Intraoral somatosensory abnormalities in patients with atypical odontalgia—a controlled multicenter quantitative sensory testing study

Baad‐Hansen, Lene; Pigg, Maria; Ivanovic, Susanne Elmasry; Faris, Hanan; List, Thomas; Drangsholt, Mark; Svensson, Peter

doi:10.1016/j.pain.2013.04.005

Cited by 92 publications

(180 citation statements)

References 20 publications

(113 reference statements)

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“…There is a need to objectively assess all patients with symptoms of trigeminal nerve damage before, during and after treatment. Qualitative sensory testing has been shown in reports to be an objective means of assessing and classifying nerve damage [33][34][35]. The treatment of nerve damage presents a challenge due to the presence of different symptoms.…”

Section: Discussionmentioning

confidence: 99%

Neuropathy of Trigeminal Nerve Branches After Oral and Maxillofacial Treatment

Agbaje

Casteele

Hiel

et al. 2015

J. Maxillofac. Oral Surg.

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Objective To report the incidence of trigeminal neuropathy seen among new patients in a referral center within a period of 1 year (2013). The cause of damage, method of management and treatment outcome was assessed after 1-year follow-up. Materials and Methods The records of all new patients visiting the oral and maxillofacial unit of the University hospital of Leuven in 2013 were screened for a history of damage to branches of the trigeminal nerve. The selected records were examined and the duration of nerve damage, received treatment as well as the outcome of the neuropathy after treatment was noted after 1-year follow-up. Results 56 patients (21 males, 35 females) from 7602 new patients had symptoms of damage to the trigeminal nerve branch. These symptoms persist in more than onethird of the patients [21/56 (37.5 %)] after 1-year followup. The least recovery is seen from oral surgery, implant placement, orthognathic surgery and tooth extraction. After 1 year 85 % (12/14) of neuropathic pain cases still have their symptoms as compared to 19 % (5/26) of patients with hypoesthesia. Conclusion This study shows a low incidence of nerve damage among the new patients presenting in oral and maxillofacial surgery clinic (\1 %); however, one-third of patients who sustain nerve damage never recover fully. Early diagnosis of the cause of neuropathy is essential. There is a need to objectively assess all patients with symptoms of trigeminal nerve damage before, during and after treatment.

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Section: Discussionmentioning

confidence: 99%

Neuropathy of Trigeminal Nerve Branches After Oral and Maxillofacial Treatment

Agbaje

Casteele

Hiel

et al. 2015

J. Maxillofac. Oral Surg.

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“…The present part of a multi-center study involved three centers; Malmö University, Sweden (MU); University of Washington, USA (UW) and Aarhus University, Denmark (AU) (5). …”

Section: Methodsmentioning

confidence: 99%

Reliability of intra‐oral quantitative sensory testing (QST) in patients with atypical odontalgia and healthy controls – a multicentre study

Pigg

Yang

List

et al. 2014

J of Oral Rehabilitation

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SummaryThe reliability of comprehensive intraoral quantitative sensory testing (QST) protocol has not been examined systematically in patients with chronic orofacial pain. The aim of the present multicenter study was to examine test-retest and inter-examiner reliability of intraoral QST measures in terms of absolute values and z-scores as well as within-session coefficients of variation (CV) values in patients with atypical odontalgia (AO) and healthy pain-free controls. Forty-five AO patients and 68 healthy controls were subjected to bilateral intraoral gingival QST and unilateral extratrigeminal QST (thenar) on three occasions (twice on one day by two different examiners and once approximately one week later by one of the examiners). Intraclass correlation coefficients and kappa values for inter-examiner and test-retest reliability were computed. Most of the standardized intraoral QST measures showed fair to excellent inter-examiner (9-12 of 13 measures) and test-retest (7-11 of 13 measures) reliability. Furthermore, no robust differences in reliability measures or within-session variability (CV) were detected between AO patients and the healthy reference group. These reliability results in chronic orofacial pain patients support earlier suggestions based on data from healthy subjects that intraoral QST is sufficiently reliable for use Correspondence: Dr. Lene Baad-Hansen, Section of Clinical Oral Physiology, Department of Dentistry, HEALTH, Aarhus University, Vennelyst Boulevard 9, DK-8000 Aarhus C, Denmark, lene.hansen@odontologi.au.dk. All authors declare no conflicts of interest. NIH Public Access

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“…Pain is described as deep, diffuse, continuous and persistent and may have burning or pressing sensation. Pain may be triggered by invasive dental 45,46 . Among etiologic factors involved with these conditions, one should stress dental implants, which have increased in frequency in general, and which may trigger PIFP or AO in predisposed patients 47,48 .…”

Section: Persistent Idiopathic Facial Pain (Pifp)mentioning

confidence: 99%