DIFFERNETIAL DIAGNOSIS OF TOOTHACHE

A. Common Causes Ispain spontaneous? Is pain continuous? Is pain well located? Is tooth TTP? Soft tissue tenderness? Is tooth vital? Any radiographic changes? Other relavent signs?
1 Tooth Origin . . . . . . . .
Reversible acute pulpitis . To stimulus . . . . . .
Irreverrsible acute pulpitis . . . . . . . .
Dentine hypersensitivity . To stimulus . . . . . Exposed dentine
Chronic pulpitis . To stimulus . . . . . .
Acute apical periodontitis . . . Slightly . . ? Periapical widening .
Chronic apical periodontitis . To stimulus . Slightly . . ?Periapical widening .
Acute apical abscess . . . . . . Periapical radiolucency Lymphadenopathy
2 Gingival supporting tissues . . . . . . . .
Lateral periodontal abscess . . . . . . Periodontal bone loss Periodontal pocketing
Acute ulcerative gingivitis . . . . . . ?Boney cratering Detruction interdental papillae
Pericoronitis . . . . . . ? Follical around tooth Partiall erupted tooth

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