RESUMO
An acute pulpalgia and temporomandibular disorders can produce many of the same symptoms. To illustrate identification of an acute pulpalgia as a component in TMD, the authors review the evaluation of 11 patients at a clinic that specializes in TMD treatment. During the evaluation, thermal testing and periodontal ligament anesthesia were used to identify the offending tooth. After receiving endodontic treatment or having the tooth extracted, patients reported either complete or partial relief of TMD symptoms. The authors provide questions that may help practitioners identify a tooth with an acute pulpalgia as a contributing factor to TMD symptoms and suggest a technique to confirm this diagnosis.
Assuntos
Doenças da Polpa Dentária/diagnóstico , Síndrome da Disfunção da Articulação Temporomandibular/diagnóstico , Odontalgia/diagnóstico , Doença Aguda , Adolescente , Adulto , Idoso , Anestesia Dentária , Doenças da Polpa Dentária/terapia , Teste da Polpa Dentária , Diagnóstico Diferencial , Seguimentos , Humanos , Mandíbula/fisiopatologia , Músculos da Mastigação/fisiopatologia , Pessoa de Meia-Idade , Ligamento Periodontal , Amplitude de Movimento Articular , Tratamento do Canal Radicular , Síndrome da Disfunção da Articulação Temporomandibular/fisiopatologia , Extração Dentária , Odontalgia/terapiaRESUMO
The case of a patient with bilateral preauricular pain and tinnitus is reported. Minimal relief was obtained with traditional temporomandibular disorders therapy, and complete relief was obtained after endodontic therapy. Pulpal conditions that can refer pain are discussed, and recommendations are made to help practitioners identify a possible pulpal etiology for symptoms and tests of temporomandibular disorders.
