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