Melis Marcello, Secci Simona
Craniofacial Pain Center, Tufts University, USA.
J Contemp Dent Pract. 2007 Mar 1;8(3):81-9.
This report presents two cases diagnosed with atypical odontalgia (AO) and successfully treated with amitriptyline as well as providing a review of the current literature on the subject.
The literature indicates the most important issue is an accurate differential diagnosis to distinguish between AO, pulpal pain, myofascial pain, and trigeminal neuralgia.
Once the correct diagnosis is made the prognosis of AO is usually fair and the administration of tricyclic antidepressants often resolves symptoms. An effort should be made to avoid any unnecessary dental treatment that would only aggravate the problem.
本报告介绍了两例被诊断为非典型牙痛（AO）并通过阿米替林成功治疗的病例，并对该主题的当前文献进行了综述。
文献表明，最重要的问题是进行准确的鉴别诊断，以区分AO、牙髓疼痛、肌筋膜疼痛和三叉神经痛。
一旦做出正确诊断，AO的预后通常较好，三环类抗抑郁药的使用通常可缓解症状。应努力避免任何只会加重问题的不必要牙科治疗。
