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Toothache

Franklin D. Friedman
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BASICS

  • Description
  • Etiology

DIAGNOSIS

  • Signs and Symptoms
  • Essential Workup
  • Tests
  • Differential Diagnosis

TREATMENT

  • Pre-hospital
  • Initial Stabilization
  • ED Treatment
  • Medication (Drugs)
  • In-patient Considerations

ONGOING CARE

  • Follow-Up Recommendations
The following is an excerpt....
BASICS
Description
  • Tooth pain is caused by irritation of the root nerves located in pulpal tissue (the pulp is the tooth’s center and its neurovascular supply).
  • Other etiologies may cause oral pain.
Etiology
  • Dental:
    • Dental caries (hard structures demineralized by bacteria)
    • Pulpitis (inflamed pulp secondary to infection)
    • Reversible pulpitis is mild inflammation of the tooth pulp caused by caries encroaching on the pulp.
    • Irreversible pulpitis is the result of an untreated carious lesion causing severe inflammation of the pulp and severe, persistent, poorly localized discomfort.
    • Periapical abscess (necrotic pulp and subsequent abscess)
    • Postextraction pain (dry socket, infection)
    • Cracked-tooth syndrome (pain, cold sensitivity, crack difficult to visualize)
  • Periodontal disease:
    • Gingivitis and periodontitis (gingivitis with loss of periodontal ligament attachment ...

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