Endodontic pain: diagnosis, causes, prevention and treatment
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Heidelberg ; New York, NY ; Dordrecht ; London ; Berlin
Springer
2014
|
| Schlagworte: | |
| Online-Zugang: | Inhaltstext Inhaltsverzeichnis |
| Beschreibung: | Literaturangaben |
| Beschreibung: | XVI, 183 S. Ill., graph. Darst. 25 cm |
| ISBN: | 9783642547003 |
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| 245 | 1 | 0 | |a Endodontic pain |b diagnosis, causes, prevention and treatment |c Paul A. Rosenberg |
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CONTENTS
1 DIAGNOSIS 1
1.1 INTRODUCTION 1
1.2 MEDICAL HISTORY 1
1.2.1 DIABETES 2
1.2.2 LIVER DISEASE 3
1.2.3 CHRONIC FACIAL PAIN 4
1.3 HISTORY OF THE CHIEF COMPLAINT 4
1.3.1 DENTAL HISTORY 5
1.3.2 PATIENT'S ABILITY TO IDENTIFY A PAINFUL TOOTH 6
1.3.3 LEVEL OF PAIN 6
1.4 WHAT PROVOKES PAIN? 7
1.4.1 NON-ODONTOGENIC TOOTHACHE 7
1.4.2 NON-ODONTOGENIC TOOTHACHE OF MYOFASCIAL ORIGIN . 7
1.4.3 MAXILLARY SINUSITIS 8
1.5 LOCAL ANESTHESIA AS A DIAGNOSTIC TOOL 8
1.6 "RED FLAG WORDS" 9
1.6.1 WORDS COMMONLY USED TO DESCRIBE
ODONTOGENIC PAIN 10
1.6.2 WORDS COMMONLY USED TO DESCRIBE
NON-ODONTOGENIC PAIN 10
1.7 NEUROPATHIC PAIN 10
1.7.1 CHARACTERISTICS OF ODONTOGENIC PAIN 10
1.7.2 CHARACTERISTICS OF NON-ODONTOGENIC PAIN 11
1.8 DENTINAL HYPERSENSITIVITY 11
1.9 DIAGNOSTIC QUANDARY 12
1.10 TREAT OR REFER 12
1.11 "WHEN WILL THE PAIN GET WORSE?" 15
1.12 PATIENTS' DESCRIPTIONS OF SYMPTOMS 15
1.12.1 LIGHT SOURCE AND VISUAL ENHANCEMENT 15
1.12.2 EXTRAORAL 16
1.12.3 INTRAORAL EXAMINATION 17
1.12.4 STOMAS: BIOLOGICAL SIGNIFICANCE 18
1.12.5 ENDODONTIC-PERIODONTAL COMPLICATIONS 19
XI
HTTP://D-NB.INFO/1047724596
XIH CONTENTS
1.12.6 TREATMENT PLANNING 20
1.12.7 HARD TISSUE EXAMINATION 21
1.12.8 TEETH 22
1.13 COMPLEX DIAGNOSTIC CASES 23
1.13.1 CASE REPORT 24
1.14 SCHEDULING CONSIDERATIONS 25
1.14.1 SINGLE VS. MULTIPLE VISITS 26
1.15 SELF-ASSESSMENT 27
1.15.1 NARRATIVE 1 27
1.15.2 NARRATIVE 2 28
REFERENCES 29
2 ODONTOGENIC AND NON-ODONTOGENIC
PAIN 31
2.1 TERMINOLOGY: BASIC PAIN BIOLOGY 31
2.1.1 PERIPHERAL NERVOUS SYSTEM 31
2.1.2 PRIMARY AFFERENT NEURONS 31
2.1.3 A-BETA FIBERS 31
2.1.4 A-DELTA FIBERS 32
2.1.5 C FIBERS 32
2.1.6 ALLODYNIA AND HYPERALGESIA 32
2.1.7 ALLODYNIA 33
2.1.8 HYPERALGESIA 33
