Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Toothache”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 937 records · Page 52Linked to original sources
PubMedDate not supplied

Oral health status of homeless people in Hong Kong.

The authors report on an oral health survey among Hong Kong Chinese homeless people. A total of 140 homeless men underwent clinical examination and were interviewed with a structured questionnaire. More than 90% had evidence of caries experience; most (75%) were related to untreated caries. The mean DMFT score was 9.0 (DT = 3.2, MT = 5.2, FT = 0.6). Periodontal disease was highly prevalent, with 96% having periodontal pockets. The dental problems most frequently reported by the homeless were: bleeding gums or drifting teeth (62%), dental pain (52%) and tooth trauma (38%). More than 70% of the study's participants perceived a need for dental care. The population surveyed had poorer oral health compared to the general population. High levels of dental needs, both normative and perceived, were found. There is a need to provide more accessible and affordable oral health services to this group of people.

Adult↗
PubMed1978

Dental implications of narcotic addiction.

The nature of dental problems peculiar to narcotic addicts is discussed. A high caries rate and severe periodontal disease are common and can be attributed to a combination of dietary considerations and oral neglect. Loss of customary accompanying analgesia may complicate an attempted withdrawal programme. An approach to dental treatment of the narcotic addict is suggested. This should aim primarily at relief of pain and be carried out in consultation with the drug treatment centre. The risk posed by these patients of transmission of Hepatitis B is emphasized.

Dental Caries↗
PubMed1990

Post-insertion sensitivity with a bonded etched cast metal prosthesis. Case report.

An interesting case of post-insertion sensitivity in a patient who had an etched cast metal prosthesis (Maryland Bridge) cemented with a recently marketed resin luting agent is discussed. This case report draws attention to the fact that despite the relative conservatism and simplicity commonly associated with abutment tooth preparation for resin bonded prostheses, dentine exposure should be avoided if possible to reduce the potential for chemical irritation of the pulp by components of the resin luting system.

Dental Abutments↗
PubMed1994

Factors associated with continuing pain in endodontics.

A survey of 100 patients referred to a specialist endodontic practice was undertaken to determine the frequency of various factors associated with continuing pain after endodontic treatment had been commenced by the patient's general dental practitioner. Information was obtained by questioning the patient, examining the tooth, reviewing information supplied by the referring dentist and by observation during subsequent treatment. There were 23 different factors associated with continuing pain--all patients had more than one factor; most (78 per cent) had four, five or six factors; the highest was 9 factors (2 per cent). The most commonly occurring factors were: lack of use of rubber dam (87 per cent), unsatisfactory temporary restorations (80 per cent), and inappropriate use of intracanal medicaments (71 per cent). The other factors were related to diagnostic or treatment errors that could have been avoided in most cases. This survey suggests that dentists need to pay more attention to basic treatment recommendations in order to predictably relieve pain when carrying out emergency endodontics.

Adolescent↗
PubMed1997

Eagle's syndrome masquerading as pain of dental origin. Case report.

Eagle's syndrome, also known as elongated styloid process, is a condition that may be the source of craniofacial and cervical pain. It is infrequently reported but is probably more common than generally considered. The symptoms related to Eagle's syndrome can be confused with those attributed to a wide variety of facial neuralgias and/or oral, dental and TMJ diseases. In this paper, a case of Eagle's syndrome masquerading as pain of dental origin is presented and the literature is reviewed.

Diagnosis, Differential↗
PubMed1997

Incidence of inflammation in completely impacted lower third molars.

The influence of ageing and the contact of the adjacent tooth on purulent inflammation associated with the completely impacted lower third molar was assessed in 26 patients with clinical symptoms of infection out of 800 patients who had roentgenographically-confirmed completely impacted lower third molars. These 26 patients were 23 years of age or older. The 9 with pain alone ranged from 25 to 44 years of age, whereas the 17 patients with inflammation ranged from 29 to 67 years of age, and non-contact to adjacent tooth was associated with purulent inflammation in older patients, indicating completely impacted lower third molars may cause pain only until 45 years of age; but purulent inflammation occurs even in the group of non-contact to adjacent tooth after 45 years of age. The authors recommend that a completely impacted lower third molar should be removed if the risk factors of advanced age and contact with the adjacent tooth are present.

