DISEASES OF THE TEETH AND ALVEOLAR PROCESS : TOOTHACHE - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
The etiology is different:
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. Mainly for diagnosis and the proper timing of emergency care it is important to establish the following symptoms:
Course and complications are determined by the disease causing the pain.
Prediction mostly favourable.