Referred pain: a confusing case of differential diagnosis between two teeth presenting with endo-perio problems.
نویسندگان
چکیده
AIM A case of a patient with a confusing referred pain is reported that emphasizes the importance of providing a differential diagnosis in order to avoid inappropriate treatment. SUMMARY This article describes the management of a patient presenting with a combined endo-perio problem that was apparently treated adequately. After a short period of time, the reappearance of mild pain was misdiagnosed. The situation was more complicated when multiple diagnostic procedures were attempted and inadequate therapies were tried consecutively. When the true differential diagnosis was established and appropriate treatment provided, the symptoms disappeared and normal function returned. Diagnosis of teeth with necrotic pulps may be difficult to establish with possible reasons including inconclusive and poorly localized symptoms and signs. The situation can be further complicated if other teeth developing endodontic or combined endo-perio problems occur simultaneously as this may lead to misdiagnosis and treatment of the wrong tooth.
منابع مشابه
Evaluation of Yazd dental students’ awareness and practice regarding diagnosis and treatment of endo-perio lesions in 2020
Abstract Background and Aims: Lack of dentists' information about the possibility of treatment of endo-perio lesions is one of the main reasons for dental removing. Considering the importance of this issue, the present study aimed to investigate the knowledge and practice of senior dental students in Yazd about differentiation of endo-perio lesions and effective treatment of these lesions. Mate...
متن کاملA sequential approach in treatment of endo-perio lesion a case report.
Endo-perio lesions primarily occur by way of the intimate anatomic and vascular connections between the pulp and the periodontium. Endodontic-periodontal combined lesion is a clinical dilemma because making a differential diagnosis and deciding a prognosis are difficult. An untreated primary endodontic lesion may become secondarily involved with periodontal breakdown, which clinically present u...
متن کاملEndo - Perio Lesion - A Brief Review Authors
EndoPerio lesions are considered to be complex dental conditions for the clinicians to establish accurate diagnosis and treatment plan. The aim of this article is to bring about proper diagnosis followed by the removal of causative factors and making use of various treatment modalities in order to restore health, function and aesthetics of the concerned teeth. This article also discuss various ...
متن کاملA New Classification of Endodontic-Periodontal Lesions
The interrelationship between periodontal and endodontic disease has always aroused confusion, queries, and controversy. Differentiating between a periodontal and an endodontic problem can be difficult. A symptomatic tooth may have pain of periodontal and/or pulpal origin. The nature of that pain is often the first clue in determining the etiology of such a problem. Radiographic and clinical ev...
متن کاملA case report of Pancoast tumor presenting as cervical radiculopathy
Pancoast tumor accounts for 3%-5% of all non-small cell lung carcinomas. This tumor has a distinct clinical presentation through local invasion and the resulting clinical entity called Pancoast syndrome. This syndrome includes severe shoulder pain, arm pain, and Horner’s syndrome andatrophy of forearm and hand muscles. The differential diagnosis of arm and shoulder pain is extensive. Thoracic o...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- International endodontic journal
دوره 39 9 شماره
صفحات -
تاریخ انتشار 2006