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Journal of Oral & Facial Pain and Headache (OFPH) is published by MRE Press from Volume 38 lssue 1 (2024). Previous articles were published by another publisher on a subscription basis, and they are hosted by MRE Press on www.jofph.com as a courtesy and upon agreement with Journal of Oral & Facial Pain and Headache.
Odontalgia in Vascular Orofacial Pain
1Orofacial Pain Clinic, Department of Oral Diagnosis, Oral Medicine and Oral Radiology, The Hebrew University, Hadassah School of Dental Medicine, Jerusalem, Israel
*Corresponding Author(s): Yair Sharav E-mail: sharav@cc.huji.ac.il
A case of episodic, spontaneous odontalgia, aggravated by ingestion of cold food, with no apparent dental pathology is presented. Attempts at alleviating the pain by means of root canal treatment had failed in previous, similar episodes, and pain and pulpal hyperalgesia had shifted to other locations. Primary vascular orofacial pain was diagnosed and effective control obtained by prophylactic treatment with propranolol, a beta-adrenergic blocker. A prophylactic attempt with nifedipine, a calcium channel blocker, failed to alleviate the pain. This diagnostic entity and possible therapeutic approaches are discussed.
toothache; pain; vascular
Rakefet Czerninsky, Rafael Benoliel, Yair Sharav. Odontalgia in Vascular Orofacial Pain. Journal of Oral & Facial Pain and Headache. 1999. 13(3);196-200.
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