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 1,351 records · Page 75Linked to original sources
PubMedDate not supplied

Factors associated with comprehensive dental care following an initial emergency dental visit.

PURPOSE: The purpose of this study was to characterize the patient population utilization of a dental home as grouped by: (1) age; (2) sex; and (3) payment method. METHODS: A retrospective chart review of 1,020 patients, who initially presented for an emergency visit, was performed. From the original data pool, 2 groups were delineated: (1) those patients who returned for comprehensive dental care; and (2) those who did not return for comprehensive dental care. RESULTS: Patients with private dental insurance or Medicaid dental benefits were statistically more likely to return for comprehensive oral health care than those with no form of dental insurance. Younger patients (< or =3 years of age) were least likely to return for comprehensive dental care. CONCLUSIONS: Socioeconomic factors play a crucial role in care-seeking behaviors. These obstacles are often a barrier to preventive and comprehensive oral health care.

Adolescent↗
PubMed2005

[Neurophysiological background of pain in the orofacial area: review of the literature].

The article presents an overview on the peripheral and central neural mechanisms underlying pain in the orofacial area. First a definition of pain and a description of general aspects of orofacial pain are presented. Characteristics of acute and chronic pain are also described. The study highlights the sense organs, the molecular mechanisms and categories of primary afferents involved in peripheral events of orofacial pain. After describing the brain-stem nuclei participating in trigeminal pain and their functional role, primary afferents involved in nociceptive sensation from the tooth pulp, explanations of dentinal sensitivity and differences between the brain-stem endings of primary afferents among different species are discussed in details. The role of higher brain centres, with a special emphasis on the thalamus and somatosensory cortex in the development of orofacial pain sensation is considered. The last section provides a review about how the activities of nociceptive neurons are controlled by higher brain centres and neurochemicals involved in pain transmission.

Acute Disease↗
PubMed2005

[Atypical odontalgia].

In spite of its first description by the English surgeon JOHN HUNTER more than 200 years ago, atypical odontalgia (AO), or phantom tooth pain, is not universally known among dentists. AO is a persistent neuropathic pain which may be initiated after deafferentiation of trigeminal nerve fibers following root canal treatment, apicectomy, or tooth extraction. In the absence of pathological clinical or radiological findings, the diagnosis is made by exclusion. After a thorough patient education about the condition, pharmacological and psychological pain management is required. Invasive and irreversible treatment attempts are contraindicated.

Afferent Pathways↗
PubMed2005

[Therapeutic local anesthesia for the management of atypical odontalgia. A clinical case series].

The management of patients diagnosed with atypical odontalgia (AO) is a challenging task. The aim of this longitudinal clinical case series was to document the effect of a 4% carticaine solution without epinephrine among ten patients with AO. Once or on two successive days, 1.7 ml of the local anesthetics was injected buccally in the area of the perceived pain. Pain intensity was recorded four times daily by each participant, beginning at least two weeks prior to the treatment and ending at least four weeks thereafter. The main outcome parameter was pain reduction (in percent) four weeks after treatment compared to the average pain intensity before the injection(s). In addition, study participants were asked to rate their satisfaction with the treatment. Four weeks after treatment, seven of the ten patients experienced significantly less pain than before. Among five individuals, there was a significant pain decrease (about 30% or more). Patient satisfaction was not significantly associated with the amount of pain reduction. Considering the limited treatment options and their side effects, injections with epinephrine-free carticaine seem to be a measure worth to be taken into consideration. Although results gained from uncontrolled case series have to be interpreted with caution, the findings of this observational study sound promising.

Administration, Buccal↗
PubMed2005

Subjective impacts of dental caries and fluorosis in rural Ugandan children.

