Dentistry and Oral Health

Abstract

Non-odontogenic toothaches often present as a diagnostic challenge to clinicians. Myogeous TMDs comprise a significant proportion of the causes of non-Odontogenic toothaches. They may include a dominant Myofascial Trigger Point component. Non-odontogenic pain may be referred from different masticatory muscles and accessory muscles mimicing toothache. A comprehensive evaluation of masticatory muscles is essential. Showing diligence in patient care is crucial & can result in avoidance of unnecessary, harmful, &/or irreversible therapies. 
Introduction: Pains of muscle origin are the most frequent cause of discomfort in the head and neck area. Because dental pain is the most frequent oral pain, a good rule to follow in diagnosing pains around the face and mouth is to assume initially that it is dental until proved otherwise, then muscular until proved otherwise. The possibility oforofacial pain being of muscle origin should be taken into account with every complaint. Muscle pain emanates from the skeletal muscle, tendon and fascia. Myogenous pains of different types may involve muscle of the mouth, face and neck. The symptom complex depends on the kind, number and location of muscle involved and to the degree to which they are affected. Myofascial pain is a regional myogenous pain condition characterised by local area of firm hypersensitive bands of muscle tissue known asTrigger points which can refer pain to distant sites including the teeth.

Biography

Dr.Sumit Gupta did his Masters in Orthodontics from GDC Ahmedabad in1998 and was awarded a gold medal for topping the University in all the branches. He cleared the US National Dental Boards in 2002, did Fellowship & a Masters program in Temporomandibular Disorders, Orofacial Pain and Dental Sleep Medicine from Roseman University, USA in 2018 and achieved a status of Diplomate of American Board of Orofacial Pain. Dr, Gupta has been running a very successful practice in Ras Al Khaimah, UAE since 1999 as an Orthodontist & TMJ Orofacial Pain Specialist and consulting in Clinics in Dubai & Abu Dhabi. He is Founder and Director of Indian Academy of Dental & Facial Pain. He has presented in many conferences World Wide including the recently concluded 16th European Headache Congress in Vienna.