Pain at ear level caused by a local or neighbouring suffering is a reality faced in everyday practice, the difficulties faced by doctors’ approach and medical reasoning involving knowledge of the characteristics of each diagnosis category in part. The most frequent causes of otalgia are the oro-facial ones, mainly dental diseases and gingival lesions diagnosed and treated by the stomatologist. Also involved are temporomandibulary arthritis, acute parotidites, salivary lithiasis or carcinoma localized in the oral cavity, which require an interdisciplinary cooperation with the ENT specialist or the oro-maxillofacial surgeon. However, for the dental doctor, the great challenge is represented by the non-dental causes of otalgia, once known that the etiological elements may coexist, while an early etablishment of a complete diagnostic appears as imperative for taking an optimum therapeutical decision. Keywords: non-dental otalgia, autodynia.