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SYNOPSIS

Eight patients with atypical odontalgia, a condition which causes long-lasting throbbing pain localized to clinically and radiologically normal teeth and unrelieved by extensive dental treatment, are described. Atypical odontalgia is often accompanied by depression, appears to be related to both atypical facial neuralgia and migraine, and responds in most cases to antidepressant drug therapy and in others to treatment with vasoconstrictors. The importance of recognizing the condition in avoiding unnecessary dental treatment is stressed.