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The painful tooth – mechanisms, presentation and differential diagnosis of odontogenic pain

Lookup NU author(s): James AllisonORCiD, Dr Simon StoneORCiD



This is the authors' accepted manuscript of an article that has been published in its final definitive form by Wiley, 2020.

For re-use rights please refer to the publisher's terms and conditions.


Pain arising for the teeth and supporting structures is a very common complaint, affecting around9% of adults in the UK, and it can sometimes be difficult to determine the exact cause. In thisnarrative review we explore the underlying neurophysiology of odontogenic pain and describe therelevance of this to clinical practise. We discuss characteristic features of pain arising from thevarious dentoalveolar structures and common oral disorders, and consider that non-odontogenicpain may occasionally present as toothache. As well as describing current approaches to reaching areliable diagnosis, we also discuss some innovative techniques and potential future developments inthis area.

Publication metadata

Author(s): Allison JR, Stone SJ, Pigg M

Publication type: Article

Publication status: Published

Journal: Oral Surgery

Year: 2020

Volume: 13

Issue: 4

Pages: 309-320

Print publication date: 01/11/2020

Online publication date: 13/02/2020

Acceptance date: 11/02/2020

Date deposited: 11/02/2020

ISSN (print): 1752-2471

ISSN (electronic): 1752-248X

Publisher: Wiley


DOI: 10.1111/ors.12481


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