Dentistry Flashcards
Barodontalgia explain and aeromedical disposition
Pain on ascent
Air expands in tooth = pain
Between 5000-35000 ft
Pain better on ground level
Determining area of concern
- pain on ascent - vital pulp disease
- pain on descent - pulp necrosis or facial barotrauma
- pain on ascent and descent - Periapical disease
Nature of pain for Barodontalgia classes
Class 1 - non reversible pulpitis= sharp momentary pain on ascent
Class 2 - reversible pulpitis = dull throbbing pain on ascent
Class 3 - Necrotic pulp - Dull throbbing pain on descent
Class 4 - Periapical pathosis= severe persistent pain on ascent and descent
Differential diagnosis for barodontalgia
Unerupted or partially erupted 3rd molars Barotitis media Maxillary barosinusitis TMD vs Ear ache Para function
Management of Barodontalgia
Medical assessment - Barotitis media, barosinusitis Refer to Dento - dental ex - determine which tooth
TMUFF duration for the follow
- routine tx
- Restoration
- Endodontic therapy
- oral/dental infection
- routine tx - only if LA used
- Restoration: large restoration min of 24 hrs and DO review
- Endodontic therapy: 4 days post completion
— needs to be cleared by DO
Oral/dental infection - need clearance by DO prior to return
TMUFF periods for the following
- exodontia
- Surgical procedure eg flap raised of bone removal
- natural perforation
exodontia: 48hr to 1 week depending on if surgical. DO review prior to return
Surgical procedure eg flap raised of bone removal: min 1 week and DO review
antral perforation: min 2 week and DO to review ( sometime months depending on size)
TMUFF periods for the follow
- Secondary infection
- Dry socket
Secondary infection: TMUFF until resolved
Dry socket: until resolved ~ 10 days. Can test with hyperbaric chamber
TMUFF periods for the following
- LA
- GA/IV sedation
- sedative/hypnotics
- Nitrous
- analgesia
- LA: min 8 hrs
- GA/IV sedation: min 48 hrs with AVMO RV
- sedative/hypnotics: nov 48hr + AVMO RV
- Nitrous: 8 hr post
- analgesia: 24hours post final dose expect aspirin, paracetamol, ibuprofen(short term)