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Douleurs orofaciales idiopathiques, étiologies, physiopathologie et propositions thérapeutiques

Idiopathic orofacial pain conditions, etiology, pathophysiological mechanisms, and management

  • Article de Synthèse / Review Article
  • Published:
Douleur et Analgésie

Résumé

Les algies faciales idiopathiques sont des douleurs mal caractérisées, dont le diagnostic est difficile et la physiopathologie incertaine. Elles peuvent être dénommées odontalgie atypique, algie faciale atypique, douleur de dent fantôme, douleur faciale idiopathique persistante lorsqu’elles sont ressenties au niveau des dents, ou glossodynies et stomatodynies quand elles concernent la langue et les muqueuses buccales. Cette revue de la littérature fait le point sur l’évolution des concepts, les critères diagnostiques actuellement reconnus dans la littérature internationale, et les principales hypothèses physiopathologiques. Les différentes options thérapeutiques, analysées selon leur niveau de preuve, sont ensuite discutées.

Abstract

Idiopathic facial pains are poorly characterized pains with difficult diagnoses and uncertain pathophysiologies. They are referred to as atypical toothaches, atypical facial pain, phantom tooth pain, persistent idiopathic facial pain, when felt in the teeth or glossodynia and stomatodynia when experienced in the tongue and the oral mucosa. This literature review focuses on the evolution of concepts, diagnostic criteria currently recognized in the international literature and main pathophysiological hypotheses. The different treatment options, analyzed according to their degree of evidence, are then discussed.

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Authors and Affiliations

  1. UFR d’odontologie université Paris-Diderot, 5, rue Garancière, F-75006, Paris, France

    V. Descroix & Y. Boucher

  2. Service d’odontologie hôpitaux universitaires, La Pitié-Salpêtrière-Charles-Foix, 47-83, boulevard de l’Hôpital, F-75013, Paris, France

    V. Descroix & Y. Boucher

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  1. V. Descroix
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  2. Y. Boucher
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Correspondence to V. Descroix.

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Descroix, V., Boucher, Y. Douleurs orofaciales idiopathiques, étiologies, physiopathologie et propositions thérapeutiques. Douleur analg 29, 2–9 (2016). https://doi.org/10.1007/s11724-016-0445-4

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  • DOI: https://doi.org/10.1007/s11724-016-0445-4

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