2.1.9 CENTRAL SENSITIZATION 33
2.1.10 PERIPHERAL SENSITIZATION 34
2.2 RECOGNIZING "WHAT THE PAIN IS NOT" 34
2.2.1 ODONTOGENIC TOOTHACHE 35
2.2.2 NON-ODONTOGENIC PAIN 36
2.2.3 NEURALGIA 42
REFERENCES 46
3 RADIOGRAPHS AND DIAGNOSTIC TESTS 49
3.1 RADIOGRAPHS 49
3.1.1 PERIAPICAL RADIOGRAPHS 49
3.1.2 BITEWING RADIOGRAPHS 50
3.1.3 PANORAMIC RADIOGRAPHS 52
3.2 CONE BEAM COMPUTED TOMOGRAPHY (CBCT) 52
3.2.1 ALARA 53
3.2.2 FIELD OF VIEW (FOV) 53
3.2.3 LIMITED FIELD OF VIEW (FOV) 53
3.2.4 POSITION STATEMENT: CONE BEAM COMPUTED
TOMOGRAPHY 53
3.2.5 INTERPRETATION 54
3.2.6 RECOMMENDATIONS 54
3.2.7 RESEARCH: CBCT VS. BIOPSY 54
3.3 DIAGNOSTIC TESTING 54
3.3.1 DIAGNOSTIC TESTING * 55
3.3.2 CLINICAL TESTS 61
CONTENTS XIII
3.4 ADDITIONAL DIAGNOSTIC TOOL: LASER DOPPLER FLOWMETRY 65
3.5 TOOTH FRACTURE 65
3.5.1 THE HISTORY 66
3.5.2 BITE BLOCK 66
3.5.3 TRANSILLUMINATION 66
3.5.4 CLASSIC SIGNS OF CRACKED TEETH 66
3.5.5 CRAZE LINES 67
REFERENCES 68
4 PULPAL AND PERIAPICAL DIAGNOSTIC TERMINOLOGY
AND TVEATMENT CONSIDERATIONS 71
4.1 SYNTHESIS OF INFORMATION 71
4.2 TERMINOLOGY 71
4.3 NEUROPLASTICITY 72
4.4 REVERSIBLE PULPITIS 72
4.5 COLD SENSITIVITY FOLLOWING A RESTORATIVE PROCEDURE 75
4.6 SYMPTOMATIC IRREVERSIBLE PULPITIS 75
4.7 PULP NECROSIS 76
4.8 PREVIOUSLY TREATED TEETH 77
4.9 SYMPTOMATIC PERIAPICAL PERIODONTITIS 79
4.10 ASYMPTOMATIC PERIAPICAL PERIODONTITIS 79
4.11 CHRONIC PERIAPICAL ABSCESS 79
4.12 ACUTE PERIAPICAL ABSCESS 80
4.13 HOSPITALIZATION OF PATIENTS WITH DENTAL ABSCESSES 81
4.13.1 CELLULITIS 82
4.14 PERSISTENT STOMAS 84
4.14.1 COMMON CAUSES OF PERSISTENT STOMAS 84
4.15 CONDENSING OSTEITIS 84
4.16 ATYPICAL ODONTALGIA: AN ORAL NEUROPATHIC PAIN
PHENOMENON 85
4.16.1 A CLASSIC DESCRIPTION OF A PATIENT
WITH ATYPICAL ODONTALGIA 85
4.16.2 OVERVIEW OF NEUROPATHIC PAIN 86
4.17 SELF-ASSESSMENT 87
4.17.1 TREATMENT PLAN 89
REFERENCES 89
5 CAUSES OF ENDODONTIC PAIN AND PREVENTIVE STRATEGIES 91
5.1 CAUSES OF ENDODONTIC PAIN 91
5.2 CARIES 91
5.2.1 HOST-MICROBE INTERACTIONS IN THE ROOT
CANAL
SYSTEM
92
5.3 LOW-COMPLIANCE SYSTEM AND PAIN 93
5.3.1 NECROTIC PULP 94
5.3.2 A CLASSIC STUDY 94
5.4 TRAUMA 95
5.4.1 RESTORATIVE FACTORS 95
XIV CONTENTS
5.5 PAIN-PREVENTIVE STRATEGIES 96
5.5.1 PREOPERATIVE STRATEGY 96
5.5.2 PAIN: PREDISPOSING FACTORS 96
5.5.3 COMORBIDITIES 96
5.5.4 PREDICTORS OF ENDODONTIC PAIN 96
