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Dental Pain, Etiology, Pathogenesis, and Management

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Synonyms

Dentin sensitivity; Pulpalgia; Pulpitis; Toothache

Definition

A noxious experience that originates or appears to originate from a tooth.

Characteristics

Pain is not experienced from an entirely healthy tooth under normal physiological conditions, but can be induced by a cold stimulus at 0 °C or below. It is more readily felt in otherwise normal teeth in which the dentin beneath the enamel of the crown or beneath the cementum of the root is exposed. Then cold stimuli will induce pain and hot or osmotic stimuli may do so. This pain is sharp and lasts only for the duration of the stimulus. If the dental pulp, the soft tissue within the dentin and responsible for its production, is inflamed, the pain to an applied stimulus will be strong, dull, and throbbing. It may continue beyond the duration of the stimulus and may be present spontaneously. As the majority of nociceptors in the uninjured pulp are inactive under normal circumstances, they can be classified as “silent.” No...

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Correspondence to Graham R. Holland .

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Holland, G.R. (2013). Dental Pain, Etiology, Pathogenesis, and Management. In: Gebhart, G.F., Schmidt, R.F. (eds) Encyclopedia of Pain. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-28753-4_1035

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