歯痛

WordNet

an ache localized in or around a tooth (同)odontalgia
small deciduous aromatic shrub (or tree) having spiny branches and yellowish flowers; eastern North America (同)sea ash, Zanthoxylum americanum, Zanthoxylum fraxineum

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歯痛

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/01/19 14:27:00」(JST)

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A man with an aching tooth; a sculpture in the window of a dentist's office.

A toothache, also known as odontalgia or, less frequently, as odontalgy, is an aching pain in or around a tooth.

Causes

Dental etiology, In most cases toothaches are caused by problems in the tooth or jaw, such as
- Dental caries
- Pulpitis, an inflammation of the dental pulp. This can be either reversible or irreversible. Irreversible pulpitis can be identified by sensitivity and pain lasting longer than fifteen seconds, although an exception to this may exist if the tooth has been recently operated on. Teeth affected by irreversible pulpitis will need either root canal treatment or extraction of the tooth.^[1]
- A special condition is barodontalgia, a dental pain evoked upon changes in barometric pressure, in otherwise asymptomatic but diseased teeth.^[2]^[3]
- Periodontitis
- Wisdom teeth
- Cracked tooth
- Dry socket, which is a condition arising after having one or more teeth extracted (especially mandibular wisdom teeth).
- Some causes of toothache are the more obvious culprits such as a cracked tooth, filling or veneer, dental caries from eating acidic, sweet foods that corrode the fillings and the tooth's protective enamel layer. This corrosion is caused from the bacteria that are present on the teeth which break down the sugars in refined foods and then excrete them in the form of acids, which then eat away at the protective enamel of the tooth, causing a cavity, infection and eventually toothache.
- Tightening of Dental braces.

Non-dental etiology
- Trigeminal neuralgia
- Cytotoxic chemotherapy-induced neuropathy^[4]
- Atypical odontalgia is a form of toothache present in apparently normal teeth. This is the intra-oral equivalent of atypical facial pain. The pain, generally dull, often moves from one tooth to another for a period of 4 months to several years. The cause of atypical odontalgia is not yet clear, although some form of nerve deafferentation is plausible.
- Referred pain of angina pectoris or a myocardial infarction.

Severity

The severity of a toothache can range from a mild discomfort to excruciating pain, which can be experienced either chronically or sporadically. This pain can often be aggravated somewhat by chewing or by hot or cold temperature. An oral examination complete with X-rays can help discover the cause. Severe pain may be considered a dental emergency.

References

^ Merck. Toothache and Infection. The Merck Manuals Online Medical Library.
^ Zadik Y, Chapnik L, Goldstein L (June 2007). "In-flight barodontalgia: analysis of 29 cases in military aircrew". Aviat Space Environ Med 78 (6): 593–6. PMID 17571660. http://www.ingentaconnect.com/content/asma/asem/2007/00000078/00000006/art00009. Retrieved 2008-07-16.
^ Zadik Y (August 2006). "Barodontalgia due to odontogenic inflammation in the jawbone". Aviat Space Environ Med 77 (8): 864–6. PMID 16909883. http://www.ingentaconnect.com/content/asma/asem/2006/00000077/00000008/art00013. Retrieved 2008-07-16.
^ Zadik Y, Vainstein V, Heling I, et al. (September 2010). "Cytotoxic chemotherapy-induced odontalgia: a differential diagnosis for dental pain". J Endod 36 (9): 1588–92. doi:10.1016/j.joen.2010.05.004. PMID 20728733. http://www.jendodon.com/article/S0099-2399(10)00458-9/abstract.

External links

WebMD Dental Health & Toothaches
Mayo Clinic Toothache First Aid
U.S. National Library of Medicine: Toothaches

UpToDate Contents

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1. 歯性感染症の合併症、診断、および治療 complications diagnosis and treatment of odontogenic infections
2. 歯性感染症の疫学、病因、および臨床症状 epidemiology pathogenesis and clinical manifestations of odontogenic infections
3. 頭蓋顔面痛の概要 overview of craniofacial pain
4. 成人における急性副鼻腔炎および鼻副鼻腔炎：臨床症状および診断 acute sinusitis and rhinosinusitis in adults clinical manifestations and diagnosis
5. 小児における歯の損傷の評価およびマネージメント evaluation and management of dental injuries in children

English Journal

The Association Between Income Inequality and Oral Health in Canada: A Cross-Sectional Study.

