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dc.contributor.authorMurayama, R. A. [UNESP]
dc.contributor.authorStuginski-Barbosa, J.
dc.contributor.authorMoraes, N. P.
dc.contributor.authorSpeciali, J. G.
dc.identifier.citationInternational Endodontic Journal. Malden: Wiley-blackwell Publishing, Inc, v. 42, n. 9, p. 845-851, 2009.
dc.description.abstractP>AimTo present a 52-year-old male patient who complained of intense pain of short duration in the region of the left external ear and in the ipsilateral maxillary second molar that was relieved by blockade of the auriculotemporal nerve in the infratemporal fossa.SummaryExtra- and intraoral physical examination revealed a trigger point that reproduced the symptoms upon finger pressure in the ipsilateral auriculotemporal nerve and in the outer auricular pavilion. The patient's medical history was unremarkable. The maxillary left second molar tooth was not responsive to pulp sensitivity testing and there was no pain upon percussion or palpation of the buccal sulcus. Periapical radiographs revealed a satisfactory root filling in the maxillary left second molar. on the basis of the clinical signs and symptoms, the auriculotemporal was blocked with 0.5 mL 2% lidocaine and 0.5 mL of a suspension containing dexamethasone acetate (8 mg mL(-1)) and dexamethasone disodium sulfate (2 mg mL(-1)), with full remission of pain 6 months later. The diagnosis was auriculotemporal neuralgia.Key learning pointAuriculotemporal neuralgia should be considered as a possible cause of nonodontogenic toothache and thus included in the differential diagnoses.The blockade of the auriculotemporal nerve in the infratemporal fossa is diagnostic and therapeutic. It can be achieved with a solution of lidocaine and dexamethasone.en
dc.publisherWiley-Blackwell Publishing, Inc
dc.relation.ispartofInternational Endodontic Journal
dc.sourceWeb of Science
dc.subjectauriculotemporal neuralgiaen
dc.titleToothache referred from auriculotemporal neuralgia: case reporten
dcterms.rightsHolderWiley-blackwell Publishing, Inc
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.description.affiliationSão Paulo State Univ, UNESP, Dent Sch Aracatuba, Oral Oncol Ctr,Orofacial Pain Serv, São Paulo, Brazil
dc.description.affiliationUniv São Paulo, FMRP, Dept Neurol Psychiat & Med Psychol, São Paulo, Brazil
dc.description.affiliationUnespSão Paulo State Univ, UNESP, Dent Sch Aracatuba, Oral Oncol Ctr,Orofacial Pain Serv, São Paulo, Brazil
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