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Rare Odontalgia of Mandibular Teeth Associated with Migraine: A Case Report
J Oral Med Pain 2018;43:92-96
Published online September 30, 2018;  https://doi.org/10.14476/jomp.2018.43.3.92
© 2018 Korean Academy of Orofacial Pain and Oral Medicine

Yeong-Gwan Im1, Jin-Kyu Kang2

1Department of Oral Medicine, Chonnam National University Dental Hospital, Gwangju, Korea
2Department of Orofacial Pain and Oral Medicine, Wonkwang University Daejeon Dental Hospital, Daejeon, Korea
Correspondence to: Jin-Kyu Kang
Department of Orofacial Pain and Oral Medicine, Wonkwang University Daejeon Dental Hospital, 77 Dunsanro, Seo-gu, Daejeon 35233, Korea
Tel: +82-42-366-1125
Fax: +82-42-366-1115
E-mail: orofacial@wku.ac.kr
Received August 17, 2018; Revised September 19, 2018; Accepted September 20, 2018.
This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
A 39-year-old male presented with severe pain in right posterior mandibular teeth and temporal area. Initially, the pain in the mandibular teeth was moderate, but the concomitant headache was unbearably severe. His medical history was non-contributory. The clinical and radiographic examination failed to reveal any pathology in the region. There was no tenderness to palpation in the temporalis and masseter muscles or temporomandibular joints. The clinical impression was migraine. The pain in the teeth and headache were aborted using ergotamine tartrate and sumatriptan succinate. Atenolol prevented further pain, while amitriptyline and imipramine had no effect. Migraine can present as non-odontogenic pain in the mandibular teeth, although not as frequently as in the maxillary teeth. A correct diagnosis is essential to avoid unnecessary dental treatments and to manage pain effectively. Clinicians should be able to identify migraine with non-odontogenic dental pain and establish a proper diagnosis through a comprehensive evaluation.
Keywords : Facial pain; Headache; Migraine without aura; Toothache


September 2018, 43 (3)