Presentation After a direct blow to the mouth, a portion of a patient’s tooth (most often one of the maxillary incisors) may be broken off, or a tooth may be loosened to a variable degree. Ellis class I dental fractures…
Presentation The patient presents with a sharp, throbbing pain in a tooth. This pain is often worse when the patient is in a recumbent position. This individual may or may not be aware of a cavity in the affected tooth.…
Presentation Patients present with severe, dull, throbbing pain 2 to 4 days after a tooth extraction, usually a wisdom tooth in the lower jaw. The pain is often excruciating and continuous; may radiate to the ear, temple, or neck; and…
Presentation Patients, typically between the ages of 17 and 29, seek help because of painful swelling and signs of infection around a partially erupted or impacted third molar (wisdom tooth). There may be a bad taste caused by pus oozing…
Presentation The patient complains of severe, constant facial or dental pain, often associated with facial swelling, regional lymphadenopathy, and cellulitis, and may exhibit signs of systemic toxicity. The pain may be gnawing, throbbing, or sharp and shooting. Dental caries may…
Presentation Patients present with a painful sensation of the tongue or mouth. The pain is variably described as a burning, tingling, hot, scalded, or numb sensation, the magnitude of which is similar to a toothache. The sensation occurs most commonly…
Presentation The patient may have had an extraction or other dental surgery performed earlier in the day and now has excessive bleeding at the site and is unable to visit the dentist. The patient may also be using aspirin, warfarin,…
Presentation After a direct blow to the mouth, the patient, usually a child 7 to 9 years old, may have a permanent tooth that has been completely knocked out of its socket (avulsion) ( Fig. 43.1 ). The tooth is…
Presentation Patients present with a painful lesion in their mouth, often worried about having herpes. Lesions may interfere with eating, speaking, or swallowing. Minor oral trauma from dental appliances, dentures, and orthodontic hardware may be causative, or patients may inadvertently…
Presentation After a viral infection or with chronic allergies, the patient may complain of a dull facial pain, which is usually unilateral, gradually increases over a couple of days, is exacerbated by sudden motion of the head or bending over…