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Atypical (deafferentation) odontalgia
- Authors: Maksimova M.Y.1,2, Illarioshkin S.N.1,2, Sineva N.A.2, Piradov M.A.1,2
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Affiliations:
- Research Center of Neurology
- A.I.Evdokimov Moscow State University of Medicine and Dentistry
- Issue: Vol 14, No 4 (2020)
- Pages: 46-53
- Section: Original articles
- URL: https://annaly-nevrologii.com/journal/pathID/article/view/699
- DOI: https://doi.org/10.25692/ACEN.2020.4.6
- ID: 699
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Abstract
The difficulty of clinical interpretation of atypical (deafferentation) odontalgia with respect to its connection, on the one hand, with endodontic interventions in the dentoalveolar region, and on the other hand, with psychogenic and personality disorders, remains a subject of discussion. We examined 93 patients with deafferentation odontalgia to clarify the psychological factors and quality of life parameters that affect this chronic pain syndrome. Most patients were women (79.6%) of working age (40–50 years old). The visual analog scale and the McGill Pain Questionnaire were used to rate pain intensity, and the Pain Catastrophizing Scale was used to evaluate the negative psychoemotional response to pain. Depression was assessed using the Beck Depression Inventory and Hamilton Rating Scale, while the Spielberg Scale was used to evaluate the level of reactive and personal anxiety. Quality of life was assessed using the SF-36. It was shown that depression, anxiety, affective disorders, negative psychoemotional response to pain, and low quality of life were more often present in patients with chronic deafferentation odontalgia.
About the authors
Marina Yu. Maksimova
Research Center of Neurology; A.I.Evdokimov Moscow State University of Medicine and Dentistry
Author for correspondence.
Email: ncnmaximova@mail.ru
Russian Federation, Moscow
Sergey N. Illarioshkin
Research Center of Neurology; A.I.Evdokimov Moscow State University of Medicine and Dentistry
Email: ncnmaximova@mail.ru
Russian Federation, Moscow
Nina A. Sineva
A.I.Evdokimov Moscow State University of Medicine and Dentistry
Email: ncnmaximova@mail.ru
Russian Federation, Moscow
Mikhail A. Piradov
Research Center of Neurology; A.I.Evdokimov Moscow State University of Medicine and Dentistry
Email: ncnmaximova@mail.ru
Russian Federation, Moscow
References
- Marbach J.J., Raphael K.G. Phantom tooth pain: a new look at an old dilemma. Pain Med 2000; 1: 68–77. doi: 10.1046/j.1526-4637.2000.00012.x. PMID: 15101965.
- Nixdorf D., Moana-Filho E. Persistent dento-alveolar pain disorder (PDAP): working towards a better understanding. Rev Pain 2011; 5: 18–27. doi: 10.1177/204946371100500404. PMID: 25309718.
- Nixdorf D.R., Drangsholt M.T., Ettlin D.A. et al. Classifying orofacial pains: a new proposal of taxonomy based on ontology. J Oral Rehabil 2012; 39: 161–169. doi: 10.1111/j.1365-2842.2011.02247.x. PMID: 21848527.
- McElin T.W., Horton B.T. Atypical face pain; a statistical consideration of 66 cases. Ann Intern Med 1947; 27: 749–768. doi: 10.7326/0003-4819-27-5-749. PMID: 20271037.
- Campbell R.L., Parks K.W., Dodds R.N. Chronic facial pain associated with endodontic therapy. Oral Surg Oral Med Oral Pathol 1990; 69: 287–290. doi: 10.1016/0030-4220(90)90288-4. PMID: 2314854.
- Toyofuku A. Psychosomatic problems in dentistry. Biopsychosoc Med 2016; 10: 14. doi: 10.1186/s13030-016-0068-2. PMID: 27134647.
- Melis M., Lobo S.L., Ceneviz C. et al. Atypical odontalgia: a review of the literature. Headache 2003; 43: 1060–1074. doi: 10.1046/j.1526-4610.2003.03207.x. PMID: 14629241.
- Nixdorf D.R., Moana-Filho E.J., Law A.S. et al. Frequency of persistent tooth pain after root canal therapy: a systematic review and meta-analysis. J Endod 2010; 36: 224–230. doi: 10.1016/j.joen.2009.11.007. PMID: 20113779.
- Nixdorf D.R., Moana-Filho E.J., Law A.S. et al. Frequency of nonodontogenic pain after endodontic therapy: a systematic review and meta-analysis. J Endod 2010; 36: 1494–1498. doi: 10.1016/j.joen.2010.06.020. PMID: 20728716.
