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Dental Pain Diagnosis PDF
Dental Pain Diagnosis PDF
-‐
Weeks
X
X
X
X
X
-‐
Months.
Follow
up
with
pattern
of
pain.
Cyclical?
X
X
Consider
TMD,
angina,
sinus
-‐
Past
history
of
one
episode
of
severe
pain,
which
then
dissipated
X
2.
Onset:
Does
anything
bring
on
the
pain?
Hot
or
cold?
Only
sometimes,
or
a
sharp,
electric
pain
X
Biting
X
x
Periapical
pain-‐
take
x-‐ray;
Pain:
With
every
bite,
percussion
sensitivity,
or
dull
aching
pain
?Periodontal
origin.
Sensitive
to
cold,
less
than
30
sec
linger
after
cold
gone
X
X
X
Duration
X
Sensitive
to
hot/cold,
lingers
>
30
seconds
after
stimulus
gone
8.
Clinical
exam
-‐
Discolored
tooth
X
Pulp
can
also
be
vital
-‐
Sinus
tract
or
swelling.
Thread
a
gutta
percha
point
through
sinus
tract,
take
another
xray
X
Point
usually
tracks
to
problem
Tooth
Positive
response.
Sharp
pain
on
bite
or
release,
duplicates
pain
X
Slooth
Negative
response.
Normal
biting
sensations.
X
X
Pull all information together and diagnose BOTH the pulp and the periapical regions.