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Type: Journal article
Title: The differential diagnosis of toothache from other orofacial pains in clinical practice
Author: Linn, J.
Trantor, I.
Teo, N.
Thanigaivel, R.
Goss, A.
Citation: Australian Dental Journal, 2007; 52(Suppl 1):100-104
Publisher: Australian Dental Assn Inc
Issue Date: 2007
ISSN: 0045-0421
Statement of
J. Linn, I. Trantor, N. Teo, R. Thanigaivel, AN Goss
Abstract: Background: Teeth are a common and obvious source of orofacial pain. There is a risk that endodontic treatment may be initiated in patients that do not have pulp or periapical pathosis. Methods: A retrospective survey of a sample of patients referred for endodontic treatment was analysed to determine the accuracy of the diagnosis and to identify non-dental cases. A separate prospective study of complex non-dental orofacial pain cases was performed to determine which cases had previously received dental treatment. Results: Seventy-seven (88 per cent) of 88 patients referred for endodontic treatment had been correctly diagnosed with solely endodontic problems. Eight (9 per cent) had endodontic plus other orofacial pain problems and three (3 per cent) had no endodontic problems but other orofacial pain problems. Forty-four (44 per cent) of 100 non-dental orofacial pain patients had previously received either extractions or endodontics. Conclusion: Dentists need to carefully evaluate all toothache patients to ensure that the diagnosis is correct prior to the initiation of irreversible treatment.
Keywords: Humans
Facial Pain
Diagnosis, Differential
Retrospective Studies
Prospective Studies
Root Canal Therapy
Middle Aged
Description: The definitive version is available at
DOI: 10.1111/j.1834-7819.2007.tb00518.x
Appears in Collections:Aurora harvest
Dentistry publications

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