- Baad-Hansen L., Juhl G.I., Jensen T.S. et al. Differential effect of intravenous S-ketamine and fentanyl on atypical odontalgia and capsaicin-evoked pain. Pain 2007; 129: 46–54. doi: 10.1016/j.pain.2006.09.032. PMID: 17088020.
- Marbach J.J., Hulbrock J., Hohn C., Segal A.G. Incidence of phantom tooth pain: an atypical facial neuralgia. Oral Surg Oral Med Oral Pathol 1982; 53: 190–193. doi: 10.1016/0030-4220(82)90285-7. PMID: 6949121.
- Malacarne A., Spierings E.L.H., Lu C., Maloney G.E. Persistent dentoalveolar pain disorder: a comprehensive review. J Endod 2018; 44: 206–211. doi: 10.1016/j.joen.2017.09.009. PMID: 29174443.
- Maksimova M.Yu., Sineva N.A., Vodop’yanov N.P., Suanova E.T. [Atypical odontalgia]. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova 2014; 114(1): 71–73. (In Russ.)
- Maksimova M.Yu., Fedin P.A., Suanova E.T., Tyurnikov V.M. [Neurophysiological features of atypical facial pain]. Annals of Clinical and Experimental Neurology 2013; 7(3): 9–16. (In Russ.)
- Maksimova M.Yu., Suanova E.T. [Emotional and personality disorders in atypical facial pain]. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova 2015; 11: 65–69. doi: 10.17116/jnevro201511511265-69. (In Russ.)
- Maksimova M.Yu., Suanova E.T., Sineva N.A., Vodop’yanov N.P. [Odontogenic atypical trigeminal neuralgia]. Endodontics today 2015; 13(2): 44–49. (In Russ.)
- Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia 2018; 38: 1–211. DOI: 10.1177 / 0333102417738202. PMID: 29368949.
- Graff-Radford S.B., Solberg W.K. Atypical odontalgia. J Craniomandib Disord 1992; 6: 260–265. PMID: 1298761.
- Pertes R.A., Bailey D.R., Milone A.S. Atypical odontalgia — a nondental toothache. J N J Dent Assoc 1995; 66: 29–33. PMID: 9520703.
- Abiko Y., Matsuoka H., Chiba I., Toyofuku A. Current evidence on atypical odontalgia: diagnosis and clinical management. Int J Dent 2012; 2012: 518548. doi: 10.1155/2012/518548. PMID: 22844283.
- Woda A., Pionchon P. A unified concept of idiopathic orofacial pain: pathophysiologic features. J Orofac Pain 2000; 14: 196–212. PMID: 11203755.
- Vickers E.R., Cousins M.J. Neuropathic orofacial pain part 1—prevalence and pathophysiology. Aust Endod J 2000; 26: 19–26. doi: 10.1111/j.1747-4477.2000.tb00146.x. PMID: 11359293.
- Jensen M.P., Karoly P. Self-report scales and procedures for assessing pain in adults. In: Turk D.C., Melzack R. (eds.) Handbook of Pain Assessment. N.Y., 2011: 19–44.
- McGuire D.B. Comprehensive and multidimensional assessment and measurement of pain. J Pain Symptom Manage 1992; 7: 312–319. doi: 10.1016/0885-3924(92)90064-o. PMID: 1624815.
- Sullivan M.J., Thorn B., Haythornthwaite J.A. et al. Theoretical perspectives on the relation between catastrophizing and pain. Clin J Pain 2001; 17: 52–64. doi: 10.1097/00002508-200103000-00008. PMID: 11289089.
- [Neuropsychological tests and scales. Collection]. Moscow, 2017. 78 p. (In Russ.)
- Zigmond A.S., Snaith R.P. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67: 361–370. doi: 10.1111/j.1600-0447.1983.tb09716.x. PMID: 6880820.
- Piradov M.A., Maksimova M.Yu., Sineva N.A., Vodop’yanov N.P. [Trigeminal neuropathy: a study guide]. Moscow, 2019. 96 p. doi: 10.30629/978-5-907098-23-7-2019-4-100. (In Russ.)
- Miura A., Tu T.T.H., Shinohara Y. et al. Psychiatric comorbidities in patients with Atypical Odontalgia. J Psychosom Res 2018; 104: 35–40. doi: 10.1016/j.jpsychores.2017.11.001. PMID: 29275783.
Supplementary files
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).