Toothache
Basics
Description
Description
- Tooth pain is caused by irritation of the root nerves located in pulpal tissue:
- The pulp is the tooth's center and its neurovascular supply
- Other etiologies may cause oral pain both inside the mouth and referred to the oral cavity
Etiology
Etiology
- Dental:
- Dental caries (hard structures demineralized by bacteria)
- Pulpitis (inflamed pulp secondary to infection)
- Reversible pulpitis is mild inflammation of the tooth pulp caused by caries encroaching on the pulp
- Irreversible pulpitis is the result of an untreated carious lesion causing severe inflammation of the pulp and severe, persistent, poorly localized discomfort
- Periapical abscess (necrotic pulp and subsequent abscess)
- Postextraction pain (dry socket, infection)
- Cracked-tooth syndrome (pain, cold sensitivity, crack difficult to visualize)
- Periodontal disease:
- Gingivitis and periodontitis (gingivitis with loss of periodontal ligament attachment)
- Periodontal abscess (gum boil)
- Pericoronitis (gingival inflammation from malerupted tooth)
- Acute necrotizing ulcerative gingivitis (gingival pain, ulcers with/without pseudomembranes)
- Denture stomatitis
- Herpetic gingivostomatitis
- Aphthous ulcers (canker sores)
- Traumatic ulcers
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Citation
Schaider, Jeffrey J., et al., editors. "Toothache." 5-Minute Emergency Consult, 6th ed., Lippincott Williams & Wilkins, 2020. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307621/all/Toothache.
Toothache. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307621/all/Toothache. Accessed November 8, 2024.
Toothache. (2020). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (6th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307621/all/Toothache
Toothache [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. [cited 2024 November 08]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307621/all/Toothache.
* Article titles in AMA citation format should be in sentence-case
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T1 - Toothache
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ED - Barkin,Adam Z,
ED - Shayne,Philip,
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ED - Schaider,Jeffrey J,
ED - Barkin,Roger M,
ED - Hayden,Stephen R,
ED - Wolfe,Richard E,
BT - 5-Minute Emergency Consult
UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307621/all/Toothache
PB - Lippincott Williams & Wilkins
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DB - Emergency Central
DP - Unbound Medicine
ER -