Adult↗
PubMed1999

Diagnosis and management of teeth with vertical root fractures.

Vertical fractures in teeth can present difficulties in diagnosis. There are, however, many specific clinical and radiographical signs which, when present, can alert clinicians to the existence of a fracture. In this review, the diagnosis of vertical root fractures is discussed in detail, and examples are presented of clinical and radiographic signs associated with these fractured teeth. Treatment alternatives are discussed for both posterior and anterior teeth.

Alveolar Bone Loss↗
PubMed2005

The oral health assessment tool--validity and reliability.

BACKGROUND: The Oral Health Assessment Tool (OHAT) was a component of the Best Practice Oral Health Model for Australian Residential Care study. The OHAT provided institutional carers with a simple, eight category screening tool to assess residents' oral health, including those with dementia. This analysis presents OHAT reliability and validity results. METHODS: A convenience sample of 21 residential care facilities (RCFs) in urban and rural Victoria, NSW and South Australia used the OHAT at baseline, three-months and six-months to assess intra- and inter-carer reliability and concurrent validity. RESULTS: Four hundred and fifty five residents completed all study phases. Intra-carer reliability for OHAT categories: percent agreement ranged from 74.4 per cent for oral cleanliness, to 93.9 per cent for dental pain; Kappa statistics were in moderate range (0.51-0.60) for lips, saliva, oral cleanliness, and for all other categories in range of 0.61-0.80 (substantial agreement) (p < 0.05). Inter-carer reliability for OHAT categories: percent agreement ranged from 72.6 per cent for oral cleanliness to 92.6 per cent for dental pain; Kappa statistics were in moderate range (0.48-0.60) for lips, tongue, gums, saliva, oral cleanliness, and for all other categories in range of 0.61-0.80 (substantial agreement) (p < 0.05). Intraclass correlation coefficients for OHAT total scores were 0.78 for intra-carer and 0.74 for inter-carer reliability. Validity analyses of the OHAT categories and examination findings showed complete agreement for the lips category, with the natural teeth, dentures, and tongue categories having high significant correlations and percent agreements. The gums category had significant moderate correlation and percent agreement. Non-significant and low correlations and percent agreements were evident for the saliva, oral cleanliness and dental pain categories. CONCLUSION: The Oral Health Assessment Tool was evaluated as being a reliable and valid screening assessment tool for use in residential care facilities, including those with cognitively impaired residents.

Aged↗
PubMed2006

Guided self diagnosis: an innovative approach to triage for emergency dental care.

BACKGROUND: The basic model of triage, developed more than 200 years ago by the French, is based on categorization of patient needs and thus the urgency and time required for care. This model in various forms is used in most hospitals throughout the world. METHODS: In this study, a fully computerized guided self-diagnosis system (based on a neural network design) was designed, prototyped, developed and trialled by front line non-clinically trained personnel in emergency dentistry. RESULTS: A total of 699 patients were seen as a result of the triage assessment within 14 days of their initial phone call and/or first contact. Patients categorized as requiring care on the day (Category 1) were provided more items of care (50 per cent of all items) and the greatest number of extractions (76 per cent) and endodontic treatments (78 per cent). Other categories were found to require less urgent care. CONCLUSIONS: The triage system developed in this study clearly holds significant promise in reducing the impact of emergency dental patients on dental health care systems. However, it is recognized that the system still requires some adjustment to ensure all Category 1 patients are examined before less urgent categories.

Dental Care↗
PubMed1998

Reasons for taking radiographs in general dental practice in Dar-es-Salaam, Tanzania.

This study investigated the reasons why dental practitioners at the Muhimbili Dental OPD clinic in Dar-es-Salaam take radiographs. Information was obtained from medical records at the Department of Dental Radiology for an eighteen month period, during which 28,171 patients were seen at the hospital, and of which 2,672 (9.48 per cent) were radiographed. The main reasons for taking radiographs (percentages) was to detect fractures (17.2), tumours (14.1), caries (12.5), impacted teeth (12.2), periodontal disease (11.3), and non-specific dental pain (10.4). Radiographs were also taken for orthodontic (7.0 per cent) and endodontic (6.8 per cent) reasons. Some of the reasons for taking radiographs such as hypersensitive teeth, apicectomy, neuralgia and xerostomia were previously unheard of, indicating an increasing diversity of dental services. In conclusion, there is a need to increase the utilisation of dental radiographs from the present modest level in order to meet the growing need of the increasingly informed dental population in Dar-es-Salaam.

