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After performing a cardiological study, the patient was diagnosed with ischemic heart disease. In 2 of the 9 cases, the onset of the pain was related with physical exercise and in the rest of the cases, the pain occurred spontaneously. The differential diagnosis of pain of odontogenic origin dental and periodontal must always be taken into account with pain of non-odontogenic origin muscle pain, psychogenic, neuronal, cardiac, sinus and neurovascular in order to avoid diagnostic errors in the dental practice as well as performing unnecessary treatments.

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In addition, the pain is unilateral in both cases, consistent with some other cases recorded 2 - 4 , 6 , The pain has been going on for several days and is not altered by chewing or changes in temperature.

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The duration of the evolution of the symptoms was only specified in 4 of the clinical cases described and ranged from 3 days to 9 months. Table 3 Cases recorded in the literature on heterotopic dental pain. Kreiner M, Okessn J.

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Material and Methods We analyzed the cases presented and carried out a systematic literature review on Medline PubMed using the following keywords: A diagnosis of temporomandibular disorder was made.

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Patients with atypical symptoms are more likely to be admitted to the hospital than patients with typical symptoms. The frequency of the pain in the 9 cases described in the bibliography presents a spontaneous appearance and the intensity is severe in all cases 2 - 4 , 6 - 8 ,