DISEASES OF THE TEETH AND ALVEOLAR PROCESS : - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention



What is the TOOTHACHE and how it is treated?


Etiology and pathogenesis TOOTHACHE

The etiology is different:

  • caries (see),
  • pulpitis (cm ),
  • periodontitis (cm).

The pathogenesis. The basis of pain when the tooth decay is the exposure of sensitive elements of enamel and dentin. Under the influence of chemical (sour, sweet, salty) and physical (cold) stimuli in carious tissue occurs the paindisappearing with the removal of the stimulus. The same stimuli (mainly tactile and temperature) cause pain when exposure and hypersensitivity of tooth necks. With pulpitis the pain of neuralgic character attacks that occur for no apparent stimuli, independently. If some stimulus (usually cold, mechanical pressure) caused pain in pulpitis, pain seizure continues after removal of the stimulus. Periodontitis pain are spontaneous in nature, but in contrast to pulpitis the pain is colicky in nature; it is long, the pressure on the tooth increases. In the occurrence of pain and the sudden disappearance of their plays a big role the nervous system of the patient, especially his emotions.


Symptoms and course TOOTHACHE

Symptoms. Mainly for diagnosis and the proper timing of emergency care it is important to establish the following symptoms:

  1. spontaneous pain or desmopressin,
  2. protopopescu whether pain or nepristupacan,
  3. are there any radiating pain,
  4. occurs if the pain when tapping on the tooth.

Course and complications are determined by the disease causing the pain.


Recognition TOOTHACHE

  • desmopressine toothache characteristic of caries,
  • spontaneous paroxysmal and radiating along the tract of the trigeminal nerve for pulpitis,
  • spontaneous long, aggravated by percussion of the tooth to periodontal disease.

Predictions TOOTHACHE

Prediction mostly favourable.



  • When caries - close carious cavity with a cotton swab to block the access of external stimuli.
  • When you wipe the teeth, exposure of the neck to handle a 5% solution of silver nitrate, soda pulp, sodium fluoride 30% or 75% of the paste, mixed with glycerine.
  • When the pulp introduced into the cavity of the tooth on a cotton swab phenol (carbolic acid), cocaine (Sovkino, Dikanov) mush, zameshannuu on the phenol, or pure carbolic acid.
  • Periodontitis is to open the cavity of the tooth, brush the gums with iodine tincture; in resistant cases, an incision in the gums to the bone by the transitional fold of mucous membrane. Inside - luminal with pyramidea, phenacetin.