Myofascial pain with referral from the anterior digastric muscle mimicking a toothache in the mandibular anterior teeth: a case report

Mythili Kalladka, Muralidhar Thondebhavi, Sowmya Ananthan, Gautam Kalladka, Junad Khan

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Non-odontogenic toothaches often present as a diagnostic dilemma to clinicians. Myofascial pain with referral from the trigger points in the masticatory muscles are one of the common causes of non-odontogenic toothaches. However, there are limited reports of myofascial pain from the anterior digastric muscle referring pain to the mandibular anterior teeth and mimicking odontogenic pain. CASE PRESENTATION: A case of non-odontogenic toothache in the mandibular anterior teeth due to myofascial pain with referral from trigger points in the anterior digastric muscle is presented. The patient had significant relief with a trigger point injection of the anterior digastric muscle. Amitriptyline 10 mg once daily was prescribed for 1 month. In addition, she was advised home care instructions to control predisposing, perpetuating, and precipitating factors, and given home care exercises, a hard joint stabilization splint, physiotherapy, and postural re-education. CONCLUSION: Non-odontogenic toothaches may be multifactorial. The case presented emphasizes the importance of a comprehensive evaluation to differentiate odontogenic pain from non-odontogenic pain. Irreversible dental procedures should be instituted after an accurate diagnosis and multidisciplinary management may be required in complex cases.

Original languageEnglish (US)
Pages (from-to)56-62
Number of pages7
JournalQuintessence international (Berlin, Germany : 1985)
Volume51
Issue number1
DOIs
StatePublished - Jan 1 2020

Fingerprint

Toothache
Tooth
Referral and Consultation
Trigger Points
Pain
Muscles
Home Care Services
Masticatory Muscles
Precipitating Factors
Amitriptyline
Splints
Myalgia
Causality
Joints
Exercise
Education
Injections

All Science Journal Classification (ASJC) codes

  • Dentistry(all)

Keywords

  • anterior digastric muscle
  • myofascial pain
  • pain
  • temporomandibular disorder
  • trigger point

Cite this

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title = "Myofascial pain with referral from the anterior digastric muscle mimicking a toothache in the mandibular anterior teeth: a case report",
abstract = "BACKGROUND: Non-odontogenic toothaches often present as a diagnostic dilemma to clinicians. Myofascial pain with referral from the trigger points in the masticatory muscles are one of the common causes of non-odontogenic toothaches. However, there are limited reports of myofascial pain from the anterior digastric muscle referring pain to the mandibular anterior teeth and mimicking odontogenic pain. CASE PRESENTATION: A case of non-odontogenic toothache in the mandibular anterior teeth due to myofascial pain with referral from trigger points in the anterior digastric muscle is presented. The patient had significant relief with a trigger point injection of the anterior digastric muscle. Amitriptyline 10 mg once daily was prescribed for 1 month. In addition, she was advised home care instructions to control predisposing, perpetuating, and precipitating factors, and given home care exercises, a hard joint stabilization splint, physiotherapy, and postural re-education. CONCLUSION: Non-odontogenic toothaches may be multifactorial. The case presented emphasizes the importance of a comprehensive evaluation to differentiate odontogenic pain from non-odontogenic pain. Irreversible dental procedures should be instituted after an accurate diagnosis and multidisciplinary management may be required in complex cases.",
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Myofascial pain with referral from the anterior digastric muscle mimicking a toothache in the mandibular anterior teeth : a case report. / Kalladka, Mythili; Thondebhavi, Muralidhar; Ananthan, Sowmya; Kalladka, Gautam; Khan, Junad.

In: Quintessence international (Berlin, Germany : 1985), Vol. 51, No. 1, 01.01.2020, p. 56-62.

Research output: Contribution to journalArticle

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AU - Kalladka, Gautam

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AB - BACKGROUND: Non-odontogenic toothaches often present as a diagnostic dilemma to clinicians. Myofascial pain with referral from the trigger points in the masticatory muscles are one of the common causes of non-odontogenic toothaches. However, there are limited reports of myofascial pain from the anterior digastric muscle referring pain to the mandibular anterior teeth and mimicking odontogenic pain. CASE PRESENTATION: A case of non-odontogenic toothache in the mandibular anterior teeth due to myofascial pain with referral from trigger points in the anterior digastric muscle is presented. The patient had significant relief with a trigger point injection of the anterior digastric muscle. Amitriptyline 10 mg once daily was prescribed for 1 month. In addition, she was advised home care instructions to control predisposing, perpetuating, and precipitating factors, and given home care exercises, a hard joint stabilization splint, physiotherapy, and postural re-education. CONCLUSION: Non-odontogenic toothaches may be multifactorial. The case presented emphasizes the importance of a comprehensive evaluation to differentiate odontogenic pain from non-odontogenic pain. Irreversible dental procedures should be instituted after an accurate diagnosis and multidisciplinary management may be required in complex cases.

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