What type of tooth pain can indicate a nonodontogenic issue?

Burning and non-pulsatile toothaches can indicate a nonodontogenic issue because this type of pain is often associated with conditions that do not originate from the tooth itself. Nonodontogenic pain can stem from neuropathic sources, such as trigeminal neuralgia or other neuralgias, or from referred pain due to other medical conditions affecting the jaw, face, or even the heart.

In contrast, localized toothaches that are pulsating are typically indicative of a dental problem such as pulpitis or an abscess, where the pain is localized to a specific tooth. Cold sensitivity is usually a sign of pulp damage or decay, suggesting that the tooth is indeed affected by a dental issue. Continuous pain that worsens at night might also indicate dental concerns such as an abscess or other inflammation, as the supine position during sleep can exacerbate feelings of pressure and pain.

Thus, the distinctive characteristic of burning and non-pulsatile pain aligns more clearly with nonodontogenic pain sources, making it the correct answer.