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[Pain after obturation of the root canals].

This study was conducted to determine the incidence and degree of postobturation pain and to determine whether there is a significant relationship between pain and any clinical factors or conditions existing before, during, or at the completion of the root canal therapy. Of the 239 patients included in the study, 203 (84.9%) had no pain during the first 48 hours, 26 (10.9%) had slight pain, 5 (2.1%) had moderate pain and 5 (2.1%) had severe pain. Thirty days after obturation 3 patients had slight pain, 2 patients moderate pain and only one patient had severe pain. Meanwhile, we had to repeat the root canal therapy in 3 cases. Significant relationships were found between postobturation pain and obturation of the root canal past the apical foramen.

Adolescent↗

Dental survey on soldiers of an infantry battalion of Singapore Armed Forces (SAF) at the time of completion of national service.

A three-part survey on 20-year-old national servicemen was conducted just before they left the army to determine their dental history and residual dental disease after two years of military service. The findings highlighted caries as a major cause of dental discomfort for which treatment was obtained. The impacted lower third molar was also a common cause of pain. The pattern of tooth loss showed that the lower first molar and the upper incisors were the teeth most frequently lost through caries. The findings reinforce the perception of the dental patient as being not the best person to appreciate his own dental needs and to do something positive about them.

Adult↗

The cracked tooth syndrome--crown root vertical fracture.

A case of an incomplete tooth fracture followed by a complete fracture was presented. The difficulty of diagnosing this condition was discussed as well as the possible histological explanation of the symptoms experienced by the patient. It once again points out to practising dentists, that whilst deep pockets can give rise to severe periodontal pain, intense and excruciating pain should be investigated with the cracked tooth in mind.

Cracked Tooth Syndrome↗

[Aerodontalgia. Report of a case].

Dental pains provoked by an altitude beyond 5.000 ft can occur with any kind of tooth, healthy or restored. It is considered as a consequence of a brutal pressure change. The incidence has not been decreasing in spite of flight conditions improvement. These kind of dental pain cause a problem for those who fly: civilian and military pilots as well as airlines passengers. The conditions in which this might happened are variable. There may be a definite correlation between the character of the symptoms of aerodontalgia and the underlying pulpal pathology. The proposed etiology concerning pathological teeth is an oedema and hyperthermia of the pulp which can lead to necrosis. In an indirect type dental pain is secondary to stimulation of the superior alveolar nerves by a maxillary barosinusitis, or anatomic malformation. The most frequent is a pain during ascent (decompression), and the most concerned teeth are upper molars. The preventive treatment is very important. Both complete clinical and radiological examinations must be achieved. Regular dental examination are-essential for the crew. Aerodontalgia can be largely prevented by high quality root and dental cares. The case of a 26 years old man who use to suffer for a long time of dental pain during flights is in accordance with the dominant clinical symptoms of this affection.

Adult↗

Psychological components of pain.

Patients with complex orofacial pain conditions often do not respond as expected to dental care. This article discusses the many psychoanalytic factors that are involved in the pain experience of these patients.

Facial Pain↗