5.6 THE INFLUENCE OF OTHER FACTORS ON PATIENTS PAIN:
GENETICS, SEX, AND ANXIETY 97
5.6.1 GENETICS 98
5.6.2 SEX AND GENDER 99
5.7 RECENT RESEARCH: PROBABILITY OF PAIN 100
5.7.1 INCIDENCE 101
5.7.2 RESEARCH BIAS 101
5.7.3 ANXIETY 102
5.7.4 CLINICAL RESEARCH 102
5.8 AVOIDING TREATMENT 102
5.8.1 BEHAVIORAL MODIFICATION 103
5.9 OLDER PATIENTS 104
5.10 ADJUNCTIVE PHARMACOTHERAPY 104
5.10.1 NITROUS OXIDE 105
5.10.2 ANXIETY AND CONSCIOUS SEDATION 105
5.11 LOCAL ANESTHESIA 106
5.11.1 INJECTION PAIN 106
5.11.2 OCCLUSAL REDUCTION AS A PAIN-PREVENTIVE STRATEGY 107
5.11.3 PREOPERATIVE PAIN: INFLUENCE ON TOOTH SURVIVAL 109
5.11.4 MORE SERIOUS COMPLICATIONS FOLLOWING OBTURATION. 110
REFERENCES ILL
6 LOCAL ANESTHESIA 115
6.1 DEPTH OF LOCAL ANESTHESIA 115
6.1.1 SOFT TISSUE AND DENTAL ANESTHESIA 115
6.2 ANESTHESIA AND IRREVERSIBLE PULPITIS 116
6.3 ANESTHETIC FAILURE 116
6.3.1 INDIVIDUAL VARIATIONS 117
6.3.2 SUPPLEMENTAL ANESTHESIA 117
6.4 CASE SELECTION 118
6.4.1 BUCCAL INFILTRATION 118
6.4.2 INTRA-LIGAMENTAL (PDL) INJECTION 118
6.4.3 INTRAOSSEOUS INJECTION 120
6.4.4 INTRA-PULPAL ANESTHESIA 121
6.4.5 NITROUS OXIDE AND INFERIOR ALVEOLAR NERVE BLOCK 122
6.5 THE "HOT TOOTH" ^ 123
6.5.1 TREATMENT OF THE "HOT TOOTH" 123
6.6 EMERGENCY CARE 124
6.6.1 NUMB LIP AND NEGATIVE (PAINLESS)
RESPONSE TO PROVOKING STIMULI 125
6.6.2 NUMB LIP AND POSITIVE (PAINFUL)
RESPONSE TO PROVOKING STIMULI 126
CONTENTS XV
6.6.3 CLINICAL RESEARCH 126
6.6.4 ABSENCE OF A NUMB LIP 126
6.7 SELF-ASSESSMENT 127
REFERENCES 128
7 FLARE-UPS 129
7.1 INTRODUCTION 129
7.2 INCIDENCE OF FLARE-UPS 130
7.2.1 META-ANALYSIS 130
7.2.2 INCIDENCE OF FLARE-UP 130
7.3 PREDISPOSING CONDITIONS 131
7.3.1 RESEARCH 131
7.4 CLASSIC NARRATIVES 132
7.5 PROGNOSIS 133
7.6 FLARE-UP AND OUTCOME 135
7.7 CAUSES OF EXACERBATIONS DURING TREATMENT 135
7.8 GOAL OF THE EMERGENCY VISIT 137
7.9 MANAGING EMERGENCIES DUE TO ODONTOGENIC PAIN 137
7.9.1 EMERGENCY PULPECTOMY 137
7.9.2 CLASSIC RESEARCH: EFFECTIVENESS OF PULPOTOMIES 137
7.9.3 DIAGNOSTIC QUESTIONS AND EXACERBATIONS 138
7.9.4 CLEANING/SHAPING AND IRRIGATION 138
7.9.5 OCCLUSAL REDUCTION 139
7.9.6 INCISION AND DRAINAGE (I&D) 141
7.9.7 ANESTHETIC INJECTIONS IN THE PRESENCE
OF SWELLING 142
7.9.8 DRAINAGE AND SINUS TRACTS 142
7.9.9 ABSCESS AFTER OBTURATION 143
7.9.10 TREPHINATION 143
