By Alex J. Moule, M. Lamar Hicks
Diagnosing Dental and Orofacial soreness: A medical handbook approaches a posh subject in a uniquely functional approach. this article deals useful recommendation on how one can realize and converse successfully with sufferers in soreness, find out how to research a sufferers’ discomfort descriptions, and the way to supply a formal analysis of orofacial discomfort difficulties that may come up from a myriad of sources—anywhere from enamel, joint and muscle ache, and paranasal sinuses to cluster complications, neuralgias, neuropathic discomfort and viral infections.
- Helps the scholar and practitioner comprehend the diagnostic procedure by way of addressing the precise questions that must be requested after which studying verbal and non-verbal responses to these
- Edited by means of specialists with a long time of scientific and instructing adventure, and with contributions from foreign specialists
- Companion web site offers extra studying fabrics together with video clips, case reviews and extra useful advice for exam and diagnosis
- Includes various colour pictures and illustrations all through to reinforce textual content clarity
Read or Download Diagnosing Dental and Orofacial Pain: A Clinical Manual PDF
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Additional info for Diagnosing Dental and Orofacial Pain: A Clinical Manual
Patients often use two fingers to demonstrate joint pain. 6‐11) (video 8) is likely to be soft tissue pain related to periapical inflammation from a maxillary canine or lateral incisor. g. acne or an ulcer) need to be considered. B. 6‐11) (video 9) is often associated with maxillary sinusitis. Thus, screening for this possibility is indicated. C. 6‐12) (video 10) suggests involvement of the anterior attachment of the masseter muscle. Confirm this by placing a finger firmly on the area of tenderness, and then asking the patient to clench.
This is particularly diagnostic if they move their fingers in a rotary motion. If parotid pathology is responsible, the area of tenderness will be located more posteriorly and the gland will be palpable. Important questions to ask, when developing a differential diagnosis or trying to explain this finding to a patient, are: Is it painful if you press anywhere on the side of the face? Can you make it hurt if you press the side of the face? NOTE: A patient can be assured of a non‐dental origin by having them press into the body of the masseter and then clenching.
If this occurs this is likely to be the tooth in question. Being able to change the character of a patient’s pain by alternating hot and cold stimuli is helpful in identifying heat-sensitive teeth. In rare situations, it may be necessary to bring the patient back when the pain has completely subsided. Then carry out testing on only one tooth at a time. If this is the case, teeth can be tested individually to assess their response to heat, with a period of waiting between each test. Re‐application of cold spray to reverse the pain responses can then be used to reconfirm the identity of the heat-sensitive tooth.