SITE LINK

국소마취하 상악 측절치 치근단 절제술 후 인식된 신경병성 비정형 치통 1예 -증례 보고-
A Neuropathic Atypical Odontalgia Recognized after the Apicoectomy under Local Anesthesia on the Maxillary Lateral Incisor -A Case Report-

대한치과마취과학회지 2010년 10권 1호 p.20 ~ 26

모동엽, 유재하, 최병호, 김하랑, 이천의, 김종배,

소속 상세정보

모동엽 ( Mo Dong-Yub ) - 연세대학교 치과대학 구강악안면외과학교실
유재하 ( Yoo Jae-Ha ) - 연세대학교 치과대학 구강악안면외과학교실
최병호 ( Choi Byung-Ho ) - 연세대학교 치과대학 구강악안면외과학교실
김하랑 ( Kim Ha-Rang ) - 연세대학교 치과대학 구강악안면외과학교실
이천의 ( Lee Chun-Ui ) - 연세대학교 치과대학 구강악안면외과학교실
김종배 ( Kim Jong-Bae ) - 계명대학교 의과대학 치과학교실

KMID : 0980220100100010020

Abstract

This type of neuropathic pain(atypical odontalgia) is seen most often in middle-aged women or men after dentoalveolar operation. Atypical odontalgia probably is caused by deafferentation leading to intraneural changes in the medullary dorsal horn. Treatment of this problem is difficult, but some success has been reported in uncontrolled, open-labeled studies using high doses of tricyclic antidepressants. This is the management report of a patient case, that had a neuropathic atypical odontalgia recognized with the right maxillary lateral incisor. The patient was consulted to the Department of Pain Clinics, ENT & Neurology and diagnosed the adenoid cystic carcinoma on left cerebellum and right paranasal sinus with extension to the cavernous sinus. In spite of the osteoplastic craniotomy, neurosurgical mass removal and radiation therapy were done with chemotherapy, atypical odontalgia was continued. In addition to the consultation to Psychology, stress management and antidepressant medication were done and improved slowly.