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Tooth PainAka: Facial Pain Due To Dental Origin, Odontalgia, Orofacial Pain

Causes: Dental
1. Dental Caries (reversible or Irreversible Pulpitis)
2. Apical Periodontitis or Apical Abscess
3. Periodontal Cellulitis
4. Pericoronitis (associated with wisdom Tooth Eruption)
5. Acute Necrotizing Ulcerative Gingivitis
6. Atypical Odontalgia (idiopathic tooth pain)
7. Dental trauma
  1. Tooth Fracture
  2. Tooth Luxation
  3. Tooth Avulsion
  4. Post-surgical (e.g. after root canal or extraction)
  5. Cracked tooth (or split root syndrome)
  6. Barodentalgia (air trapped under filling)
    1. Form of barotrauma seen in scuba divers
Differential diagnosis
1. Neuropathic
2. Vascular
  1. Temporal Arteritis
  2. Cavernous Sinus thrombosis
  3. Myocardial Ischemia or infarction (lower jaw)
  4. Jaw Claudication
3. Bone and joints
  1. Osteomyelitis
  2. Temperomandibular joint dysfunction
4. Systemic illness
  1. Xerostomia causes predisposing to oral pathology
  2. Systemic Lupus Erythematosus
  3. Tuberculosis
5. Miscellaneous
  1. Acute Sinusitis (maxillary)
  2. Sialadenitis or Sialolithiasis
  3. Otitis Media
  4. Otitis Externa
References
1. Amsterdam in Marx (2002) Rosen's Emergency Med, p. 897
2. Degowin (1987) Bedside Diagnostic Exam, p. 74-5
3. Douglass (2003) Am Fam Physician 67(3):511

Toothache (C0040460)
Definition (MSH)	Pain in the adjacent areas of the teeth.
Concepts	Sign or Symptom (T184)
English	Dentagra, dental pain, dentalgia, Odontalgia, Odontalgias, Pain in tooth, TOOTH PAIN, Toothache, Toothaches
Spanish	dentalgia, dolor de dientes, odontalgia, odontodinia
Parent Concepts	Facial Pain (C0015468), Tooth Diseases (C0040435), Oral pain (C0221776), Headache site NOS (C0423620), Tooth finding (C0457641), Duplicate concept (C1274013)
Sources	COSTAR, CSP, CST, DXP, LCH, MSH, MTH, NDFRT, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System)