OBJECTIVE: Describe the oral health related quality of life among a group of children in rural Uganda and compare impacts on oral health related quality of life associated with dental caries and fluorosis. BASIC RESEARCH DESIGN: Cross-sectional clinical and questionnaire analytical study. PARTICIPANTS: Proportional sample of 174 12 year olds attending primary schools in a rural sub-county of Uganda. OUTCOME MEASURES: Clinical assessments using WHO basic methods and the Thylstrup and Fejerskov index of Fluorosis (TFI). Child Oral Health Related Quality of Life data collected with self-administered child perception questionnaire (CPQ11-14). RESULTS: Two thirds of children reported a dental impact 'often' or 'everyday'. The mean number of impacts per child at this threshold was 2.6 and the mean total CPQ11-14 score was 25.8 (sd 21.1). Mean DMFT was 0.68. No children had fillings. Forty-one children had dental fluorosis with 10 having scores greater than 2. CPQ11-14 showed acceptable criterion validity and reliability. The number of sites with gingivitis or the presence of calculus or trauma were not associated with summary measures of CPQ11-14 whereas having any dental caries or treatment experience was associated with higher total scores and more impacts. Socially noticeable fluorosis (TFI >2) was associated with more impacts but not with higher total scores. CONCLUSIONS: Despite low levels of oral disease these children experience appreciable impacts on oral health related quality of life. The greatest burden was associated with dental caries and to a lesser extent, fluorosis.

Attitude to Health↗
PubMed2005

Factors influencing referral of children for dental extractions under general and local anaesthesia.

OBJECTIVE: To investigate the relative importance of a range of explanatory variables concerning why child patients in Scotland enter pathways for tooth extractions under either Dental General Anaesthesia (DGA) or local anaesthesia (LA). BASIC RESEARCH DESIGN: A cross-sectional study was carried out involving DGA centres across Scotland. Data collected related to demographic characteristics of child DGA patients, reported anxiety and dental attendance levels of patients and parents, reasons given by referring practitioners for requesting DGA, number and type of teeth extracted and parental beliefs and attitudes to DGA. Similar data were collected relating to children having teeth extracted in primary care under LA. Multivariate analysis was performed to determine which factors were the best predictors of anaesthetic choice. RESULTS: 425 and 121 children having dental extractions under DGA and LA respectively participated. Ninety-six percent of DGA cases and 48% of LA patients had extractions for caries. For DGA cases, the mean age was 6.7 years, an average of 5.3 teeth were extracted and dental anxiety levels were higher than population norms. Multivariate analysis found the number of teeth extracted was the major predictor of anaesthetic type. On removing this variable, age became the most important factor, with 99% of children under 5.5 years receiving a DGA. Among DGA patients, 25% were reported to have had a previous DGA for tooth extraction. CONCLUSIONS: Future reductions in DGA numbers will be dependent on decreasing the number of young children presenting with advanced caries in multiple teeth. Consequently, guidelines are required concerning the prevention and appropriate management of caries in the primary dentition.

Adolescent↗
PubMed2005

Prevalence of malocclusions and their impact on the quality of life of 18-year-old young male adults of Florianópolis, Brazil.

PURPOSE: To evaluate the prevalence and the impact of malocclusions on the quality of life of 18-year-old young male adults. MATERIALS AND METHODS: Cross-sectional study involving young adults who applied for military service in the city of Florianópolis in the year 2003 (N = 3735). The sample size was 414 individuals randomly selected during the health examination days. The malocclusion data were obtained through the Dental Aesthetic Index variables. The impact of the oral health conditions on the quality of life was obtained through the Oral Impact on Daily Performance. RESULTS: The highest prevalence was the molar relationship in mesio- or disto-occlusion with 57.3% (95% CI 52.5 - 62.1); 36.4% (95% CI 28.6% - 4.2%) of the applicants reported an impact on their quality of life as a result of the oral health condition. Results from the multiple logistic regression analysis showed that only the incisal crowding [OR 1.9 (95% CI 1.2 - 3.1)] (p = 0.008) showed an impact on the applicants' quality of life. CONCLUSION: The malocclusion of highest prevalence was molar relationship disorders (57.3%), and only the dental crowding generated an impact on the quality of life.

