DIAGNOSIS AND TREATMENT OF TOOTHACHE

Overview:

Toothache is the sharp and severe pain of the tooth. A toothache could be intermittent, recurrent, or constant in episodes. The pain of the tooth is also described in terms of the trigger of the pan as provoked or Spontaneous.

Investigation

  • Visual examination
  • Probing with dental explorer
  • Periapical radiograph
  • Bite wing radiograph
  • Orthopantomogram

Diagnosis

Toothache is diagnosed as;

  • Acute pulpitis
  • Irreversible pulpitis
  • Chronic pulpitis
  • Reversible pulpitis
  • Cracked tooth syndrome
  • Tooth fracture
  • Tooth wear lesion
  • Pulp necrosis
  • Acute apical periodontitis

Treatment

The approach and treatment options depend on the severity of pain, level of damage and the duration of pain. The treatment options are;

  • Temporary filling
  • Sandwich filling
  • Pulp capping
  • Pulpotomy
  • Pulpectomy
  • Root canal therapy
  • Apexogenesis
  • Apexification
  • Tooth extraction

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