口腔临床科学0102（Oral clinical science 0102）.docVIP

口腔临床科学0102（Oral clinical science 0102） Three 、 differential diagnosis Differential diagnosis of toothache caused by a variety of common diseases is shown in table 1. 1. middle caries 2., deep caries, cold, spurs, toothache, stimulation, remove the pain immediately disappeared; sometimes, food embedded in the hole pain, stimulation, remove the pain immediately disappeared. No caries pain deep deep dentin, pulp temperature test normal; cold and heat stimulated hole caused by pain stimulation after removing pain immediately disappeared without special 3. dentin hypersensitivity In case of mechanical and cold stimulation and stimulation of dental pain, pain disappeared immediately after removal. No spontaneous pain visible damage exposed dentin moderate wear, wedge-shaped defect, erosion or trauma tooth; a soft acid, draw on obvious pain, pain disappeared immediately after removal of stimulus; Percussion pain (a), pulp temperature test of individual patients or normal neurosis in the menstrual period and puerperium etc. 4. dental trauma recent dental trauma history, teeth occlusal pain or tenderness at the elongation; fracture of crown see different parts of crown fracture, loosening degree I-II, exposed dentin or pulp hole, red root fracture or dislocation tooth tenderness; patients with pain (+ ~ + +), I ~ 2 mobility different parts of the X-ray, root broken line. No special 5. pulpitis without spontaneous pain; cold stimulation, toothache, rapid reaction to cold stimulation for stimulation; after removing pain short duration; effective treatment of pulp dentin caries, deep non carious lesion or filling body, percussion pain (a). No special 6. acute pulpitis (acute exacerbation of chronic pulpitis) Spontaneous, paroxysmal pain, toothache can not locate, and spread to a certain location, temperature stimulation, causing pain or aggravating pain, night pain than during the day. Deep caries cavity (or filling body), deep periodontal pocket or non carious tooth disease. T