Tooth pain or toothache are of two types, they are clasifid in to two types mainly due to its origin
1. PULPAL PAIN
This type of pain will be usually of high intensity, one will be able to point out which tooth is causing the pain, there will be an associated carries (decay), the intensity of pain increases during night or when lying down, the pain is normally pulsating and appears in episodes.
Treatments:
Earlier the common treatment for such tooth was extraction (removal of the tooth). Presently with the upcoming of Root Canal Therapy (RCT) the pain in such tooth can treated without extracting the tooth. RCT is a time taking process which requires four appointments or more.
2.PERIODONTAL PAIN.
This type of pain is normally of low intensity. It is usually a dull and gnawing pain. This is normally caused when the periodontium ( especially the bone surrounding the tooth) is affected. One cannot identify from where the pain is originating. For this type of pain there will be some associated findings are seen like, Calculus (calcified, powdery substance surrounding the neck of the tooth) or any other local deposits around the tooth surface, bleeding from site on brushing or while having food, halitosis (bad breath), mobility of the teeth.
Treatment:
The treatment includes:
1. Scaling (cleaning) the tooth surface
2. Splinting the mobile tooth/ teeth if the tooth/ teeth can be retained
3. Curettage/ Open Flap Surgery
4. Extraction of the tooth/ teeth in case of hopeless prognosis
1. PULPAL PAIN
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| GROSSLY DECAYED TOOTH |
Treatments:
Earlier the common treatment for such tooth was extraction (removal of the tooth). Presently with the upcoming of Root Canal Therapy (RCT) the pain in such tooth can treated without extracting the tooth. RCT is a time taking process which requires four appointments or more.
2.PERIODONTAL PAIN.
This type of pain is normally of low intensity. It is usually a dull and gnawing pain. This is normally caused when the periodontium ( especially the bone surrounding the tooth) is affected. One cannot identify from where the pain is originating. For this type of pain there will be some associated findings are seen like, Calculus (calcified, powdery substance surrounding the neck of the tooth) or any other local deposits around the tooth surface, bleeding from site on brushing or while having food, halitosis (bad breath), mobility of the teeth.
Treatment:
The treatment includes:
1. Scaling (cleaning) the tooth surface
2. Splinting the mobile tooth/ teeth if the tooth/ teeth can be retained
3. Curettage/ Open Flap Surgery
4. Extraction of the tooth/ teeth in case of hopeless prognosis
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| TOOTH WITH BONE LOSS |
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