Diagnosis of Non-Endodontic Disease Entities Flashcards
Non endodontic dental pain (3)
Dentinal hypersensitivity
Occlusal
Periodontal
Usually equivalent to reversible pulpitis
Dentinal hypersensitivity
Pain that arises due to convergence of afferent neurons from different areas onto the same projection neuron.
Referred pain
Nondental Pain examples
Myofascial
Sinus
headaches
neuropathic
neurovascular
cardiac
psychogenic
Pain that originates from small, tender trigger points within myofascial structures, often far from the area of perceived pain.
Myofascial pain
Most common muscle for mysofascial pain
masseter
Masseter trigger points usually refer to
mandibular molars
Pain that is usually described as a “fullness” or “pressure beneath the eyes.
Sinus pain
Sinus pain usually refers to
Maxillary molars due to close anatomic proximity of apices.
Types of primary headaches
Migraine
Tension-type
trigeminal autonomic cephalalgias
Other
Headache that is characterized by unilateral location, pulsating quality, moderate or severe pain, and possible aggravation by routine physical activity. Symptoms include nausea/vomiting, photophobia, phonophobia.
Migraine
Headache that is characterized by bilateral location, milder intensity compared to migraines and without nausea, photo- and phonophobia, and have a pressing or tightening quality rather than pulsing.
Tension-type headache
Trigeminal autonomic cephalagias examples
cluster headache
paroxysmal hemicrainia
SUNCT
SUNA
Headaches that involve autonomic symptoms including conjunctival inflammation, tearing, nasal congestion, rhinorrhea, eyelid edema, etc.
Trigeminal autonomic cephalagias
Complete relief with indomethacin is diagnostic for
Paroxysmal hemicrania
Often occurs secondary to a central lesion
Neuropathic pain
Vascular compression of the trigeminal ganglion causing episodes of sudden, sharp, stabbing pain in the distribution of the trigeminal nerve.
Trigeminal neuralgia
Pain that lacks the classical characteristics of cranial neuralgias and for which there is no obvious cause
Atypical facial pain
Unexplained pain in the tooth following RCT
Atypical odontalgia, phantom tooth pain
A systemic granulomatous disease affecting the carotid arteries presenting with ocular symptoms, burning tongue, and headache.
Temporal arteritis
Left posterior mandibular pain on exertion, often described as pressure and burning rather than throbbing or aching.
Cardiac toothache
Cardiac toothache not relieved by ______ but is relieved by ________
Local anesthestic
Nitroglycerin
A diagnosis of exclusion made in concert with a mental health professional
Psychogenic pain
Most common source of infection after endodontic
periodontal
Drugs that have been associated with generalized calcifications of the pulp
Statin and corticosteroids
Generalized widening of the PDL can be associated with
osteomyelitis, scleroderma, osteosarcoma
PARLs a/w vital mandibular incisors
Periapical cemento-osseous dysplasia
Risk factors for spontaneous pulpal necrosis
Sickle cell anemia
Herpes zoster
Multiple periapical radiolucencies a/w vital teeth
periapical cemento osseous dysplasia
malignancy
brown tumor
neurofibromatosis
