Open Access Open Access  Restricted Access Subscription or Fee Access

Mechanism of Odontogenic Pain: Clinical Considerations

Sanjay Nandwani, Aahana Nandwani

Abstract


Management of Dental Pain, especially, in Endodontics requires a clear understanding and comprehensive knowledge of underlying various kinds of nerve fibers, their type, composition, structure, conduction speed and pain associated. Just by attentive audition of Dental History of patient, clinician can predict and comprehend the basic mechanism of the Odontogenic pain which assists him culminating upon a provisional diagnosis. An attempt herein is made to elaborate the different types of nerve fibers encountered in Dental Pulp and the periodontium, consequently leading to understanding of association of various types of nerve fibers with divergent experienced pains of patient.


Keywords


Odontogenic Pain, Endodontics, periodontium, nerve fibres, diagnosis

Full Text:

PDF

References


Johnsen DC, Harshbarger J, Rymer HD. Quantitative assessment of neural development in human premolars. Anat Rec 1983;205(4):421-429.

Johnsen D, Johns S. Quantitation of nerve fibers in the primary and permanent canine and incisor teeth in man. Arch Oral Biol 1978;23(9): 825-9.

Bhaskar SN, Kumar GS. Orban’s Oral Histology & Embryology. 14th Edition. Elsevier India, 2018

Anderson DJ, Matthews B, Shelton LE. Variations in the sensitivity to osmotic stimulation of human dentine. Arch Oral Biol 1967; 12(1):43-47.

Narhi M, Kontturi-Narhi V, Hirvonen T, Ngassapa D. Neurophysiological mechanisms of dentin hypersensitivity. Proc Finn Dent Soc 1992;88(Suppl 1):15-22.

Narhi MV, Hirvonen T, The response of dog intradental nerves to hypertonic solutions of CaCl2 and NaCl, and other stimuli, applied to exposed dentine. Arch Oral Biol 1987; 32(11):781-786.

Yu Donald C, Ashraf Abd-Elmeguid. Dental Pulp Neurophysiology: Part 1. Clinical and Diagnostic Implications. J Can Dent Assoc. 2009;75(1);55-59.

Mosby's Review for the NBDE Part II (Mosby's Review for the Nbde: Part 2 (National Board Dental Examination).2nd Edition. Mosby.2014;2-3.

Bender IB. Pulpal pain diagnosis-a review. J Endod 2000; 26(3): 175-9.

Mullaney TP, Howell RM, Petrich JD. Resistance of nerve fibers to pulpal necrosis. Oral Surg Oral Med Oral Pathol 1970;30(5):690-3.

Torebjork HE, Halin RG, Perceptual changes accompanying controlled preferential blocking of A and C fibre responses in intact human skin nerves. Exp Brain Res 1973; 16(3):321-32.

Narhi M, Virtanen A, Kuhta J, Huopaniemi T. Electrical stimulation of teeth with a pulp tester in the cat. Scand J Dent Res 1979; 87(1): 32-8.

Cohen S, Hargreaves KM. Pathways of the pulp. 9th ed. Mosby; 2006.

Hargreaves KM, Goodis HE, Seltzer S. Seltzer and Bender’s dental pulp. Chicago: Quintessence Pub. Co. Inc; June 2002.

Seltzer S, Bender IB, Ziontz M. The dynamics of pulp inflammation: correlations between diagnostic data and actual histologic findings in the pulp.Oral Surg Oral Med Oral Pathol 1963; 16:969-77.

Baume LJ. Diagnosis of diseases of the pulp. Oral Surg Oral Med Oral Pathol 1970; 29(1): 102-16.




DOI: https://doi.org/10.37591/rrjod.v12i1.2511

Refbacks

  • There are currently no refbacks.


Copyright (c) 2020 Research & Reviews: A Journal of Dentistry