TY - JOUR
T1 - Myofascial pain with referral from the anterior digastric muscle mimicking a toothache in the mandibular anterior teeth
T2 - A case report
AU - Kalladka, Mythili
AU - Thondebhavi, Muralidhar
AU - Ananthan, Sowmya
AU - Kalladka, Gautam
AU - Khan, Junad
PY - 2020/1/1
Y1 - 2020/1/1
N2 - 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 com-plexcases.
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 com-plexcases.
KW - Anterior digastric muscle
KW - Myofascial pain
KW - Pain
KW - Temporomandibular disorder
KW - Trigger point
UR - http://www.scopus.com/inward/record.url?scp=85076327032&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85076327032&partnerID=8YFLogxK
U2 - https://doi.org/10.3290/j.qi.a43615
DO - https://doi.org/10.3290/j.qi.a43615
M3 - Article
C2 - 31781688
SN - 0033-6572
VL - 51
SP - 56
EP - 62
JO - Quintessence International
JF - Quintessence International
IS - 1
ER -