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. 2011 Dec;5(4):18-27.
doi: 10.1177/204946371100500404.

Persistent dento-alveolar pain disorder (PDAP): Working towards a better understanding

Donald Nixdorf  1 , Estephan Moana-Filho  2
Affiliations

Persistent dento-alveolar pain disorder (PDAP): Working towards a better understanding

Donald Nixdorf et al. Rev Pain. 2011 Dec.

Abstract

  1. New terminology, persistent dento-alveolar pain disorder (PDAP), and diagnostic criteria have been put forward to address the shortcomings of existing nomenclature, which are associated with unclear criteria.

  2. Arriving at an accurate diagnosis of PDAP is based on excluding other possible aetiologies, and may involve different care providers.

  3. Synthesis of published data suggests that PDAP has a frequency of occurrence following root canal therapy of around 1.6%.

  4. The putative risk factors involved in PDAP are largely unknown, but seem to be similar to those being identified with other post-surgical chronic pain disorders.

  5. The underlying mechanisms involved in the development of and/or perpetuating PDAP are unknown and the approach to treatment remains empiric in nature.

Keywords: Non-odontogenic tooth pain; atypical odontalgia; chronic tooth pain; diagnosis; epidemiology; mechanisms; phantom tooth pain; review.

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Figures

Figure 1
Figure 1
Diagnostic criteria for PDAP
See this image and copyright information in PMC

References

    1. Lipton J, Ship JA, Larach-Robinson D. Estimated prevalence and distribution of reported orofacial pain in the United States. J Am Dent Assoc 1993;124:115–21. - PubMed
    1. Renton T. Dental (odontogenic) pain. Reviews in Pain 2011;5:2–7. - PMC - PubMed
    1. Mattscheck D, Law AS, Nixdorf DR. Diagnosis of non-odonogentic toothache. In: Hargreaves KM, Cohen S. eds. Cohen's pathways of the pulp. 10th ed. St. Louis: Mosby; 2011;49–70.
    1. Hunter J. The natural history of the human teeth. 3rd ed. 1808:1–246. London: Printed by W Spilsbury, Snowhill; This book can be searched at http://books.google.co.uk/books?id=9DkAAAAAQAAJ [Accessed November 2011]
    1. Glaser MA. Atypical neuralgia, so called. A critical analysis of one hundred and forty-three cases. Arch Neurol Psychiatry 1928;20:537–58.

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