Moeller J1, Quiñonez C2.
International journal of health services : planning, administration, evaluation.Int J Health Serv.2016 Oct;46(4):790-809. doi: 10.1177/0020731416635078. Epub 2016 Mar 14.
Societies exhibiting higher levels of economic inequality experience poorer health outcomes, and the proposed pathways used to explain these patterns are also relevant to oral health. This study therefore examines the relationship between the level of income inequality and the oral health and dental
PMID 26979273

Drill-related root injury caused by intraoperative intermaxillary fixation. An analysis of 1067 screw-applications.

Hartwig S1, Boettner A2, Doll C3, Voss JO3, Hertel M4, Preissner S5, Raguse JD3.
Dental traumatology : official publication of International Association for Dental Traumatology.Dent Traumatol.2016 Sep 28. doi: 10.1111/edt.12305. [Epub ahead of print]
BACKGROUND/AIMS: Intermaxillary fixation is a standard procedure for the treatment of mandibular fractures or in orthognathic surgery. Pre-drilling for screws poses the risk of accidental tooth-root injury, potentially leading to further pathological processes. Limited evidence about accidental toot
PMID 27681036

The Association of Socioeconomic Status and Dental Caries Experience in Children in Dili, Timor-Leste.

Babo Soares LF1, Allen P2, Bettiol S1, Crocombe L3.
Asia-Pacific journal of public health.Asia Pac J Public Health.2016 Sep 11. pii: 1010539516667783. [Epub ahead of print]
Timor-Leste is one of the poorest countries in the world. The aim of this article was to investigate the association between socioeconomic status (SES) and dental caries experience in children living in Dili. Four out of 6 Dili subdistricts and 40 schools were randomly selected. Equal numbers of sch
PMID 27620835

Japanese Journal

Septic Pulmonary Embolism Induced by Dental Infection

Shiota Yutaro,Taniguchi Akihiko,Yuzurio Syota,Horita Naokatsu,Hosokawa Shinobu,Watanabe Yoichi,Tohmori Hidetoshi,Ono Tetsuya
Acta Medica Okayama 67(4), 253-258, 2013-08
… Eight patients had chest pain (88.9%), 5 had a preceding toothache (55.6%) and 3 had preceding gingival swelling (33.3%). … SPE induced by dental infection has prominent clinical characteristics such as male preponderance, chest pain, preceding toothache, and mild clinical course. …
NAID 120005315587

歯科では治らない歯の痛み : 歯科における慢性疼痛

坂本英治,横山武志,Sakamoto Eiji,Yokoyama Takeshi,サカモトエイジ,ヨコヤマタケシ
福岡医学雑誌 = Fukuoka acta medica 104(3), 47-53, 2013-03-25
NAID 120005295631

咀嚼筋群における筋筋膜痛症候群に起因した非歯原性歯痛と歯内疾患を併発した1例

清水康平,佐藤隆夫,羽鳥啓介,小林千明,柴崎郁恵,重森葉子,加藤岳詩,橋本一浩,佐藤洋子,澤田朋美,小木曾文内
日本歯科保存学雑誌 55(6), 424-431, 2012-12-31
目的:咀嚼筋における筋筋膜痛症候群による「非歯原性歯痛」と根尖性歯周炎およびフェネストレーションにより誘導された「歯原性歯痛」を同時併発した症例に対する診査・診断および治療経過を報告する.症例および治療経過:来院時,患者は上顎左側側切歯のみではなく,同側顔面部に広がる放散痛も訴えていた.各種診査より,本疾患は左側側頭筋筋筋膜痛症候群,上顎左側側切歯慢性根尖性歯周炎およびフェネストレーションを併 …
NAID 110009596774