Goyal Lata, Agarwal Padmanidhi, Reddy Gosla S, Jain Kanav
Department of Dentistry, AIIMS, Bathinda, Punjab, India.
Department of Dentistry and Craniomaxillofacial Surgery, AIIMS, Rishikesh, Uttarakhand, India.
J Family Med Prim Care. 2020 Apr 30;9(4):2121-2124. doi: 10.4103/jfmpc.jfmpc_1213_19. eCollection 2020 Apr.
Diagnosis and management of non-specific, atypical, and non-dental pain are challenging. We hereby report a case of a 23-year-old female who presented with a complaint of intermittent dull ache over her lower front anterior teeth with no radiographic findings. She was diagnosed after history, imaging, and neurology consultation and treated conservatively with complete remission of symptoms. Proper history and counseling are mandatory for all patients. It is important to recognize patients with underlying neurological conditions and take adequate interdepartmental consultation before labeling complaints psychogenic or carrying out unwarranted dental treatment.
非特异性、非典型性及非牙源性疼痛的诊断与管理具有挑战性。我们在此报告一例23岁女性病例，该患者主诉下前牙间歇性钝痛，影像学检查未见异常。经病史询问、影像学检查及神经科会诊后确诊，并进行了保守治疗，症状完全缓解。对所有患者进行恰当的病史询问和咨询是必要的。识别患有潜在神经系统疾病的患者并在将症状标记为心因性或进行不必要的牙科治疗之前进行充分的跨科室会诊非常重要。
