- Volume 41 Issue 2
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Non-Odontogenic Toothache Caused by Acute Maxillary Sinusitis: A Case Report
- Kim, Ki-Mi (Department of Oral Medicine, School of Dentistry, Kyungpook National University) ;
- Byun, Jin-Seok (Department of Oral Medicine, School of Dentistry, Kyungpook National University) ;
- Jung, Jae-Kwang (Department of Oral Medicine, School of Dentistry, Kyungpook National University) ;
- Choi, Jae-Kap (Department of Oral Medicine, School of Dentistry, Kyungpook National University)
- Received : 2016.05.21
- Accepted : 2016.05.31
- Published : 2016.06.30
Non-odontogenic toothaches are frequently present and can be challenge to the dental clinician. A 41-year-old male patient with sharp and spontaneous pain on the right maxillary posterior dentition, which developed as like localized toothache 3 months ago, was finally treated with endoscope assisted sinus surgery on right maxillary sinus. Although the initial clinical characteristics are similar to odontogenic toothache in this patient, previous several treatment with the affected teeth did not alleviate the pain. Sinusitis around the facial structure is one of the common causes to make referred pain to maximally teeth and the sinus toothache resembles the pulpal or the periodontal toothache. The clinician should be well aware of various causes of the non-odontogenic toothache and be able to differentiate them.
Maxillary sinus;Referred pain;Sinusitis;Toothache
- Lipton JA, Ship JA, Larach-Robinson D. Estimated prevalence and distribution of reported orofacial pain in the United States. J Am Dent Assoc 1993;124:115-121.
- Annino DJ Jr, Goguen LA. Pain from the oral cavity. Otolaryngol Clin North Am 2003;36:1127-1135. https://doi.org/10.1016/S0030-6665(03)00132-4
- Okeson JP, Falace DA. Nonodontogenic toothache. Dent Clin North Am 1997;41:367-383.
- Ikeda H, Suda H. Sensory experiences in relation to pulpal nerve activation of human teeth in different age groups. Arch Oral Biol 2003;48:835-841. https://doi.org/10.1016/S0003-9969(03)00176-6
- Okeson JP. Non-odontogenic toothache. Northwest Dent 2000;79:37-44.
- Okeson JP, Bell WE. Bell's orofacial pains: the clinical management of orofacial pain. 6th ed. Chicago: Quintessence; 2005. pp.64-67.
- Fricton JR, Kroening R, Haley D, Siegert R. Myofascial pain syndrome of the head and neck: a review of clinical characteristics of 164 patients. Oral Surg Oral Med Oral Pathol 1985;60:615-623. https://doi.org/10.1016/0030-4220(85)90364-0
- Delcanho RE, Graff-Radford SB. Chronic paroxysmal hemicrania presenting as toothache. J Orofac Pain 1993;7:300-306.
- Tzukert A, Hasin Y, Sharav Y. Orofacial pain of cardiac origin. Oral Surg Oral Med Oral Pathol 1981;51:484-486. https://doi.org/10.1016/0030-4220(81)90006-2
- Hansen JG, Hojbjerg T, Rosborg J. Symptoms and signs in culture-proven acute maxillary sinusitis in a general practice population. APMIS 2009;117:724-729. https://doi.org/10.1111/j.1600-0463.2009.02526.x
- Fagnan LJ. Acute sinusitis: a cost-effective approach to diagnosis and treatment. Am Fam Physician 1998;58:1795-1802.
- Balasubramaniam R, Turner LN, Fischer D, Klasser GD, Okeson JP. Non-odontogenic toothache revisited. Open J Stomatol 2011;1:92-102. https://doi.org/10.4236/ojst.2011.13015
- Brook I. Sinusitis of odontogenic origin. Otolaryngol Head Neck Surg 2006;135:349-355. https://doi.org/10.1016/j.otohns.2005.10.059
- Williams JW Jr, Simel DL, Roberts L, Samsa GP. Clinical evaluation for sinusitis. Making the diagnosis by history and physical examination. Ann Intern Med 1992;117:705-710. https://doi.org/10.7326/0003-4819-117-9-705