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Chapter-07 Differential Diagnosis of Orofacial Pain

BOOK TITLE: Textbook of Endodontics

Author
1. Garg Nisha
2. Garg Amit
ISBN
9789380704234
DOI
10.5005/jp/books/11355_7
Edition
2/e
Publishing Year
2010
Pages
10
Author Affiliations
1. Ex-Resident, Government Dental College, Patiala, Presently at, Manav Rachna Dental College, Faridabad, Haryana, India, Manav Rachna Dental College, Faridabad, Haryana, India, Government Dental College, Patiala, Sri Sukhmani Dental College and Hospital, Dera Bassi, Mohali, Punjab, India, Bhojia Dental College and Hospital, Baddi, Himachal Pradesh, India
2. Government Dental College, PGIMS, Rohtak, Haryana, India, Manav Rachna Dental College, Faridabad, Haryana, India, Sri Sukhmani Dental College and Hospital, Dera Bassi, Mohali, Punjab, India, Fortis Escorts Heart Institute, New Delhi, India, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, New York, USA
Chapter keywords

Abstract

Pain is the most common factor that motivates the patients to seek dental treatment. The dentist is responsible for managing and diagnosing dental pain. Correct pulpal diagnosis is the key to all predictable endodontic treatment. It is paramount to establish a clinical diagnosis of the pulp and the periapical pathology prior to proceeding with a treatment. This diagnosis should be based on presenting symptoms, history of symptoms, diagnostic tests and clinical findings. Pain is defined as unpleasant sensory or emotional experience associated with actual or potential tissue damage or described in such terms. Pulpal pain symptoms occur with different intensities, e.g. mild, moderate, or severe. These differences often aid the clinician in establishing the proper diagnosis or treatment plan and determine whether a pulpectomy is indicated or whether the pulp can be salvaged.

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