Cases reported "Toothache"

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1/10. herpes zoster of the trigeminal nerve third branch: a case report and review of the literature.

    literature review AND CASE REPORT: A literature review of herpes zoster of the trigeminal nerve is presented. Included are differential diagnosis and treatment modalities that will enable the dental practitioner to identify and manage this disease. A case report is provided to amplify this timely information.
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ranking = 1
keywords = trigeminal nerve, nerve
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2/10. Dental presentations of cluster headaches.

    cluster headache has been defined by the International Headache Society (IHS) as one of the primary headaches. A primary headache is a headache that has no other known cause, such as infection or trauma. cluster headache is also listed as one of the trigeminal autonomic cephalalgias. These headaches are mediated by the trigeminal nerve with accompanying autonomic symptoms that may range from conjunctival injection, lacrimation, nasal congestion, rhinorrhea, forehead and facial sweating, miosis, and ptosis to eyelid edema. The IHS has described cluster headache as "attacks of severe, strictly unilateral pain that is orbital, supraorbital, temporal or in any combination of these sites, lasting 15 to 180 minutes." In the author's practice, as a dentist treating orofacial pain, patients with cluster headache have dental or midfacial complaints as a primary presentation. This paper introduces such presentations based on interviews with cluster headache patients, with the main purpose of having midfacial complaints considered as an important presentation to be added to the IHS diagnostic criteria for cluster headache.
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ranking = 0.2
keywords = trigeminal nerve, nerve
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3/10. Prodromal odontalgia and multiple devitalized teeth caused by a herpes zoster infection of the trigeminal nerve: report of case.

    A case of oral herpes zoster infection with prodromal odontalgia is presented. tooth devitalization, facial scarring, and neuralgia occurred without concurrent local and systemic factors. The cause, pathological features, diagnosis, and management of an oral herpes zoster infection with prodromal odontalgia are discussed.
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ranking = 0.8
keywords = trigeminal nerve, nerve
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4/10. Flare-up with associated paresthesia of a mandibular second premolar with three root canals.

    A case report is presented that deals with mental nerve paresthesia resulting from the "flare-up" of a mandibular second premolar with three root canals. A review of the literature and discussion follow, which suggest possible mechanisms that may be responsible for paresthesia as well as treatment regimens that may be used to minimize the incidence of this unexpected but occasional post-treatment endodontic sequela.
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ranking = 0.00017537811711803
keywords = nerve
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5/10. trigeminal neuralgia mimicking odontogenic pain. A report of two cases.

    trigeminal neuralgia or tic douloureux is characterized by paroxysmal episodes of facial pain in the distribution of the trigeminal nerve, although patients may have a variety of symptoms that mimic odontogenic pain. This article presents two cases of trigeminal neuralgia that were misdiagnosed and initially treated endodontically as pain of odontogenic origin. A therapeutic regimen of carbamazepine alleviated the pain in both patients. These two cases demonstrate the importance of having a thorough knowledge of both odontogenic and nonodontogenic causes of orofacial pain, as well as the need for careful diagnosis before undertaking any treatment.
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ranking = 0.2
keywords = trigeminal nerve, nerve
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6/10. herpes zoster of the trigeminal nerve: the dentist's role in diagnosis and management.

    herpes zoster is caused when the varicella/zoster virus that has remained latent since an earlier varicella infection is reactivated. During the prodromal stage, the only presenting symptom may be odontalgia, which may prove to be a diagnostic challenge for the dentist. He or she may carry out emergency treatment that might be irreversible or inappropriate, as well as delay appropriate treatment. With an ever-increasing number of elderly and immunocompromised patients attending the dentist, the dental profession can expect to encounter an increased number of herpes zoster patients. The practising dentist must be familiar with the presenting signs and symptoms of patients experiencing the prodromal manifestations of herpes zoster of the trigeminal nerve.
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ranking = 1
keywords = trigeminal nerve, nerve
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7/10. Phantom tooth pain: a diagnosis of exclusion.

    This case report addresses the difficult diagnosis of phantom tooth pain (PTP). This is a syndrome of persistent pain in the teeth and oral structures following pulp extirpation, extraction, or rarely, an inferior alveolar nerve block. The incidence of this often misdiagnosed condition is estimated to be 3% of the population undergoing pulp extirpation, and is similar to phantom limb pain. The diagnosis of PTP is discussed here as a diagnosis of exclusion, after numerous interventions. Various treatment modalities are outlined and the use of non-traditional pharmacological approaches for pain reduction are discussed.
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ranking = 0.00017537811711803
keywords = nerve
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8/10. The prevention and management of oral barotrauma.

    The recent increase in the popularity of scuba diving has emphasised the role of the dentist in the prevention and treatment of oral barotrauma. Pain and injury to oral structures can result from rapid changes in pressure gradients, and involve enclosed spaces such as the sinuses, exposed dentinal tubules, or root canals. Three patients provide clinical examples of dental barotrauma and highlight the need for an awareness that some patients are divers who need meticulous restorative dentistry.
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ranking = 2.8259695724551E-5
keywords = injury
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9/10. Pustular drug eruption due to bacampicilin hydrochloride in a patient with psoriasis.

    We report a case of pustular drug eruption due to bacampicilin hydrochloride which developed in a patient with pustular psoriasis. The patient was a 45-year-old Japanese woman with psoriasis which started as pustular psoriasis twenty years previously. In 1994, she developed generalized erythema with pustules accompanied by high fever and liver injury. Clinical and histological findings of this pustular eruption were different from her previous episodes of pustular psoriasis. Erythemas and pustules disappeared and her abnormal transaminase returned to normal rapidly when she discontinued bacampicilin hydrochloride. Her positive reaction to a patch test and a lymphocyte stimulation test also suggested that our case had a pustular drug eruption rather than pustular psoriasis induced by a drug.
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ranking = 2.8259695724551E-5
keywords = injury
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10/10. Dental and gingival pain as side effects of niacin therapy.

    Two 65-year-old white men with coronary heart disease, given niacin therapy for dyslipidemia for 5 months, developed intense dental and gingival pain that was associated with increases in dose and that was relieved with discontinuance of niacin treatment. One individual who took crystalline niacin had beneficial effects on lipid levels, while the other person who took a delayed release preparation had little lipid effect. The cause of these previously unreported side effects of niacin therapy is uncertain but may be related to prostaglandin-mediated vasodilatation, hyperalgesia of sensory nerve receptors, and potentiation of inflammation in the gingiva with referral of pain to the teeth.
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ranking = 0.00017537811711803
keywords = nerve
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