Oral Biol Res.  2024 Sep;48(3):69-74. 10.21851/obr.48.03.202409.69.

Comprehensive management approach to persistent idiopathic dentoalveolar pain: a narrative review

• Park HJ
• Jeong S

• KMID: 2559684
• DOI: http://doi.org/10.21851/obr.48.03.202409.69

Abstract

Persistent idiopathic dentoalveolar pain (PIDP) is a chronic condition characterized by deep, dull, and unexplained pain in the dentoalveolar region, predominantly affecting middle-aged women. PIDP is diagnosed by excluding other causes of orofacial pain, with a reported prevalence ranging from 0.03% to 6%. PIDP is challenging to manage due to its unclear etiology, necessitating a multimodal treatment approach involving pharmacological and non-pharmacological interventions. Neuromodulation techniques have recently been considered as a potential option, particularly for patients unresponsive to conventional therapies. This review consolidates current knowledge on the pathophysiology, diagnosis, and treatment of PIDP, introducing neuromodulation as one of the emerging approaches for its management. It aims to provide clinicians with comprehensive guidelines to enhance diagnostic accuracy, improve treatment outcomes, and ultimately enhance the quality of life of patients with PIDP. Further research is vital for refining these emerging therapies and developing more effective management protocols.

Keyword

Chronic pain; Diagnosis; Therapeutics; Toothache