Adolescent↗
PubMed2006

Efficient, conservative treatment of symptomatic cracked teeth.

Every practice has patients who complain of cold sensitivity and pain on biting while showing no obvious signs of irreversible pulpitis. After loading each cusp and fossa in a symptomatic quadrant and ruling out pulp and periodontal pathology, definitive treatment can be performed to alleviate the patient's symptoms in a consistent, conservative manner using esthetic computer-aided design/computer-aided manufacturing porcelain restorations. Single-appointment definitive restorations can be advantageous for the patient because of the elimination of many steps involved in laboratory fabrication of porcelain or metal restorations.

Ceramics↗
PubMedDate not supplied

[Vertical fractures: apropos of 2 clinical cases].

The aim of the study is to present a clinical review of the vertical root fractures. Two clinical cases are presented to demonstrates the criteria for obtaining a correct diagnosis of vertical root fractures.

Adult↗
PubMed2005

[Endodontic treatment in one or several sessions? Review of the literature].

This literature review compares the endodontic treatment in one or more appointments on the healing of periapical lesions and the occurrence of postoperative pain and flare-ups. It turns out that the root canal treatment completed in one session has many advantages and may he considered the prime option in the majority of clinical cases.

Episode of Care↗
PubMed2006

Increased pain sensitivity to intraoral capsaicin in patients with atypical odontalgia.

AIMS: To use 2 well-characterized stimuli, the intraoral capsaicin model and the "nociceptive-specific" electrode, to compare superficial nociceptive function between patients with atypical odontalgia (AO) and matched healthy controls. Furthermore, the authors aimed to describe the sensitivity, specificity, and positive predictive values (PPV) of the techniques if group differences could be established. METHODS: Thirty-eight patients with AO and 27 matched healthy controls participated in this study. Thirty microliters of 5% capsaicin was applied to the gingiva on the left and right sides of all participants as a pain-provocation test. The participants scored the capsaicin-evoked pain continuously on a 0-to-10 visual analog scale (VAS). Furthermore, individual electrical sensory and pain thresholds to stimulation with a "nociceptive-specific" electrode on the facial skin above the infraorbital or mental nerve were determined. RESULTS: AO patients had higher VAS pain scores for capsaicin application than healthy controls (ANOVA: F > 4.88; P < .029). No differences between the painful sides and the nonpainful sides of the patients were found (ANOVA: F < 1.26; P > .262). No main effects of group or stimulation side on the electrical sensory and pain thresholds were detected (ANOVA: F < 0.309; P > .579). Sensitivity was 0.51; specificity, 0.81; and PPV, 0.77 when a VAS value of > or = 8 for capsaicin-evoked pain was used. CONCLUSION: AO patients show increased sensitivity to intraoral capsaicin but normal sensitivity to "nociceptive-specific" electrical stimulation of the face in an area proximal to the painful site. The use of the intraoral pain-provocation test with capsaicin as a possible adjunct to the diagnostic workup is hampered by the only moderately good sensitivity and specificity.

Analysis of Variance↗
PubMed2006

Chronic orofacial pain. Understanding patients from two perspectives: the clinical view and the patient's experience.