7.10 PROCEDURAL ACCIDENTS 144
7.10.1 SODIUM HYPOCHLORITE ACCIDENT 144
7.10.2 INADEQUATE ACCESS 147
7.10.3 ESTABLISHING MEASUREMENT CONTROL 147
7.10.4 RADIOGRAPHS 148
7.10.5 MAINTAINING MEASUREMENT CONTROL 148
7.10.6 INSTRUMENTATION AND FLARE-UPS 149
7.11 OTHER FACTORS PREDISPOSING PATIENTS TO PAIN 149
7.11.1 GENETICS 150
7.12 DIAGNOSTIC QUESTIONS AND EXACERBATIONS 150
7.13 POST-OBTURATION EMERGENCIES 151
7.13.1 QUESTIONS CONCERNING POST-OBTURATION EXACERBATIONS . 151
7.13.2 SHOULD 1 REMOVE THE FILLING? 151
7.13.3 GROSS OVERFILLING 152
7.14 RETREATMENT CASES 153
7.14.1 RETREATMENT BACTERIAL FLORA 153
XVI
CONTENTS
7.15 PERSISTENT PAIN FOLLOWING SEEMINGLY SUCCESSFUL
ENDODONTIC THERAPY 154
7.15.1 FREQUENCY OF PERSISTENT PAIN 154
7.16 SELF-ASSESSMENT 155
7.16.1 CASE 1 155
7.16.2 CASE 2 155
REFERENCES 156
8 THERAPEUTICS 159
8.1 PHARMACOTHERAPEUTICS 159
8.1.1 ANTIBIOTICS 159
8.1.2 USE AND ABUSE OF ANTIBIOTICS 159
8.1.3 FACTS CONCERNING THE USE OF ANTIBIOTICS 161
8.1.4 NEW AMERICAN ASSOCIATION FOR ORTHOPEDIC
SURGEONS/AMERICAN DENTAL ASSOCIATION
(AAOS/ADA) GUIDELINES FOR ANTIBIOTIC USAGE 163
8.1.5 SYSTEMIC PENICILLIN AND PAIN 163
8.1.6 SELF-ASSESSMENT 164
8.2 PREVENTIVE (PREEMPTIVE) VS. REACTIVE ANALGESIC STRATEGY 164
8.3 ANALGESICS 165
8.3.1 EXCEPTIONS 165
8.4 NONNARCOTIC ANALGESICS 166
8.4.1 NONSTEROIDAL ANTI-INFLAMMATORY
ANALGESICS (NSAIDS) 166
8.4.2 EFFECTS OF NSAIDS ON PREGNANT WOMEN AND INFANTS . 167
8.5 ACETAMINOPHEN (PARACETAMOL, APAP) 168
8.5.1 IS ACETAMINOPHEN SAFE? 168
8.5.2 ACETAMINOPHEN: PREGNANCY AND CHILDREN 169
8.5.3 OPIOID ANALGESICS 169
8.5.4 RECENT RESEARCH 170
8.5.5 SIGNIFICANCE 171
8.5.6 ADVERSE EFFECTS 171
8.5.7 A RECENT CRITICAL ANALYSIS 171
8.5.8 RESULTS OF THE ANALYSIS 171
8.5.9 CLINICAL IMPLICATIONS 172
8.6 ADDICTION TO PRESCRIPTION ANALGESICS 172
8.7 CORTICOSTEROIDS 172
8.7.1 SYSTEMIC ADMINISTRATION OF STEROIDS
(GLUCOCORTICOIDS) AND POSTOPERATIVE PAIN 173
8.7.2 INTRA-CANAL USE OF STEROIDS 174
8.8 ANALGESICS AND GENDER: RESEARCH FINDINGS 174
8.9 SEX BIAS IN RESEARCH 174
8.9.1 SEX DIFFERENCES IN RESPONSE TO OPIOID ANALGESICS . 175
REFERENCES 175
AFTERWORD 177
INDEX 179 |
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| id | DE-604.BV042534791 |
| illustrated | Illustrated |
| indexdate | 2024-08-03T02:21:06Z |
| institution | BVB |
