazier CH, Russell EC. Neuralgia of the face: An analysis of seven hundred and fifty four cases with relation to pain and other sensory phenomenon before and after operation. Arch Neurol Psychiatry 1924;11:557-63.

Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Headache Classification Committee of the International Headache Society. Cephalgia 2004;24 Suppl 1:9-160.

List A, Feinmann C. Persistent idiopathic facial pain (atypical facial pain). In: Zakrzewska JM, editor. Orofacial Pain. Oxford: Oxford University Press; 2009. p. 93-104.6.

Türp JC, Gobetti JP. Trigeminal neuralgia versus atypical facial pain. A review of the literature and case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;81:424-32.

Marbach JJ. Phantom tooth pain. J Endod 1978;4:362-72.

Marbach JJ, Hulbrock J, Hohn C, Segal AG. Incidence of phantom tooth pain: An atypical facial neuralgia. Oral Surg Oral Med Oral Pathol 1982;53:190-3.

Rees RT, Harris M. Atypical odontalgia: Differential diagnosis and treatment. Br J Oral Surg 1978;16:212-4.

Solomon S, Lipton RB. Facial pain. Neurol Clin 1990;8:913-28.

Kudrow L. Diagnosis and treatment of cluster headache. Med Clin North Am 1991;75:579-94.

Massler M. Dental causalgia. Quintessence Int Dent Dig 1981;12:341-3.

McElin TW, Horton DT. Atypical facial pain: A statistical consideration of 65 cases. Ann Intern Med 1947;27:749-53.

Lascelles RG. Atypical facial pain and depression. Br J Psychiatry 1966;112:651-9.

Campbell RL, Parks KW, Dodds RN. Chronic facial pain associated with endodontic therapy. Oral Surg Oral Med Oral Pathol 1990;69:287-90.

Lesse S. Atypical facial pain syndromes of psychogenic origin; complications of their misdiagnosis. J Nerv Ment Dis 1956;124:346-51.

Melzack R, Wall PD. Pain mechanisms: A new theory. Science 1965;150:971-9.

Sicuteri F, Nicolodi M, Fusco BM, Orlando S. Idiopathic headache as a possible risk factor for phantom tooth pain. Headache 1991;31:577-81.

Maier C, Hoff meister B. Management and treatment of patients with atypical facial pain. Dtsch Zahnarztl Z 1989;44:977-83.

Wilson DC. Atypical facial neuralgia. JAMA 1932;99:813-7.

Engel GI. Primary atypical facial neuralgia: A hysterical conversion symptom. Psychosom Med 1951;13:375-96.

Feinmann C, Harris M, Cawley R. Psychogenic facial pain: Presentation and treatment. Br Med J (Clin Res Ed) 1984;288:436-8.

Mock D, Frydman W, Gordon AS. Atypical facial pain: A retrospective study. Oral Surg Oral Med Oral Pathol 1985;59:472-4.

Sharav Y. Orofacial Pain. 3rd ed. London: Churchill Livingstone; 1994.

Sessle BJ. The neurobiology of facial and dental pain. In: Sarnat BC, Laskin DM, editors. The Temporomandibular Joint: A Biological Basis for Clinical Practice. Philadelphia: W.B. Saunders; 1992. p. 124-42.

Paulson GW. Atypical facial pain. Oral Surg Oral Med Oral Pathol 1997;43:338-41.

Pfaffenrath V, Rath M, Pöllmann W, Keeser W. Atypical facial pain – Application of the IHS criteria in a clinical sample. Cephalalgia 1993;13 Suppl 12:84-8.

Loeser JD. Tic douloureux and atypical facial pain. In: Wall PD, Melzack R, editors. Textbook of Pain. Edinburgh: Churchill Livingstone; 1994. p. 699-710.

Bell WE. Orofacial Pains: Classification, Diagnosis, Management. 4th ed. Chicago: Year Book Medical Publishers; 1989.

Lilly JP, Law AS. Atypical odontalgia misdiagnosed as odontogenic pain: A case report and discussion of treatment. J Endod 1997;23:337-9.

Schwartz G, Galonski M, Gordon A, Shandling M, Mock D, Tenenbaum HC. Effects of salmon calcitonin on patients with atypical (idiopathic) facial pain: A randomized controlled trial. J Orofac Pain 1996;10:306-15.


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