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Quintessence Publishing: Journals: OFPH
Journal of Oral & Facial Pain and Headache

Edited by Barry J. Sessle, BDS, MDS, BSc, PhD, FRSC

Official Journal of the American Academy of Orofacial Pain,
the European, Asian, and Ibero-Latin Academies of Craniomandibular
Disorders, and the Australian Academy of Orofacial Pain

ISSN 2333-0384 (print) • ISSN 2333-0376 (online)

Publication:
Spring 2013
Volume 27 , Issue 2

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Share Abstract:

Chairside Intraoral Qualitative Somatosensory Testing: Reliability and Comparison Between Patients with Atypical Odontalgia and
Healthy Controls

Lene Baad-Hansen, DDS, PhD/Maria Pigg, DDS, PhD/Susanne Elmasry Ivanovic, DDS/Hanan Faris, DDS/Thomas List, DDS, PhD, Odont Dr/Mark Drangsholt, DDS, PhD/Peter Svensson, DDS, PhD, Dr Odont

Pages: 165-170
PMID: 23630688
DOI: 10.11607/jop.1062

Aims: To assess intraoral inter- and intraexaminer reliability of three qualitative measures of intraoral somatosensory function and to compare these measures between patients with atypical odontalgia (AO) and healthy controls. Methods: Thirty-one AO patients and 47 healthy controls participated. Inter- and intraexaminer reliability was tested on a subgroup of 46 subjects (25 AO; 21 healthy). Sensitivity to touch, cold, and pinprick stimuli was evaluated on the painful gingival site and the corresponding contralateral site in AO patients, and bilaterally on the gingiva of the first maxillary premolars in controls. Patients were asked to report hypersensitivity, hyposensitivity, or normal sensitivity to stimuli on the painful site compared with the nonpainful site. Kappa values were calculated, and chi-square and Fisher’s exact tests were used to compare frequencies between groups. Results: Kappa values ranged between 0.63 and 0.75. The frequency of hypersensitivity to either modality was significantly higher in patients (29% to 61%) than in controls (9% to 17%) (P < .015), whereas reports of hyposensitivity were similar between groups (2% to 16%) (P > .057). Only 3.2% of the AO patients had no reports of abnormal sensitivity on any of the tests, compared with 59.6% of the healthy subjects (P < .001). Conclusion: Intraoral qualitative somatosensory testing can detect intraoral sensory disturbances in AO patients, and the reliability is sufficient for initial screening of orofacial somatosensory function. J OrOfac Pain 2013;27:165–170. doi: 10.11607/jop.1062

Key words: atypical odontalgia, intraoral, neuropathic pain, reliability, somatosensory testing

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