Cristian-Levente Giuroiu, Alice-Teodora Rotaru-Costin, Eugenia-Larisa Țarevici, Georgiana-Andreea Frumuzache, Claudiu Topoliceanu, Oana Țănculescu, Anca Melian, Mihaela Sălceanu
ABSTRACT
Aim of the study: This systematic review analyzes the literature on the clinical and differential diagnosis of orofacial pain in the context of endodontic pathology compared to temporomandibular joint disorders.
Materials and Methods: A systematic search was conducted in scientific databases (PubMed, Scopus, Web of Science), including studies from the last two decades on pathophysiological mechanisms, clinical characteristics, and imaging methods (radiography, CBCT, MRI).
Results: The symptomatology of endodontic pain and temporomandibular joint disorders presents significant overlaps, making diagnosis challenging. Endodontic pain is acute, pulsating, and localized, influenced by thermal and mechanical stimuli, whereas TMJ pain is chronic, diffuse, and worsened by mandibular movements. Advanced imaging techniques (CBCT, MRI) are essential for accurate diagnosis.
Conclusions: Accurate differentiation between the two conditions is crucial to avoid inadequate treatments and optimize therapeutic strategies. A multidisciplinary approach, integrating specialists in endodontics and TMJ pathology, along with the use of advanced imaging methods, can enhance diagnostic accuracy and improve the management of orofacial pain.
DOI : 10.62610/RJOR.2025.1.17.76
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