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Based on the most common causes of toothache (dentin hypersensitivity, periodontitis, and pulpitis), the key indicators become localization of the pain (whether the pain is perceived as originating in a specific tooth), thermal sensitivity, pain on biting, spontaneity of the pain, and factors that make the pain worse.
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.
This causes shifts in pressure within the dentine, which stimulate the myelinated nerves located in the pulp, causing the sensation of pain. [9] The main nerve fibres responsible for responding to the stimuli are mostly type A-beta (Aβ) , [ 10 ] which carry tactile information, [ 11 ] and some A-delta (Aδ) nerves, [ 12 ] which relay pain and ...
It is experienced as an uncomfortable sensation in the tooth, followed by an aching pain. [3] Excess amounts of cementum may cause pressure on periodontal ligaments and adjacent teeth. The teeth affected may present as asymptomatic. [4] It may be shown on radiographs as a radiopaque (or lighter) mass at each root apex to confirm the diagnosis.
Occlusal trauma; Secondary occlusal trauma on X-ray film displays two lone-standing mandibular teeth, the lower left first premolar and canine. As the remnants of a once full complement of 16 lower teeth, these two teeth have been alone in opposing the forces associated with mastication for some time, as can be evidenced by the widened PDL surrounding the premolar.
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Treatment depends on the underlying cause and severity. Endodontic treatment is the primary intervention in cases of pulpal infection. Other treatment options include Antibiotics that are prescribed for associated bacterial infections and tooth Extraction: Reserved for cases where the tooth is irreversibly damaged due to pulpitis.
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