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Differential changes in gingival somatosensory sensitivity after painful electrical tooth stimulation
Malmö högskola, Faculty of Odontology (OD).ORCID iD: 0000-0002-9638-4648
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2015 (English)In: Experimental Brain Research, ISSN 0014-4819, E-ISSN 1432-1106, Vol. 233, no 4, p. 1109-1118Article in journal (Refereed)
Abstract [en]

We aimed to evaluate the effect of painful tooth stimulation on gingival somatosensory sensitivity of healthy volunteers in a randomized, controlled design. Thirteen healthy volunteers (six women, seven men; 28.4 ± 5.0 years) were included for two experimental sessions of electrical tooth stimulation: painful tooth stimulation and tooth stimulation below the sensory threshold (control). Eight of the human subjects participated in a third session without tooth stimulation. In all sessions, the somatosensory sensitivity of the gingiva adjacent to the stimulated tooth was evaluated with a standardized battery of quantitative sensory tests (QST) before, immediately after and 30 min after tooth stimulation. Painful tooth stimulation evoked significant decreases in warmth and heat pain thresholds (P < 0.001) as well as pressure pain thresholds (increased sensitivity) (P = 0.024) and increases in mechanical detection thresholds (decreased sensitivity) (P < 0.050). Similar thermal threshold changes (P < 0.019) but no mechanical changes were found after tooth stimulation below the sensory threshold (P > 0.086). No QST changes were detected in the session without tooth stimulation (P > 0.060). In conclusion, modest increased gingival sensitivity to warmth, painful heat and pressure stimuli as well as desensitization to non-painful mechanical stimulation were demonstrated after tooth stimulation. This suggests involvement of competing heterotopic facilitatory and inhibitory mechanisms. Furthermore, stimulation below the sensory threshold induced similar thermal sensitization suggesting the possibility of activation of axon-reflex-like mechanisms even at intensities below the perception threshold. These findings may have implications for interpretation of somatosensory results in patients with chronic intraoral pain.

Place, publisher, year, edition, pages
Springer, 2015. Vol. 233, no 4, p. 1109-1118
Keywords [en]
Quantitative sensory testing, Painful tooth stimulation, Somatosensory sensitivity, Heterotopic changes in sensitivity
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-15596DOI: 10.1007/s00221-014-4186-4ISI: 000351162400009PubMedID: 25567087Scopus ID: 2-s2.0-84925491838Local ID: 19645OAI: oai:DiVA.org:mau-15596DiVA, id: diva2:1419118
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2024-02-05Bibliographically approved

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