Cases reported "Toothache"

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1/17. Atypical presentation of odontogenic pain.

    Pain referral patterns in the head and neck regions can be complex and frustrating for practitioners to diagnose and treat. This clinical case report involves a patient who did not respond to initial medical treatment for headache pain. The pain was found to be referred from a carious and pulpally involved mandibular molar that interestingly responded normal to pulp vitality testing.
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ranking = 1
keywords = headache
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2/17. Enigmatic pain referred to the teeth and jaws.

    A number of obscure syndromes can mimic dental or jaw pain in the absence of pathosis within these structures. This enigmatic dental pain includes conditions such as pretrigeminal neuralgia, complex regional pain syndrome, temporal tendinitis, and carotodynia. Each of these syndromes is described through a pertinent case report to illustrate appropriate diagnosis and treatment.
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ranking = 10.385490162011
keywords = neuralgia
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3/17. Temporal arteritis: a cough, toothache, and tongue infarction.

    Temporal arteritis, the most common form of systemic vasculitis in adults, is a panarteritis that chiefly involves the extracranial branches of the carotid artery. The condition is illustrated in this article by the case of a 79-year-old woman with a dry cough, toothache, tongue infarction, and vision loss. The mean age of onset is 72 years and the disease rarely occurs in persons younger than 50 years. The most common presenting manifestations are headache, jaw claudication, polymyalgia rheumatica, and visual symptoms. Eighty-nine percent of patients have an erythrocyte sedimentation rate greater than 50 mm/h. However, about 40% of patients present with atypical manifestations, including fever of unknown origin, respiratory tract symptoms (especially dry cough), and large artery involvement. Familiarity with such unusual manifestations of temporal arteritis facilitates early diagnosis and treatment, thereby reducing the risk of vision loss.
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ranking = 1
keywords = headache
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4/17. Hemicrania continua.

    Unilateral throbbing headaches may present similar signs and symptoms as dental pathology and are a diagnostic challenge for dental practitioners. Cases may be seen with a primary complaint of unilateral pain or referred by medical colleagues for exclusion of dental causes. In the present article the authors add a new case of hemicrania continua (HC), which is one such unilateral headache, and review the previously published cases. HC is relatively easy to treat since it responds completely to treatment with indomethacin. However, as is presented in this case, HC may masquerade as dental pain. Cases secondary to trauma, systemic disease, and nervous system pathology have been described in the literature, and the clinician must exclude these possible causes. A thorough knowledge of this entity is therefore essential.
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ranking = 2
keywords = headache
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5/17. Case report of trigeminal neuralgia presenting as odontalgia.

    A case of trigeminal neuralgia presenting as odontalgia in a 47-year-old female is described. This case shows the difficulty of making a correct diagnosis and how patients can be subjected to unnecessary treatment and continued suffering when a correct diagnosis is not made.
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ranking = 51.927450810057
keywords = neuralgia
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6/17. Diagnostic challenges of neuropathic tooth pain.

    This article presents the clinical characteristics, epidemiology, pathophysiology and treatment of 2 neuropathic conditions: trigeminal neuralgia and atypical odontalgia. A case report highlights the complexities involved in diagnosing neuropathic pain. Neuropathic pain is chronic, diverse in quality, difficult to localize and it occurs in the absence of obvious pathology. To avoid multiple, ineffective dental treatments, general practitioners must be familiar with the signs of nonodontogenic sources of tooth pain.
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ranking = 10.385490162011
keywords = neuralgia
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7/17. facial pain.

    facial pain is a common symptom that may be a feature of a primary headache disorder or a secondary feature of organic disease. A thorough clinical history and physical examination may reveal the characteristic clinical features and assist in diagnosis. However, in some cases, the etiology may remain indeterminate.
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ranking = 1
keywords = headache
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8/17. Dental presentations of cluster headaches.

    cluster headache has been defined by the International Headache Society (IHS) as one of the primary headaches. A primary headache is a headache that has no other known cause, such as infection or trauma. cluster headache is also listed as one of the trigeminal autonomic cephalalgias. These headaches are mediated by the trigeminal nerve with accompanying autonomic symptoms that may range from conjunctival injection, lacrimation, nasal congestion, rhinorrhea, forehead and facial sweating, miosis, and ptosis to eyelid edema. The IHS has described cluster headache as "attacks of severe, strictly unilateral pain that is orbital, supraorbital, temporal or in any combination of these sites, lasting 15 to 180 minutes." In the author's practice, as a dentist treating orofacial pain, patients with cluster headache have dental or midfacial complaints as a primary presentation. This paper introduces such presentations based on interviews with cluster headache patients, with the main purpose of having midfacial complaints considered as an important presentation to be added to the IHS diagnostic criteria for cluster headache.
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ranking = 296.5281360828
keywords = cluster headache, headache, cluster
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9/17. Case series of four different headache types presenting as tooth pain.

    case reports in the literature discuss various headache disorders that present as pain in the face. The current understanding of neuroanatomy and headache mechanisms suggests that headache pain originates within intracranial structures and is then referred to the face, jaws, and teeth. This case series describes four patients, one each with migraine headache, cluster headache, paroxysmal hemicrania, and hemicrania continua, all of which who presented to dentists with the chief complaint of tooth pain. This is the first report of hemicrania continua presenting as tooth pain. It is important that dentists be cognizant of headache disorders so that they may be able to identify headache pains masquerading as toothache.
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ranking = 46.558846589114
keywords = cluster headache, headache, cluster, migraine
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10/17. Odontalgia mimicking trigeminal neuralgia.

    Proper diagnosis of facial pain is complex and requires careful evaluation of several organ systems. When patients fail to respond to firstline therapy, a complete differential diagnosis is essential for the prevention of mistreatment or overtreatment. A case is presented in which multispecialty cooperation resulted in successful treatment of chronic pain which had not responded to aggressive primary medical therapy.
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ranking = 41.541960648045
keywords = neuralgia
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