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Diagnostic challenges of nonodontogenic toothache.

Park HO, Ha JH, Jin MU, Kim YK, Kim SK - Restor Dent Endod (2012)

Bottom Line: Two cases are presented in which one is related to the upper left second premolar and the other is related to the upper left first molar.Both showed pain when chewing.These two cases highlight the complexities involved in diagnosing nonodontogenic toothache.

View Article: PubMed Central - PubMed

Affiliation: Department of Conservative Dentistry, Kyungpook National University School of Dentistry, Daegu, Korea.

ABSTRACT
THE OBJECTIVE OF THIS ARTICLE WAS TO PRESENT TWO NONODONTOGENIC CONDITIONS THAT MAY MIMIC ODONTOGENIC TOOTHACHE: trigeminal neuralgia and burning mouth syndrome. Two cases are presented in which one is related to the upper left second premolar and the other is related to the upper left first molar. Both showed pain when chewing. These two cases highlight the complexities involved in diagnosing nonodontogenic toothache. This article demonstrates the importance of having a thorough knowledge of both odontogenic and nonodontogenic toothache, as well as the need for careful evaluation of the nature of the pain and history, clinical and radiographic examinations.

No MeSH data available.


Related in: MedlinePlus

(a) Periapical radiography of tooth #15 at initial presentation; (b) Determination of working length on tooth #15.
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Figure 1: (a) Periapical radiography of tooth #15 at initial presentation; (b) Determination of working length on tooth #15.

Mentions: Clinical examination revealed that tooth #15 was restored with temporary filling material. The tooth was positive to percussion and periodontal probing depths on distopalatal area of was more than 7 mm. Pain could be elicited by bite test of the tooth. All adjacent teeth responded within normal limits to percussion, palpation and bite test and showed positive response to vitality tests with cold spray and electronic pulp tester. No noticeable pathologies were observed on the radiographs except alveolar bone resorption on distopalatal area of #15 (Figure 1a). On the basis of clinical findings and history of pain, a diagnosis of acute apical periodontitis was suspected. Root canal treatment was performed on this tooth (Figure 1b).


Diagnostic challenges of nonodontogenic toothache.

Park HO, Ha JH, Jin MU, Kim YK, Kim SK - Restor Dent Endod (2012)

(a) Periapical radiography of tooth #15 at initial presentation; (b) Determination of working length on tooth #15.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3569403&req=5

Figure 1: (a) Periapical radiography of tooth #15 at initial presentation; (b) Determination of working length on tooth #15.
Mentions: Clinical examination revealed that tooth #15 was restored with temporary filling material. The tooth was positive to percussion and periodontal probing depths on distopalatal area of was more than 7 mm. Pain could be elicited by bite test of the tooth. All adjacent teeth responded within normal limits to percussion, palpation and bite test and showed positive response to vitality tests with cold spray and electronic pulp tester. No noticeable pathologies were observed on the radiographs except alveolar bone resorption on distopalatal area of #15 (Figure 1a). On the basis of clinical findings and history of pain, a diagnosis of acute apical periodontitis was suspected. Root canal treatment was performed on this tooth (Figure 1b).

Bottom Line: Two cases are presented in which one is related to the upper left second premolar and the other is related to the upper left first molar.Both showed pain when chewing.These two cases highlight the complexities involved in diagnosing nonodontogenic toothache.

View Article: PubMed Central - PubMed

Affiliation: Department of Conservative Dentistry, Kyungpook National University School of Dentistry, Daegu, Korea.

ABSTRACT
THE OBJECTIVE OF THIS ARTICLE WAS TO PRESENT TWO NONODONTOGENIC CONDITIONS THAT MAY MIMIC ODONTOGENIC TOOTHACHE: trigeminal neuralgia and burning mouth syndrome. Two cases are presented in which one is related to the upper left second premolar and the other is related to the upper left first molar. Both showed pain when chewing. These two cases highlight the complexities involved in diagnosing nonodontogenic toothache. This article demonstrates the importance of having a thorough knowledge of both odontogenic and nonodontogenic toothache, as well as the need for careful evaluation of the nature of the pain and history, clinical and radiographic examinations.

No MeSH data available.


Related in: MedlinePlus