| isbn | 9783642547003 |
| language | English |
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| publisher | Springer |
| record_format | marc |
| spelling | Rosenberg, Paul A. Verfasser (DE-588)1053669054 aut Endodontic pain diagnosis, causes, prevention and treatment Paul A. Rosenberg Heidelberg ; New York, NY ; Dordrecht ; London ; Berlin Springer 2014 XVI, 183 S. Ill., graph. Darst. 25 cm txt rdacontent n rdamedia nc rdacarrier Literaturangaben Zahnschmerz (DE-588)4197688-5 gnd rswk-swf Endodontie (DE-588)4136415-6 gnd rswk-swf Toothache Non-Odontogenic Pain Root Canal Therapy Non-Vital Pulp Caries Trauma Endodontie (DE-588)4136415-6 s Zahnschmerz (DE-588)4197688-5 s DE-604 Erscheint auch als Online-Ausgabe Rosenberg, Paul A. Endodontic Pain X:MVB text/html http://deposit.dnb.de/cgi-bin/dokserv?id=4601442&prov=M&dok_var=1&dok_ext=htm Inhaltstext DNB Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=027968943&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Rosenberg, Paul A. Endodontic pain diagnosis, causes, prevention and treatment Zahnschmerz (DE-588)4197688-5 gnd Endodontie (DE-588)4136415-6 gnd |
| subject_GND | (DE-588)4197688-5 (DE-588)4136415-6 |
| title | Endodontic pain diagnosis, causes, prevention and treatment |
| title_auth | Endodontic pain diagnosis, causes, prevention and treatment |
| title_exact_search | Endodontic pain diagnosis, causes, prevention and treatment |
| title_full | Endodontic pain diagnosis, causes, prevention and treatment Paul A. Rosenberg |
| title_fullStr | Endodontic pain diagnosis, causes, prevention and treatment Paul A. Rosenberg |
| title_full_unstemmed | Endodontic pain diagnosis, causes, prevention and treatment Paul A. Rosenberg |
| title_short | Endodontic pain |
| title_sort | endodontic pain diagnosis causes prevention and treatment |
| title_sub | diagnosis, causes, prevention and treatment |
| topic | Zahnschmerz (DE-588)4197688-5 gnd Endodontie (DE-588)4136415-6 gnd |
| topic_facet | Zahnschmerz Endodontie |
| url | http://deposit.dnb.de/cgi-bin/dokserv?id=4601442&prov=M&dok_var=1&dok_ext=htm http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=027968943&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT rosenbergpaula endodonticpaindiagnosiscausespreventionandtreatment |