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Vague pain (cracked tooth) Section 1 - Coggle Diagram
Vague pain (cracked tooth) Section 1
Already given
c/o vague pain on L) side after having
grainy sandwich
:red_flag: Can't tell top or bottom tooth. Can't even sleep
36 - large amalgam filling
:red_flag: recommended
placing a cap
in previous appt.
all molars and premolars hv amalgam filling
gap between 26, 27 -->
food impaction
:red_flag: (26,27 - large amalgam filling) +
overhang on 26
Extreme pain
:red_flag: - bookd an emergency appt with u
Differential Diagnosis
Can't localise pain
:check:
cracked tooth
pulpitis
vague pain due to food impaction
Pain on biting
:check: -
pt can localise the pain
-
(im 100% sure it is frm this tooth)
Cracked tooth (tooth - tooth contact)
High spot (if filling is recent)
Apical periodontitis
Perio history :warning:
gap in uppr teeth?
food traps?
(gums are so sore, previously food used to get stuck, when removd it wud gt btr.
with bristles of brush - touch my gum - really painful)
how do u remove them?
bleeding gums?
(bleeding on and off)
sensitivity? pus ?
Show empathy
in lot of pain
comfortable to talk?
History of pain (SOCRATES) :warning:
describe the pain?
(mainly when I bite -
sharp pain.
even if I hv s/t cold - excruciating pain. Last time I evn woke up frm sleep.)
pin point me exact tooth
(differentiate
reversible/irreversible pulpitis
) :red_flag:
radiates?
(reversible - no radiation)
duration of pain?
how long does it lasts each time?
what makes it worse?
hot/cold? pain on biting?
how did u relieve it?
painkillers?
how did u take them?
effective?
last episode?
pain scale?
Comes with both versions
:star:Cracked tooth with reversible pulpitis
:star:Cracked tooth with irreversible pulpitits
Previous Dental Hx
:warning:
Grinding history?
:red_flag:
(additional occlusal load can cause fracture) if pt says - I dont knw
heaviness in ur head when u wake up?
Oral hygiene?
flossing?
:red_flag:
when was silver filling done?
if pt did nt show up
last time for cap? ask for reason
Medical hx :warning:
Medical conditions? (to affect pain killers)
allergies?
Social Hx :warning:
Smoking, alcohol?
Diet?
Stress?
:red_flag:if school teacher