Orofacial pain

Dental-Usually acute presentation Unilateral Located within the mouth but sometimes may be difficult to localise More than 90 % of orofacial pain is dental in origin Usually severe and throbbing in nature Made worse by hot or cold food or drink or by biting on the affected side

Dental caries- common cause which can progress to infection of the pulp , apical abscess or periodontal disease Pulpitis / PulpalReversible- pulp healthy and inflammation is mild ○ pain does not linger after a stimulus○ vague , sharp pain that cannot be located to any particular toothIrreversible- severe and pulp cannot be saved○ spontaneous severe pain- throbbing or shooting or both○ lasts longer even after the stimulus is removed○ can be localised to a tooth○ often worsened by heat and relieved by cold Peridontal disorders - pathology of structures surrounding the teeth- gum and bone support ( peridontal tissues )Commonest- gingivitis and periodontitis Dentoalveolar abscess - pus in structures that surround the teeth Pericoronitis- related to wisdom teeth Cracked tooth syndrome- tooth has a crack that is too small to show up on X-Rays or is under the gum and challenging to identify○ sharp pain on biting, usually worse on release of...