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The inflammation of the pulp is a side effect of the immune response and causes pain. [10] Pulpitis can often create so much pressure on the tooth nerve that the individual will have trouble locating the source of the pain, confusing it with neighboring teeth, called referred pain.
A dental abscess is a localized collection of pus associated with a tooth. The most common type of dental abscess is a periapical abscess, and the second most common is a periodontal abscess. In a periapical abscess, usually the origin is a bacterial infection that has accumulated in the soft, often dead, pulp of the tooth.
Odontogenic infection starts as localised infection and may remain localised to the region where it started, or spread into adjacent or distant areas. It is estimated that 90–95% of all orofacial infections originate from the teeth or their supporting structures and are the most common infections in the oral and maxilofacial region. [3]
The diagnosis of toothache can be challenging, [35]: 80, 81 not only because the list of potential causes is extensive, but also because dental pain may be extremely variable, [44]: 975 and pain can be referred to and from the teeth. Dental pain can simulate virtually any facial pain syndrome. [44]
Ludwig's angina (Latin: Angina ludovici) is a type of severe cellulitis involving the floor of the mouth [2] and is often caused by bacterial sources. [1] Early in the infection, the floor of the mouth raises due to swelling, leading to difficulty swallowing saliva.
The main symptom is pain, which often suddenly appears, and is made worse by biting on the involved tooth, which may feel raised and prominent in the bite. The tooth may be mobile, and the lesion may contribute to destruction of the periodontal ligament and alveolar bone. [4] The pain is deep and throbbing.
The 2012 edition of the Dental Claim Form includes fields for diagnosis codes and instructions covering the use of the ICD-9-CM and ICD-10-CM coding systems. In addition to ICD-9-CM and ICD-10-CM there are other dental diagnostic coding systems under consideration, including SNODENT and EZCODES. [7]
This article follows the 1999 classification, although the ICD-10 (10th revision of the International Statistical Classification of Diseases and Related Health Problems) differs significantly. The latest World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions was held in 2017. this updated classification ...