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CDS836 Toothache Test Latest Update
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CDS836 Toothache Test Latest UpdateOdontogenic toothache is _________________, nonodontogenic tooth is
_____________________ - Answer primary pain
heterotopic pain
An odontogenic toothache pain is felt in the _______________, it increases the tooth pain. -
Answer temple (headache)
Sensory (afferent) effects __________________, motor effects __________________________ -
Answer referred pain
protective co-contraction
Muscle tightness, limited mouth opening? - Answer protective co-contraction
Clinical considerations for the odontogenic toothache? (5) - Answer Pain is felt in the
offending tooth
Pain is increased by local provocation of the offending tooth
Pain may be referred to adjacent structures
Protective muscle co-contraction may cause tightness, limited mouth opening and apain
(TMD)
Local anesthesia of the offending tooth will immediately eliminate the tooth pain and the
referred symptoms
Some clinical considerations of the non-odontogenic toothache? (6) - Answer Pain is felt
in the offending tooth
Pain is not increased by local provocation of the painful tooth
Pain is referred from other adjacent structures
Protective muscle co-contraction may cause tightness, limited mouth opening and pain
(TMD)
Local anesthesia of the painful tooth will not eliminate the tooth pain
Local anesthesia of the primary source of pain will immediately eliminate the tooth pain
Sources of non-odontogenic toothache - Answer Toothache of myofascial origin
Toothache of sinus/nasal mucosal origin
Toothache of neurovascular origin
Toothache of neuropathic origin (episodic neuropathic toothache)- (Continuous
, neuropathic toothache -Neuritic toothache (herpes zoster))
Toothache of cardiac origin
Somatic symptom toothache
Characteristics of myofascial toothache? (7) - Answer The pain is relatively constant,
dull and aching
The toothache is not provocated by local stimulation
The toothache is increased with muscle function
Other heterotopic pains are often reported (tension type headaches)
The presence of localized firm. hypersensitive bands within muscle tissues (trigger
points)
INcreased provocation of trigger points increases the toothache (heterotopic pain)
Local anesthesia of the trigger point reduces the toothache
Treatment considerations for myofascial toothaches? - Answer Responsible muscles-
spray and stretch, deep massage, relaxation techniques, injections, etc
Characteristics of sinus/nasal mucosal toothache? (8) - Answer Pressure felt belwo the
eyes (max post teeth)
Pain is increased by applying pressure over the involved sinus
Tooth is sensitive to percussion
Toothache is increased by lowering the head
Toothache is increased by stepping hard on the heel
Local anesthesia of the tooth does no teliminate the pain
Topical anesthetic applied to the ostium maxillare reduces teh toothache
Diagnosis is confirmed by appropriate imaging
Treatment considerations for sinus/nasal mucosal toothache? (2) - Answer
Antihistamines
Antibiotics
Characteristics of neurovascular toothache? (9) - Answer An intense, often pulsating
toothache
pain has a temporal, periodic behavior with complete remission between episodes
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