I. Deep caries
Clinical manifestation: cold and hot stimulation transient pain, withholding diagnosis, probing the bottom of the hole sensitive, no spontaneous pain
Treatment method: Just get a dentist to fill the cavity.
Prevention method: Brush your teeth well and get regular check-up from dentist.
II. Dentin hypersensitivity
Clinical manifestations: generally the patient is a little older, with severe jaw abrasion, cervical wedge-shaped defect or different degrees of gingival recession.
Treatment: Desensitize with desensitizing medicine or find a dentist for filling
Prevention: Brush your teeth well, eat less hard food, and get regular checkups from your dentist.
C. Acute and chronic pulpitis
Clinical manifestations: may have spontaneous, paroxysmal, radiating pain and cannot be localized, aggravated by hot and cold stimulation, may have buckling pain or discomfort. Chronic pulpitis may have a history of long-term toothache, mostly localizable to the affected tooth, with slight buckling pain or discomfort.
Treatment: Root canal treatment to kill the nerve and make braces.
Prevention: Brush your teeth well and see your dentist for regular checkups.
IV. Periapical periodontitis
Clinical manifestations: there is spontaneous jumping pain that can be localized, biting pain, afraid to chew food with the affected tooth, severe buckling pain, no reflection of pulp vitality test, redness and swelling of the roots of the corresponding teeth, searing pain, loosening, and can induce interstitial infection, swollen and painful lymph nodes and systemic symptoms.
Treatment: Root canal treatment to kill the nerve and make braces.
Prevention method: Regular check-up with dentist, and treat any problems in time.
V. Wisdom tooth pericoronitis
Clinical manifestations: redness and swelling of the third molar, there may be chewing and swallowing difficulties, restricted mouth opening, enlarged mandibular lymph nodes, pressure pain and elevated body temperature.
Treatment: Extraction or gum cutting after anti-inflammation
Prevention method: Brush your teeth well and pay attention to rest.
VI. Dry socket
Clinical manifestations: recent history of tooth extraction, usually 2 —-3 days after extraction sockets with decaying blood clots, foul odor, gray-white pseudomembrane coverage, severe pain, and slight buckling pain in adjacent teeth.
Treatment: find a dentist to scrape away the decaying material
Prevention method: pay attention to hygiene and rest.
VII. Periodontal abscess
Clinical manifestations: abscess site near the gingival margin, with periodontal pocket loosening obviously, X-ray showing alveolar bone resorption, corresponding lymph node pressure pain, elevated body temperature and general discomfort.
Treatment: Systematic periodontal treatment
Prevention method: Brush your teeth well and get regular checkups from your dentist.
VIII. Gingival papillitis
Clinical manifestations: spontaneous swelling and pain, may have hot and cold stimulation reaction, history of food embedding, adjacent surface caries or bad restoration. Gingival papillae are red and swollen, easy to bleed on probing, pulp vitality is normal.
Treatment: Systematic periodontal treatment Prevention: Brush your teeth well and get regular check-up from dentist.
IX. Trigeminal neuralgia
Clinical manifestations: trigger point, paroxysmal electric shock-like severe pain, heavy during the day, normal for hot and cold stimulation, effective with oral carbamazepine. Treatment: trigeminal neurectomy x. Coronary artery disease: toothache caused by hypertension: no dental lesion can be found, history of coronary artery disease and history of angina pectoris.
XI. Atypical toothache: mostly due to post-extraction, post-root canal treatment, or patient mixed with depression or anxiety, antidepressant treatment is effective for toothache.
XII. Maxillary sinusitis: no obvious dental disorders, multiple tooth clasping pain in the maxillary sinus area, history of cold, pus and maxillary sinusitis, and pus from maxillary sinus puncture.