Prolonged gingival cold allodynia: A novel finding in patients with atypical odontalgia

Julyana G. Zagury; Eli Eliav; Gary M. Heir; Cybele Nasri-Heir; Sowmya Ananthan; Richard Pertes; Yair Sharav; Rafael Benoliel

doi:https://doi.org/10.1016/j.tripleo.2010.10.008

Prolonged gingival cold allodynia: A novel finding in patients with atypical odontalgia

Julyana G. Zagury, Eli Eliav, Gary M. Heir, Cybele Nasri-Heir, Sowmya Ananthan, Richard Pertes, Yair Sharav, Rafael Benoliel

School of Dental Medicine, Diagnostic Sciences

Rutgers, The State University

Research output: Contribution to journal › Article › peer-review

30 Scopus citations

Abstract

Objective The aim of this study was to examine atypical odontalgia (AO) patients with extraoral quantitative sensory testing (EQST) and an intraoral mucosal cold test. Study design Twenty-one subjects with AO and 18 control subjects underwent EQST for electrical and thermal pain and detection thresholds. Cold was applied to painful mucosal areas in AO patients and randomly in control subjects. Results Electrical pain thresholds were higher in AO patients than in control subjects in the same dermatome affected by the pain (P = .03), but no significant differences were observed in electrical detection thresholds and heat pain and detection thresholds at other sites. Cold application was painful in control and AO subjects, but duration of pain sensation was significantly longer in AO patients (P = .019 in contralateral side; P = .029 in affected side). Conclusions The finding of extended painful aftersensation following cold application in AO patients supports the involvement of central mechanisms. The cold test is clinically easy to apply and of clinically significant value.

Original language	American English
Pages (from-to)	312-319
Number of pages	8
Journal	Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology
Volume	111
Issue number	3
DOIs	https://doi.org/10.1016/j.tripleo.2010.10.008
State	Published - Mar 2011

ASJC Scopus subject areas

Surgery
Oral Surgery
Otorhinolaryngology
Dentistry(all)

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title = "Prolonged gingival cold allodynia: A novel finding in patients with atypical odontalgia",

abstract = "Objective The aim of this study was to examine atypical odontalgia (AO) patients with extraoral quantitative sensory testing (EQST) and an intraoral mucosal cold test. Study design Twenty-one subjects with AO and 18 control subjects underwent EQST for electrical and thermal pain and detection thresholds. Cold was applied to painful mucosal areas in AO patients and randomly in control subjects. Results Electrical pain thresholds were higher in AO patients than in control subjects in the same dermatome affected by the pain (P = .03), but no significant differences were observed in electrical detection thresholds and heat pain and detection thresholds at other sites. Cold application was painful in control and AO subjects, but duration of pain sensation was significantly longer in AO patients (P = .019 in contralateral side; P = .029 in affected side). Conclusions The finding of extended painful aftersensation following cold application in AO patients supports the involvement of central mechanisms. The cold test is clinically easy to apply and of clinically significant value.",

author = "Zagury, {Julyana G.} and Eli Eliav and Heir, {Gary M.} and Cybele Nasri-Heir and Sowmya Ananthan and Richard Pertes and Yair Sharav and Rafael Benoliel",

year = "2011",

month = mar,

doi = "https://doi.org/10.1016/j.tripleo.2010.10.008",

language = "American English",

volume = "111",

pages = "312--319",

journal = "Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology",

issn = "1079-2104",

publisher = "Elsevier USA",

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T1 - Prolonged gingival cold allodynia

T2 - A novel finding in patients with atypical odontalgia

AU - Zagury, Julyana G.

AU - Eliav, Eli

AU - Heir, Gary M.

AU - Nasri-Heir, Cybele

AU - Ananthan, Sowmya

AU - Pertes, Richard

AU - Sharav, Yair

AU - Benoliel, Rafael

PY - 2011/3

Y1 - 2011/3

N2 - Objective The aim of this study was to examine atypical odontalgia (AO) patients with extraoral quantitative sensory testing (EQST) and an intraoral mucosal cold test. Study design Twenty-one subjects with AO and 18 control subjects underwent EQST for electrical and thermal pain and detection thresholds. Cold was applied to painful mucosal areas in AO patients and randomly in control subjects. Results Electrical pain thresholds were higher in AO patients than in control subjects in the same dermatome affected by the pain (P = .03), but no significant differences were observed in electrical detection thresholds and heat pain and detection thresholds at other sites. Cold application was painful in control and AO subjects, but duration of pain sensation was significantly longer in AO patients (P = .019 in contralateral side; P = .029 in affected side). Conclusions The finding of extended painful aftersensation following cold application in AO patients supports the involvement of central mechanisms. The cold test is clinically easy to apply and of clinically significant value.

AB - Objective The aim of this study was to examine atypical odontalgia (AO) patients with extraoral quantitative sensory testing (EQST) and an intraoral mucosal cold test. Study design Twenty-one subjects with AO and 18 control subjects underwent EQST for electrical and thermal pain and detection thresholds. Cold was applied to painful mucosal areas in AO patients and randomly in control subjects. Results Electrical pain thresholds were higher in AO patients than in control subjects in the same dermatome affected by the pain (P = .03), but no significant differences were observed in electrical detection thresholds and heat pain and detection thresholds at other sites. Cold application was painful in control and AO subjects, but duration of pain sensation was significantly longer in AO patients (P = .019 in contralateral side; P = .029 in affected side). Conclusions The finding of extended painful aftersensation following cold application in AO patients supports the involvement of central mechanisms. The cold test is clinically easy to apply and of clinically significant value.

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Prolonged gingival cold allodynia: A novel finding in patients with atypical odontalgia

Abstract

ASJC Scopus subject areas

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