The aim of this thesis was to study chronic orofacial pain patients from two perspectives--the clinical view and the experience of the patient--in order to improve the understanding of the patients and their condition. All patients had been referred to the Faculty of Odontology, Malmö University, Malmö, Sweden owing to chronic orofacial pain. The clinical perspective was investigated in a retrospective study of 109 consecutive chronic orofacial pain patients (85 females, 24 males) who had been examined by a pain group. Diagnosis, pain status, medication, and education were the parameters studied and pain-related sex differences were calculated. In addition, the patients were mailed a questionnaire after 4-9 years to follow up their pain status and to identify predictors of pain persistence. The patient perspective was investigated by interviewing 14 strategically selected patients (11 female, 3 male) about their lived experience of non-specific chronic orofacial pain. The interviews were of 1-1.5-hour duration and were conducted twice with each patient. The findings from the clinical studies and the interview studies are listed below. The experiences of the interviewed patients revealed additional aspects of several of the findings made in the clinical studies. The majority of the patients were female. Mainly similarities between the sexes were found regarding pain status and the other parameters studied. The patients had a lower level of education than Swedish inhabitants of the same ages. The majority of the patients in the clinical studies reported seeking care repeatedly owing to orofacial pain. The patients in the interview studies experienced distrust and rejection at the consultations for the orofacial pain. They also experienced the pain as elusive and difficult to communicate. Most of the patients in the clinical studies had persistent pain of some intensity at the follow-up 4-9 years later. The interviewed patients expressed a great need to be taken care of and often seemed to have a limited ability to cope with the pain. Among the patients studied clinically, a reported consumption of pharmacological agents with a central effect (opioids, muscle relaxants, antidepressants, neuroleptics, hypnotics, or sedatives) was a predictor of pain persisting at the follow-up. The interviewed patients expressed feelings of hopelessness and a lack of faith in the future. To study patients with chronic orofacial pain from a clinical viewpoint and from a patient perspective led to a deeper understanding of chronic orofacial pain as a complex condition that has an impact on every aspect of the patient's life. The patients often seek dental care because of the pain. It seems to be important in dentistry to develop constructive strategies for caring for these patients--especially when the dental disease condition has already been adequately diagnosed and treated, but the patients still experience pain.

Adaptation, Psychological↗
PubMedDate not supplied

Endodontic treatment of a maxillary central incisor with two separate roots: case report.

This case report involves endodontic treatment of a traumatized maxillary central incisor with two separate roots. Although the literature has reported that maxillary central incisors always have one root with one canal, this report (among others) serves to remind dentists that occasional morphological variations exist and should be ruled out when this type of tooth is treated.

Adolescent↗
PubMed2006

Barodontalgia due to odontogenic inflammation in the jawbone.

A case is presented of severe anterior mandibular pain, which first appeared during descent of a long commercial flight, and lasted 3 d for a 28-yr-old military helicopter pilot. Apical periodontitis due to pulpal necrosis of the #31 tooth was diagnosed as the causative pathology of the pain. This pain was not ever felt in his daily routine helicopter flights, up to 6000 ft, only in the pressurized chamber of a commercial flight to 7000-ft conditions. Although barodontalgia, dental pain evoked by barometric pressure change in an otherwise asymptomatic tooth, has relatively low prevalence nowadays, it seems that periodic dental vitality tests and panoramic imaging of the jaws are worthwhile for aircrew members.

Adult↗
PubMed2006

Efficacy of amitriptyline for treatment of somatoform pain disorder in the orofacial region: A case series.

AIMS: To determine the efficacy of amitriptyline and the optimal dosage for treating a somatoform pain disorder in the orofacial region. METHODS: Thirty outpatients with orofacial pain who fulfilled the criteria of pain disorder were recruited for the study. Twenty-three patients had specific precipitating events in their past history, which they considered to be the origin of the pain. Amitriptyline was administered and the dose was gradually increased up to a daily dose of 250 mg. The response to treatment was evaluated using a numeric rating scale and the Clinical Global Impression Scales. RESULTS: Five patients dropped out and 25 patients (83%) completed the trial. Twenty-two patients became pain free or nearly pain free, while 3 patients who also completed the study did not respond at all, even though they took a daily dose of 250 mg amitriptyline. For responders, the mean daily dose of amitriptyline was 77.5 +/- 51.5 mg (range, 10 to 200 mg). Four patients (16%) obtained pain relief with a daily dose of less than 50 mg, while 3 patients (12%) needed a daily dose of 150 mg or more for pain relief. Adverse side effects were observed in 19 patients. CONCLUSION: Amitriptyline was effective in relieving pain associated with a somatoform pain disorder in the orofacial region. The dose of amitriptyline may need to be as high as that used to treat a major depression.

Adult↗