Adolescent↗
PubMed2002

Self reported use of dental services among employed adults in Sri Lanka.

AIM: To determine the patterns and variables associated with self-reported use of dental services among employed adults in Sri Lanka. DESIGN: A cross sectional study using a self-administered questionnaire. SETTING: Five representative public sector institutions in the city of Kandy, Sri Lanka. PARTICIPANTS: A total of 210 employees. RESULTS: Ninety per cent of the employees had used dental services, the majority for symptomatic reasons. Of the respondents, 63% had visited a dentist in the preceding 24 months. According to the logistic regression analysis, gender and presence of pain within the past six months were significant predictors of dental utilisation. CONCLUSIONS: Andersen and Newman's behavioural model of health services utilisation was of limited value in explaining dental utilisation of this sample of employed adults as only one predisposing factor and a single factor related to need were significant predictors of the use of dental services.

Adult↗
PubMed2002

Disparities in self reported oral health problems among a young Syrian adult population.

OBJECTIVE: To describe the prevalence of dental pain and other oral health problems among a young Syrian adult population and to identify socio-demographic factors associated with these experiences. SUBJECTS: An industrial sample of 400 men and women aged 18-34 years from Damascus, Syria. METHODS: Study participants were interviewed about their experience of oral health problems in the previous year (1998). Socio-demographic information was collected. RESULTS: 93% (369) of the interviews were completed. The prevalence of oral health problems was high, with 96% (353) of respondents claiming that they experienced one or more problems in the previous year. Two thirds of participants (65%, 239) claimed they had dental pain in the previous year. Analysis revealed that dental pain experience was significantly associated with age and gender. Analysis considering all factors revealed that the odds of experiencing dental pain were higher amongst the younger age group (18-24 compared to 25-34 year-olds). CONCLUSION: The prevalence of oral health problems was high among the population studied. Socio-demographic variations in experience of dental pain were apparent, with young men of lower education having the greatest odds of dental pain experience in the previous year.

Adolescent↗
PubMed2006

Oral health behaviour of children and adults in urban and rural areas of Burkina Faso, Africa.

OBJECTIVES: To assess the level of dental knowledge and attitudes among 12 year-old children and 35-44 year-olds in Burkina Faso; to evaluate the pattern of oral health behaviour among these cohorts in relation to location, gender and social characteristics and; to evaluate the relative effect of social-behavioural risk factors on caries experience. DESIGN: Across sectional study including urban and rural subgroups of population. SAMPLE AND METHODS: Multistage cluster sampling of households in urban areas; in rural areas random samples of participants were based on the recent population census. The final study population covered two age groups: 12 years (n = 505) and 35-44 years (n = 493). RESULTS: For both children and adults, levels of oral health knowledge, attitudes and self-care were low; 36% of 12-year-olds and 57% of 35-44-year-olds carried out toothcleaning on a daily basis. Pain and discomfort from teeth were common while dental visits were infrequent. Tooth cleaning was mostly performed by use of chewsticks. Use of toothpaste was rare, particularly fluoridated toothpaste was seldom; 9% of 12-year-olds and 18% of 35-44-year-olds reported use of fluoride toothpaste. Significant differences were found in oral health knowledge, attitudes and practices according to location and gender. At age 12, important factors of high caries experience were location (urban), and consumption of soft drinks and fresh fruits. In 35-44-year-olds, gender (female), high education level, dental visit and occupation (government employee) were the significant factors of high dental caries experience whereas adults using traditional chewing sticks had lower DMFT. CONCLUSIONS: Health authorities should strengthen the implementation of oral disease prevention and health promotion programmes rather than traditional curative care. Community-oriented essential care and affordable fluoride toothpaste should be encouraged.

Adult↗